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418 Cardio Diabetes Medicine 2017

“Don’t Let Diabetes Pull Down Our Foot”

Prof. Dr. J. A. Jayalal

Professor Of Surger, Kanyakaumari Government Medical College

ABSTRACT diabetic foot ulcers is essential for successful out-
In the present age of Global village, non-communi- come.
cable environmental diseases become a major public Keywords: diabetes, ulcer, prevention, infection, am-
health concern. Urbanization, life style changes, so- putation
cio cultural changes, pollution, increase in stress and
tensions among people in the society are the con- INTRODUCTION
tributory factors for the increase in the prevalence of All over the world for every 30 seconds one foot is
non-communicable diseases. Worldwide, above 75% amputated due to diabetes and 85% of this can be
of all deaths happens due to non-communicable dis- prevented if early detection and adequate care is pro-
eases (NCDs). This is particularly more widespread in vided. 25% of all diabetics patient will develop foot
underdeveloped and developing countries, due to de- ulcerations in their life period. One third of diabetic
prived health system. Diabetes mellitus is one among patient will develop significant peripheral neuropathy
the most common non communicable diseases.
and /or peripheral vascular diseases. One third of
Globally Diabetes affects 6% of total population. In diabetic patient seek hospital admissions due to di-
India, more than 62 million people which is nearly abetic foot ulcer .
7.1% of adult population of India have diabetes. The The onset of diabetic foot ulcer is not spontaneous
combination of genetic susceptibility plus use of high and many warning signs precede. “Diabetic gan-
calories diet and decreased activity life style pave grene is not heaven sent but is born” said Dr. Elliot
way for the higher incidence among the middle class about 75 years ago . Predicting the factors leading
(1)
Indian population. Diabetes
to diabetic foot ulcer and its complication can inform
Increases the risk of numerous serious health prob- health care professionals to selectively concentrate
lems including Foot disorders. 70 % of people lose to prevent amputations..
their leg because of diabetes. People with known Di- Limb loss results due to delay in wound healing, in-
abetes mellitus have 15 times greater prevalence of sufficient treatment of foot infection and bacterial
losing their leg than non-diabetic persons. Peripheral resistance.
neuropathy,
Numerous trial blessing innovative and explorative
Foot deformities, minor foot trauma, infection and researchers are being carried out on diabetic foot
peripheral vascular disease are the major contributo- ulcers and the methods of curing them from time
ry factors for the development of diabetic foot Ulcer. immemorial. Foot ulcer management requires mul-
Recent technological advancements combined with tidisciplinary approach, by health care specialists.
better understanding of the wound healing process Debridement, offloading, and infection control plays
have resulted in a myriad of advanced wound healing a major part in management of Diabetic foot ulcer.
modalities in the treatment of diabetic foot ulcers. Management of underlying systemic illness, such as
However, it is imperative to remember the fundamen- hypertension, hyperlipidemia, atherosclerotic heart
tal basics in the healing of diabetic foot ulcers such disease, obesity, or renal disease, is essential. It is
as adequate perfusion, debridement, infection con- also necessary to treat the arterial insufficiency, in-
trol, and pressure mitigation. Early recognition of the fection with suitable antibiotics, offloading the area
etiological factors along with prompt management of
of the ulcer, and wound care. Though there have

GCDC 2017