An approach to diagnosis and management of diabetic foot in rural medical college

Authors

  • Hanumanthaiah C. S. Department of General Surgery, Sri Adichunchanagiri Institute of Medical Sciences, Karnataka, India
  • V. Sharath Kumar Department of General Surgery, Sri Adichunchanagiri Institute of Medical Sciences, Karnataka, India
  • Suhas N. Gowda Department of General Surgery, Sri Adichunchanagiri Institute of Medical Sciences, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185039

Keywords:

Diabetics, Diabetic foot, Endocrine, Ulcer, Vascular involvement

Abstract

Background: India has the dubious distinction of becoming the diabetic capital of the world within the next few years; with its attendant complications it is going to burden the resources of the country. A majority of diabetic patients develop foot ulcers in one point of time or other during the course of their illness. A significant number of such patients will require long-term hospital treatment and amputations. Objective is to assess the predisposing factor and various modes of clinical presentation and management of Diabetic foot ulcer.

Methods: An observational and prospective Hospital based Study was conducted at AIMS, B G Nagara, Bellur Cross from January 2018 to June 2018. A total of 40 patients with Diabetes Mellitus and suffering from diabetic foot ulcer admitted in the department of surgery were included in the study.

Results: The mean age was 61+ 13.9 years. The male constituted nearly 26 (65%) and 14 (35%) females. Nearly 31(78%) of the cases had some of the predisposing factors for the diabetic ulcer of the foot The involvement of peripheral Vascular Disease was seen in 6 (16%) of the cases and 9(22%) had. The levels of HbA1C more than 7 mg % was seen in nearly 82 % of the case showing poor glycaemic control.

Conclusions: Diabetic patients have always suffered from complications affecting the lower limbs. Foot infection and the subsequent amputation of a lower extremity are the most common cause of hospitalization among diabetic patients.

References

Park’s Text Book of Preventive and Social Medicine. 24th edition. Jabalpur, India: M/S Banarsidas Bhanot, 2017.

Tsapogas P. Ischemic and neuro-ischemic ulcers and gangrene. Atlas of the Diabetic Foot. Singapore: Wiley-Blackwell. 2010;21:106-36.

Scott G. The diabetic foot examination: a positive step in the prevention of diabetic foot ulcers and amputation. Osteopathic Family Physician. 2013;5(2):773-89.

Aragon-Sanchez J, Lazaro-Martinez JL, Hernandez-Herrero C, Campillo-Vilorio N, Quintana-Marrero Y, Garcia-Morales E, et al. Does osteomyelitis in the feet of patients with diabetes really recur after surgical treatment? Natural history of a surgical series. Diabet Med. 2012;29:813-8.

Taksande B, Ambade M and Joshi R. External validation of Indian diabetes risk score in a rural community of central India. Journal of Diabetes Mellitus. 2012;2:109-13.

Robbins JM, Strauss G, Aron D, Long Jakub J, Kaplan Y. Mortality rates and diabetic foot ulcers: is it time to communicate mortality risk to patients with diabetic foot ulceration? J Am Podiatr Med Assoc. 2008;98:489-93.

Balagopal P, Kamalamma NG, Patel T, Misra RA. Community-based diabetes prevention and management education program in a rural village in India. Diabetes Care. 2008;31:1097-148.

Sharifi F, Jaberi Y, Mirzamohammadi F, Mirzamohammadi H, Mousavinasab N. Determinants of developing diabetes mellitus and vascular complications in patients with impaired fasting glucose. Indian J Endocr Metab. 2013;17:899-9055.

Ikeh EI, Peupet F, Nwadiaro C. Studies on diabetic foot ulcers in patients at Jos University Teaching Hospital, Nigeria. Afri J of Clin Experimental Microbiol. 2003;4(2):52-61.

Boyko EJ, Ahroni JH, Cohen V, et al. Prediction of diabetic foot ulcer occurrence using commonly available clinical information: The Seattle Diabetic Foot Study. Diabetes Care .2006;29(6):1202-7.

Viswanathan V. Profile of diabetic foot complications and its associated complications: a multicentric study from India. J of Assoc Phys of India. 2005;53(11):933-6.

Appelquist J, castenfor J, Larson J, Stenstolm A, Agardha CD, wound classification is more important than the site of ulceration in the outcome in diabetic foot. Diabetic Med .1989;6(6): 526-30.

Reiber Ge, Vileikyte L, Boyko EJ, Aguila MD, Smith DG, Lavery LA et al causal pathways for incidence of lower extremity ulcer in diabetics. diabetic care. 1999;22:157-62.

James S Tan, MD MACP, Johns Hopkins Advanced Studies in Medicine. Diagnosis and treatment of diabetic foot infections. Clin Infect Dis. 2004;39:885-910.

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Published

2018-11-28

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Original Research Articles