Diabetic Foot Ulcer- A clinical study

Gaurav Wadhawan; Ambar Prakash; Muskaan Wadhawan

doi:10.36948/ijfmr.2025.v07i01.37538

Diabetic Foot Ulcer- A clinical study

Author(s)	Gaurav Wadhawan, Ambar Prakash, Muskaan Wadhawan
Country	India
Abstract	Diabetic foot ulcer is one of the common presentations of diabetic foot. The diabetic foot may be defined as a group of syndromes in which neuropathy, ischemia and infection lead to tissue breakdown, resulting in morbidity and possible amputation (World Health Organization, 1995) According to the diabetes atlas 2013 published by the International Diabetes Federation, the number of people with diabetes in India currently is 65.1 million, which is expected to rise to 142.7 million by 2035. Diabetic foot ulcers remain a major health care problem. They are common, result in considerable suffering, frequently recur, and are associated with high mortality, as well as considerable health care costs. While national and international guidance exists, the evidence base for much of routine clinical care is thin. It follows that many aspects of the structure and delivery of care are susceptible to the beliefs and opinion of individuals. It is probable that this contributes to the geographic variation in outcome that has been documented in a number of countries. This article considers these issues in depth and emphasizes the urgent need to improve the design and conduct of clinical trials in this field, as well as to undertake systematic comparison of the results of routine care in different health economies. There is strong suggestive evidence to indicate that appropriate changes in the relevant care pathways can result in a prompt improvement in clinical outcomes. Foot disease affects nearly 6% of people with diabetes and includes infection, ulceration, or destruction of tissues of the foot. It can impair patients’ quality of life and affect social participation and livelihood. Between 0.03% and 1.5% of patients with diabetic foot require an amputation. Most ulcers can be prevented with good foot care and screening for risk factors for a foot at risk of complications.. The major challenges relating to diabetes foot are:- 1. Foot ulceration is common, affecting up to 25% of patients with diabetes during their lifetime. 2. Over 85% of lower limb amputations are preceded by foot ulcers and Diabetes remains a major cause of non-traumatic amputation across the world with rates being as much as 15 times higher than in the non-diabetic population. 3. Prevention is the first step towards solving diabetic foot problems. Although it was estimated that an ankle is lost to diabetes somewhere in the world every 30 seconds, a more important fact is that up to 85% of all amputations in diabetes should be preventable. 4. Strategies aimed at preventing foot ulcers are cost-effective and can even be cost-saving if increase education and effort are focused on those patients with recognized risk factors for the development of foot problem. 5. Diabetes is now the most common cause of Charcot neuro-arthropathy in Western countries, another condition that should be generally preventable.
Keywords	diabetes mellitus,foot ulcer,cellulitis,gangrene,debridement
Field	Medical / Pharmacy
Published In	Volume 7, Issue 1, January-February 2025
Published On	2025-02-23
DOI	https://doi.org/10.36948/ijfmr.2025.v07i01.37538
Short DOI	https://doi.org/g854jj

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Diabetic Foot Ulcer- A clinical study

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