In Canada 2.3 million live with diabetes mellitus (DM). Diabetic foot ulcers (DFU) are common in patients with uncontrolled diabetes. Cost of treating a diabetic wound is more than $10000. Diabetic people may have ulcer without feeling it; this may cause more complication and infection.

Care providers are responsible for teaching the diabetic people regarding prevention of the ulcers and monitoring feet. Diabetic neuropathy is a complication of diabetes. It means people with DFU do not feel pain if they have cut in the feet. So, it is very important for these people to check their feet daily.

Obesity, poor glycemic control, peripheral neuropathy, peripheral vascular disease, dyslipidemia and accidental or footwear trauma are the major contributory risk factors leading to development of diabetic foot ulcer.

Diabetic people need to consult with a dietitian if they have uncontrolled blood glucose.

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Good foot hygiene, good control of diabetes, early debridement of foot ulcers and rational use of antibiotics in the light of culture/sensitivity report is associated with good outcome in diabetic foot disease.

 

References:

1. Jan, A. W., Khan, H., Ahmad, I., & Khan, M. (2016). DIABETIC FOOT ULCER; RISK FACTORS STRATIFICATION IN PATIENTS. A STUDY OF 150 PATIENTS. Professional Medical Journal, 23(6), 693-698. doi:10.17957/TPMJ/16.3288

2. http://cawc.net/index.php/public/facts-stats-and-tools/statistics/

3. Rashid, A. Z., Iqbal, M. Z., Mehmood, K., & Bashir, R. A. (2016). DIABETIC FOOT ULCER; SEQUELAE. Professional Medical Journal, 23(1), 1-5. doi:10.17957/TPMJ/16.2573