Sunday, 2 March 2014

Wrong footwear can lead to amputationin diabetics: Docs

Wrong footwear can lead to debridement (removal of dead tissue) or even amputation if you are a diabetic. The warning comes from doctors at Sanjay Gandhi Post Graduate Institute of Medical Sciences who attend to about 500 diabetic foot cases every year. This happens when more than 75% of the foot related problems among diabetics are preventable.

To discuss the issue in detail, SGPGI's endocrine surgery department is hosting a national workshop on diabetic foot on March 1 and 2.

Giving more details, associate professor at SGPGI, Dr Gyan Chand, said nearly 25% patients of diabetes suffer from diabetic foot related complications. "Diabetics can develop many types of foot problems. Even ordinary problems can get worse and lead to serious complications. Foot problems most often happen when there is nerve damage, also called neuropathy, which results in loss of sensation in feet. Poor blood flow or changes in the shape of feet or toes may also cause problems," he said.

A diabetic foot ulcer is an open sore or wound on the bottom of foot. This is the commonest region for hospitalisation and prolonged hospital-stay among diabetics. People with diabetes are at a heightened risk of lower limb amputation if proper care is not provided in time. Dr Chand said 75% of lower limb amputations occur among diabetics. "Loss of limb is not the only risk faced by diabetics. A study revealed that 50% of people who underwent diabetes-related lower limb amputations died within three years," he warned.

Out of over 500 diabetic foot cases at PGI every year, more than 10% patients require surgery in form of debridement, minor and major amputation. "The number of diabetic foot patients is increasing every year in our outdoor and indoor but the rates," said Dr Gyan Chand. The numbers are sure to rise further considering the rapidly increasing diabetes population. Figures show that India has an estimated 4.1 crore diabetics. This is predicted to increase to 6.6 crore by 2025.

Doctors, however, say that with some care almost 75% of diabetic-foot related amputations are preventable. "Wearing the correct footwear is the first step. One needs to be cautious not to wear too tight shoes or sandals to avert boils and rashes. Wearing a closed sandal is also recommended to avoid any injury. Keeping one's footwear clean from inside is also important to get rid of particles or pellets that may cause injury due to friction between the foot and the wall of the footwear," suggested Dr Chand.

Choose Right Footwear

- More than a million lower limb amputations are done across the world every year due to diabetic foot
- Amputations are more common in 30-60 age group.
- In India, 45,000 lower limb amputations are done every year.
- A study revealed that 50% of people who underwent diabetes-related lower limb amputations died within 3 years.
- A little care can help in preventing 75% of diabetic-foot related amputations.
- Care for a diabetic foot begins by choosing the right kind of footwear.
http://timesofindia.indiatimes.com/home/science/Wrong-footwear-can-lead-to-amputationin-diabetics-Docs/articleshow/31132841.cms

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