Diabetes, Heart and Cardiovascular Diseases News Chronicle.  Diabetes, Cardiovascular and Heart Diseases
 Article 292
    Published on January 19, 2018

 

A diabetes patient suffering from diabetic foot ulcer (DFU) may need a quick medical review

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About ten percent of the patients with diabetes are at the risk of foot ulcers. But the risk of the diabetic foot ulcer can be minimized with a good control over blood sugar (glucose) levels, attending the annual health checkup along with a proper foot care. The worst health outcome with the diabetic foot ulcers (DFU) is an amputation.


The poorer outcome from patients with type 2 diabetes suffering from multiple diabetic foot ulcers and limb ischemia.

An amputation is a surgical removal of the affected limb. The amputation procedure is costly as the procedure needs time, stay at the hospital, cost of the medical procedure, cost of the prosthesis (an artificial device which replaces the amputated part) and expenses you may have after amputation. So prevention of amputation is better for the patients with the diabetic foot ulcers.



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An analytical study was done by the researchers from the United Kingdom on the prognosis for the infected diabetic foot ulcers. The participants are from the Concordance in Diabetic Foot Ulcer Infection (CODIFI) study and the data from 49 dead. The study shows.

  • Fifteen percent of the patients are dying within a year.
  • Complete or a partial amputation in one in seven patients.
  • Less than half of the ulcers are healing within in a year.
  • Ten percent of the patients are experiencing a recurrence of the ulcers within 12 months after healing.
  • More than 25 percent of the patients took some kind of medical procedure for the healing of ulcers.
  • Poorer outcomes in the patients with multiple foot ulcers, limb ischemia and suffering from foot ulcers for a longer period.

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They also found a low quality of lifestyle in the patients who underwent partial or complete limb amputation. A single amputation in the diabetic foot ulcer patient shows a poor blood circulation in his body and indicates future higher risk of amputations in that patient.


The study authors recommend a quick review of a diabetic foot ulcer patient as the condition worsens quickly. If required, the patient should be referred as quickly as possible to a specialist. The healthcare professional or specialist should get more time in treating an ulcer.

The senior author of the study was E. Andrea Nelson, Ph.D., RGN, head of the School of Healthcare, Faculty of Medicine and Health, University of Leeds. Co-author of the study was Dr. Michael Backhouse, Ph.D., a podiatrist and also a senior research fellow, the University of Leeds, the United Kingdom. The study was published November 20, 2017, in the Diabetic Medicine. Title of the article was "Prognosis of the infected diabetic foot ulcer: a 12-month prospective observational study." DOI : dx.doi.org/10.1111/dme.13537



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Podiatrist : A foot and ankle surgeon.


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