Diabetes, Heart, and Cardiovascular Diseases News Chronicle.      Article 292

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 of diabetes are at the risk of diabetic foot ulcers. But the risk of the diabetic foot ulcer can be minimized with a good control over blood sugar (glucose) levels, attending the regular check-ups with a proper foot care. The worst health outcome in a patient of diabetes with the diabetic foot ulcers (DFU) is an amputation.


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The poorer outcome from the patients of 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, a stay at the hospital, the cost of the medical procedure, the cost of the prosthesis and the other expenses you may have after the amputation. So prevention of an amputation is better for the patients of diabetic foot ulcers.



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An analytical study was done by the researchers on the prognosis of 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 the following.


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  • 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 of multiple foot ulcers, limb ischemia and suffering from the foot ulcers for a longer period.

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They also found a low quality of lifestyle in the patients who underwent a partial foot amputation or a complete foot amputation. An amputation in a patient a poor blood circulation in the body and indicates a higher risk of more amputations in that patient.



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


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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 on November 20, 2017, in 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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Prosthesis: An artificial device which replaces the body part such as a limb or a heart.

Podiatrist: A foot and ankle surgeon.

 

Published on January 19, 2018

 


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