Diabetic Foot Treatment
India is the capital of
diabetes in terms of number of patients. In India 4/10 individuals will have
deranged sugar control after the age of 40. Many people with diabetes find out
their diabetes quite late and by the time this diabetes is diagnosed many of
them have advanced complications also.
Most common complications of
diabetes are related to changes in blood vessels and these changes can affect
heart, kidney, brain and peripheral arteries of Limbs. Diabetic foot problem
arises from inadequate blood supply to the leg tissues and also affection of nerves
that supply foot. As this problem is chronic and requires expert attention we
have started services for diabetic foot treatment which will include treatment
of diabetic ulcers, non-healing diabetic wounds, gangrenous changes in the foot
and joint problems in diabetic foot.
We are regularly running
diabetic treatment clinics in the form of OPD from 6 to 10 PM on weekdays where
diabetic people can get themselves screened for diabetic foot related issues
like peripheral vascular disease, diabetic neuropathy and vascular claudication.
We educate patients how they can take care of their feet by regularly
inspecting them for any cuts or small wounds, which if taken care in right time
can prevent further complications.
Many times people with
diabetes will have deranged sugars because of infection in the legs which can
cause cellulitis and can lead to gangrene which sometime can lead to loss of
limb. And if not properly attended can cause systemic side-effects like
worsening of kidney function and patients can land up in ICU with multiple
A gangrene would look like burnt and shrivelled tissue and
the black colour of skin indicates that the tissue is not viable so there is no
chance to save such tissue.
Neuropathic ulcers are
typically round punched out lesions. These lesions occur because the sensations
in the feet are so much reduced that diabetic persons cannot sense harmful or
injurious stimuli. Many a times these ulcers are present for longtime before
they are brought to medical attention.
In this case we encourage
and their care givers to regularly inspect patient’s feet so as to find them early.
It is also suggested that diabetic persons should wear easily fitting and soft cushioned
footwear and also not to walk barefoot.
Other skin conditions which
are very common in diabetic people are eczema and psoriasis.
These conditions are often
misdiagnosed and many times patients try to take over-the-counter medications
which can worsen the condition as well make it difficult for experts also to
diagnose them. So it is encouraged that whenever some abnormal skin changes
appear proper skin consultation or diabetologist consultation should be done
As now all sorts of these experts services are
available within one centre it will be easier for people to access them and
manage their diabetic foot problems easily without much delay.
So feel free to contact our
services in case you have any such issues. Make sure that diabetic people in
your family, are properly attended to and their foot problems are solved in
By Dr Nikhil Varge, M. D. (Internal Medicine)