{"id":2,"date":"2018-12-26T19:37:40","date_gmt":"2018-12-26T19:37:40","guid":{"rendered":"http:\/\/site.diabetes915.com\/\/?page_id=2"},"modified":"2023-08-05T03:31:18","modified_gmt":"2023-08-05T03:31:18","slug":"sample-page","status":"publish","type":"page","link":"https:\/\/site.diabetes915.com\/index.php\/sample-page\/","title":{"rendered":"Diabetes Healthcare"},"content":{"rendered":"\n

DIABETES HEALTHCARE <\/h1>\n\n\n\n
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DIABETIC FOOT ULCERATION DEFINITION<\/strong>

Non \/ slow healing wound present on the foot below the ankle
Extends below the dermis
Present in a person with diabetes
Prese?nt alongside Neuropathy &\/or Ischemia
 
INCIDENCE<\/strong>
Incidence rate of DFU between 1.0 \u2013 3.6%
Prevalence rate of 5%
15% of patients with diabetes will have a foot ulcer, however recent studies suggest a lifetime risk of 25%
Mortality rates following major amputation suggested to be up to 70% within 5 years.<\/figcaption><\/figure>\n\n\n\n
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DIABETES FOOT HEALTHCARE<\/strong>

A\u00a0diabetic foot<\/strong>\u00a0is a\u00a0foot\u00a0that exhibits any pathology that results directly from\u00a0diabetes mellitus\u00a0or any long-term (or “chronic”)\u00a0complication of diabetes mellitus.

Presence of several characteristic diabetic foot pathologies such as\u00a0infection,\u00a0diabetic foot ulcer and\u00a0neuropathic osteoarthropathy\u00a0is called\u00a0diabetic foot syndrome<\/strong>.
Diabetic foot
Other names
Diabetic foot syndrome

Due to the\u00a0peripheral nerve dysfunction\u00a0associated with diabetes (diabetic neuropathy), patients have a reduced ability to feel pain. This means that minor injuries may remain undiscovered for a long while. People with diabetes are also at risk of developing a\u00a0diabetic foot ulcer. Research estimates that the lifetime incidence of foot ulcers within the diabetic community is around 15% and may become as high as 25%.
In diabetes, peripheral nerve dysfunction can be combined with\u00a0peripheral artery disease\u00a0(PAD) causing poor blood circulation to the extremities (diabetic angiopathy). Around half of patients with a\u00a0diabetic foot ulcer\u00a0have co-existing PAD.

Where wounds in your feet take a long time to heal,\u00a0infection\u00a0may set in and lower limb amputation could be necessary.
Foot infection is the most common cause of non-traumatic amputation in people with diabetes.

Prevention Diabetic Foot Syndrome<\/strong>

Prevention of diabetic foot may include optimising metabolic control via the regulation of blood\u00a0glucoselevels;

IDENTIFICATION AND SCREANING<\/strong>

of people at high risk for diabetic foot ulceration; and patient education in order to promote foot self-examination and foot care knowledge. Patients would be taught routinely to inspect their feet for\u00a0hyperkeratosis,\u00a0fungal infection,\u00a0skin lesions\u00a0and foot deformities.

CONTROL OF FOOTWEAR<\/strong>

Control of\u00a0footwear is also important as repeated trauma from tight shoes can be a triggering factor,especially where peripheral neuropathy is present. There is however only limited evidence that patient education has a long-term impact as a preventative measure.
“Of all methods proposed to prevent diabetic foot ulcers, only foot temperature-guided avoidance therapy was found beneficial in\u00a0RCTs” according to a\u00a0meta-analysis.

Treatment<\/strong>

Treatment of diabetic foot can be challenging and prolonged; it may include orthopaedic appliances, antimicrobial drugs and topical dressings.

DIABETIC FOOT INFECTIONS<\/strong>
www.diabetes915.com <\/a>
Most diabetic foot infections (DFIs) require treatment with systemic antibiotics. The choice of the initial antibiotic treatment depends on several factors such as the severity of the infection, whether the patient has received another antibiotic treatment for it, and whether the infection has been caused by a micro-organism that is known to be resistant to usual antibiotics (e.g.\u00a0MRSA). The objective of antibiotic therapy is to stop the infection and ensure it does not spread.
It is unclear whether any particular antibiotic is better than any other for curing infection or avoiding amputation. One trial suggested that\u00a0ertapenem\u00a0with or without\u00a0vancomycin \u00a0is more effective than\u00a0rygecyclin for resolving DFIs. It is also generally unclear whether different antibiotics are associated with more or fewer adverse effects.
It is recommended however that the antibiotics used for treatment of diabetic foot ulcers should be used after deep tissue culture of the wound. Tissue culture and not pus swab culture should be done. Antibiotics should be used at correct doses in order to prevent the emergence of drug resistance. It is unclear if local antibiotics improve outcomes after surgery.<\/figcaption><\/figure>\n\n\n\n

Diabetes Management <\/h1>\n\n\n\n\n\n\n\n

WHAT IS THE DIFFERENCE BETWEEN TYPE I AND TYPE II DIABETES ?<\/p>\n\n\n\n

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Type I
Accounts for approximately 10% of patients with diabetes
Characterized by total absence or very minimal presence of insulin
The condition is managed by injecting insulin or receiving insulin via a pump
 
Type II
Accounts for approximately 85% of patients with diabetes
Characterized by either a lack of insulin or insulin resistance
 This form of diabetes can be managed by one or a combination of:Diet
Healthy exercise
Medication in a tablet e.g. Biguanides (Metformin) \/ Sulfonylurea (Gliclazide
Medication via injections e.g. GLP-1 receptor agonists (Exenatide)
Insulin<\/figcaption><\/figure>\n\n\n\n
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DIABETIC FOOTWEAR<\/a><\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

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