Diabetes mellitus is a serious chronic disease. The global prevalence of diabetes is estimated at over 200 million. This figure has been predicted to reach 333 million by 2025 because of longer life expectancy, sedentary lifestyle, and changing dietary patterns. In India, the estimated number of patients with diabetes is 74 million while 35 million are patients with prediabetes. This means that India has approximately 100 million people with diabetes.Although many serious complications, such as kidney failure or blindness, can affect individuals with diabetes, it is the complications of the foot that take the greatest toll. Foot problems are a threat to every person with diabetes. Worldwide, more than a million lower limb amputations are performed each year as a consequence of diabetes, which means that in every twenty seconds a lower limb is lost to diabetes somewhere in the world. In India every year approximately 200,000 higher level amputations are done for diabetes-related foot complications. This figure is unacceptably high. The treatment and subsequent care of people with diabetic foot problems have a significant impact on healthcare budgets and a potentially devastating effect on the lives of affected individuals and their family members, particularly in developing countries like India.Of all lower extremity amputations, 40-70% is related to diabetes. In most studies, the incidence of lower leg amputation is estimated to be 5-25/100,000 inhabitants/year: among people with diabetes the number is 6-8/1000. Lower extremity amputations are usually preceded by a foot ulcer in people with diabetes. The most important factors related to the development of these ulcers are peripheral neuropathy, foot deformities, minor foot trauma, and peripheral vascular disease. The spectrum of foot lesions varies in different regions of the world due to differences in socioeconomic conditions, standards of foot care, and quality of footwear.Foot complications are one of the most serious and costly complications of diabetes. However, through a care strategy that combines prevention, the multidisciplinary treatment of foot ulcers, appropriate organization, close monitoring, and the education of people with diabetes and healthcare professionals, it is possible to Foreword viii reduce amputation rates by 49-85%. Most of the foot ulcers in Asia are of neuropathic origin. Such neuropathic ulcers are usually possible to heal. This perspective should motivate those fighting to make a difference for people living with diabetes around the world.Several population-based studies observed a significant reduction in major amputations over time, and, after correction for the increasing number of people with diabetes, in some countries a relative decrease was observed over a longer period of time in the number of lower-extremity amputations in people with diabetes. On the other hand, there are also several countries that report an increase in rates of amputation. The reason for this discrepancy is unclear, but factors such as healthcare organ...
No abstract
No abstract
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.