Education level of parents and children/teenagers diagnosed with type 1 diabetes on dietary aspects and association with socioeconomic factors and factors that impact diabetes control

Abstract

Aim: Presentation of the experience of our clinics in the nutrition management of patients who underwent major amputation due to vascular gangrene. Material and method: During the period from June 2011 to June 2015 we were enforced to operate 263 patients who suffered for vascular (arterial) gangrene with major limp amputation. In the acute post operative period the patients who survived the operation were treated with special nutrition protocol which was enriched in both parenteral and oral nutrition with hyper albuminic, hyper caloric formulations and restoration of vitamins and minerals with the purpose of rapid surgical wound healing and rehabilitation. Results: From the 241 patients who survived the operation, 197 had a good post operative process with total wound healing at the 18 th-24 th day after operation. The rest 44 patient suffered from trauma complications (trauma decay, contamination, abutment necrosis), which led to the review of the amputation level. Treatment of these patients included supplementary intake of carnitine and multivitamins and minerals formulations with the purpose of enhancement of healing mechanisms. Conclusion: The use of special nutrition protocols in patients who underwent major amputation due to vascular gangrene helps to the faster trauma healing and rehabilitation. Nevertheless the obligation of continuous evaluation and monitoring of such patients for the prevention and treatment of complications is compulsory.