Integrated Diabetes Foot Clinic
Diabetes mellitus is a group of metabolic disorders characterized by chronic hyperglycaemia resulting from either inadequate insulin production, reduced tissue sensitivity to insulin or both. Chronic hyperglycaemia leads to various micro and macrovascular complications including peripheral neuropathy, peripheral vascular disease, increased risk of foot infection and poor wound healing.
Diabetic foot disease is one of the most devastating and a significant complication of diabetes and is defined as a group of syndromes in which neuropathy, ischemia and infection lead to tissue breakdown and possible amputation. The lifetime risk for the development of a diabetic foot ulcer in patients with diabetes ranges from 15- 25 % and this is known to precede amputation in 85% of the cases. The rate of lower limb amputation in patients with DM is fifteen times higher than in patients without diabetes and approximately 50%-70% of all lower limb amputations are due to DFU. Every 20 seconds a lower limb is lost due to diabetes in the world and it is the most common cause of non-traumatic lower limb amputation. It can impair patients quality of life and affect productivity, social participation and livelihood as well. It is preventable cause of amputation in majority of cases. It goes without saying that these amputations increase mortality rate.
Diabetes Foot Clinic is on every Tuesdays from 8:00-4:00pm, which the team includes the Endocrinologists, Vascular Surgeons Expert from Artificial Limp Centre, Physiotherapists, and Diabetes Educators, who emphasize the holistic concepts in the management of Diabetes Foot related diseases.