A clinical study of 50 cases of diabetic foot in upper hills of Himachal Pradesh
Surya Saini, Shailendra Kaushik
Background: Among persons diagnosed as having diabetes mellitus, the lifetime risk of developing a foot ulcer is high. Diabetic foot problems are a major cause of hospitalization and prolonged hospital stays. Diabetic foot problems, such as ulcerations, infections, and gangrene, are common cause of hospitalization among diabetic patients. Routine ulcer care, treatment of infections, amputations if required, and hospitalization pose a major financial problem and place a tremendous burden on the health care system. This clinical observation of patients with diabetic foot describes epidemiology, risk factors, clinical symptoms and extent of lesions in patients admitted at a tertiary center in upper hills of Himachal Pradesh.Methods: Clinical profile of 50 patients of diabetic foot ulcers was studied. All the patients were subjected to complete hemogram, fasting and PP blood sugar, HbA1c, LFT, KFT, urine R/E, pus c/s, color Doppler of lower limb and x-ray foot.Results: Majority of patients with diabetic foot lesions were young males with a single ulcer having diabetes for more than 2 years.Conclusions: Diabetic foot is a major health problem in diabetic patients. In upper hills of Himachal majority of patients with diabetic foot belong to rural areas and of low socioeconomic class.