Understanding Diabetic Foot: Causes, Prevention, and Management By Hande Hospital, Shenoy Nagar

 Dr. Raajiv Dorai MBBS., MS., FICS., FACS - Consultant Diabetic Foot Specialist.

Introduction

Diabetes mellitus is a growing health concern in India, with complications that can affect multiple organ systems. One of the most serious and commonly overlooked complications is diabetic foot. If not identified and managed early, diabetic foot can lead to ulcers, infections, and even amputations. At Hande Hospital, Shenoy Nagar, our dedicated Diabetic Foot Clinic, led by Dr. Raajiv Dorai, offers comprehensive care focused on early diagnosis, prevention, and effective treatment of diabetic foot conditions.

 

Causes of Diabetic Foot

A diabetic foot is a result of the long-term effects of uncontrolled blood sugar on the body, particularly on the nerves and blood vessels of the lower limbs. The major causes include:

          1.       Peripheral Neuropathy: High blood sugar damages nerves, leading to loss of sensation in the feet. Patients may not feel injuries, cuts, or blisters.

          2.       Peripheral Arterial Disease (PAD): Diabetes reduces blood flow to the extremities, slowing healing and increasing the risk of infections.

          3.       Foot Deformities: Poorly fitting footwear and structural changes due to neuropathy can cause pressure points and ulcers.

          4.       Infections: Even small injuries can lead to serious infections in diabetic individuals, especially when combined with poor circulation and delayed wound healing.

          5.       Poor Glycaemic Control: Consistently high blood sugar levels weaken the immune system, making it harder to fight infections.

 

Prevention of Diabetic Foot

Prevention is the cornerstone of diabetic foot care. At Hande Hospital, we educate patients on how to protect their feet and maintain overall diabetic health. Here are key preventive measures:

                   Daily Foot Inspection: Check for blisters, cuts, redness, swelling, or nail problems. Use a mirror or ask for help if needed.

                   Proper Foot Hygiene: Wash feet daily with lukewarm water, dry thoroughly (especially between toes), and apply moisturizer.

                   Regular Blood Sugar Monitoring: Maintain target blood glucose levels to reduce the risk of complications.

                   Appropriate Footwear: Wear well-fitting, cushioned shoes and avoid walking barefoot, even indoors.

                   Regular Check-ups: Schedule periodic foot exams, especially if you have a history of ulcers or neuropathy.

                   Quit Smoking: Smoking worsens circulation and increases the risk of PAD.

 Management of Diabetic Foot

Effective management of diabetic foot requires a multidisciplinary approach, which is what we provide at the Diabetic Foot Clinic at Hande Hospital, under the guidance of Dr. Raajiv Dorai. Our team uses evidence-based protocols to offer:

          1.       Wound Care: Debridement (removal of dead tissue), dressings, and infection control are crucial for ulcer healing.

          2.       Offloading Techniques: Special footwear, orthotic devices, and total contact casting help relieve pressure from ulcer sites.

          3.       Infection Management: Timely use of antibiotics and, if necessary, surgical drainage or debridement.

          4.       Vascular Assessment: Evaluation of blood flow using Doppler studies or angiography, followed by revascularization procedures if needed.

          5.       Glycaemic Control: Coordination with diabetologists to optimize blood sugar levels during treatment.

          6.       Surgical Intervention: In advanced cases, surgical correction of deformities or minor amputations may be necessary to prevent major complications.

 Conclusion

At Hande Hospital, Shenoy Nagar, our mission is to provide “Quality Service Made Affordable”. With the launch of our specialized Diabetic Foot Clinic, we aim to reduce the burden of diabetic foot complications through prevention, patient education, and state-of-the-art management.

If you or a loved one is living with diabetes, don’t wait for symptoms to appear. Visit our Diabetic Foot Clinic today for a comprehensive foot screening. Early detection saves limbs – and lives. Kindly contact 9841011390 for an appointment.

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