How Common do diabetics develop problems with their feet?
Diabetes is the modern plaque. As we can see in the following diagrams, diabetes is fast becoming a global epidemic
In the US,
diabetes is a significant health care burden.
In Singapore, we have also seen a rising trend as compared to the world
There are some interesting facts about diabetics and foot problems:
A Diabetic patient may develop small wounds and may neglect their wounds but the wounds may rapidly progress and develop infected gangrene.
- The lifetime risk for foot problems 30%
- > 50% of all foot wounds become infected, require hospitalization and 1 in 5 will end up with amputation
- Foot problems account for largest number of hospital bed days used for diabetic patients
- Every 30 min, a limb is lost to a landmine but every 30 seconds, a limb is lost due to diabetes
- Risk of recurrent ulcers are greater than 50% after 3 years
- Over 700 Amputations done in Singapore in 2001
- Two-thirds of elderly patients undergoing amputation do not return to independent life
Diabetic Foot Wounds
The Goal is to
- Prevent amputations
- Return the patient to walking