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STUDY TO DETERMINE THE FACTORS AFFECTING DIABETIC FOOT MANAGEMENT

Dr Khoula Fiaz, Dr Muhammad Idrees, Dr Ali Hussain

Objective: To know the factors affecting diabetic foot management in our setup. Study design: A case series. Place and Duration: In the west Surgical department of Benazir Bhutto Hospital, Rawalpindi for one year duration from November 2018 to October 2019. Methodology: A total of 112 patients with diabetic diagnosis and treatment were selected for the study. In this study, the final group consisted of one hundred patients. A careful clinical examination was recorded including a detailed history of diabetic foot ulcers and diabetes duration, vascular and sensory evaluation. Treatment policy is divided into a patient education program and intensive management of diabetic foot surgically. Results: Of hundred subjects, male were 76 and female were 24. The 10 years was the mean duration of diabetes. Thirty nine percent were fully treated, minor amputations in 27%, extensive amputation in 10%, 22% rejected from treatment, mortality was 2%, nine percent had a new problem and seven percent required further surgery Conclusion: There is a lack of awareness about foot care in diabetics and instructions are required in this area. Key words: Diabetes Mellitus, Diabetic Foot, Limb Amputation, Diabetic Foot Ulcer, Foot Healing.