{"id":525,"date":"2022-12-20T16:05:50","date_gmt":"2022-12-20T13:05:50","guid":{"rendered":"https:\/\/medicinehospital.com.tr\/?p=525"},"modified":"2023-07-05T06:01:09","modified_gmt":"2023-07-05T06:01:09","slug":"what-is-diabetic-foot","status":"publish","type":"post","link":"https:\/\/atlasuniversitesihastanesi.com\/en\/what-is-diabetic-foot\/","title":{"rendered":"What is Diabetic Foot?"},"content":{"rendered":"

Diabetic foot<\/strong> is one of the most important complications of diabetes, which can lead to foot ulcers and infections resulting from impaired blood circulation due to the loss of function of the nerves innervating the foot muscles (peripheral neuropathy) or vascular occlusion (peripheral vascular disease), ultimately leading to foot loss (amputation).<\/p>\n

The number of diabetic patients is steadily increasing!<\/p>\n

Ulcers develop in one out of every six patients with diabetes during their lifetime. In 40-60% of these cases, infections occur, and every year 1 million people lose their feet due to diabetes. Diabetic foot complications lead to foot loss every 30 seconds, leaving patients disabled.<\/p>\n

Neuropathy, which is one of the most common long-term complications of diabetes, can be classified into three categories.<\/p>\n

The first is sensory neuropathy, which can manifest as tingling, numbness (stocking-glove pattern), burning, pain, weakness, and loss of sensation in the feet. However, the majority of patients may not experience these symptoms. Electrodiagnostic tests may be necessary for these patients. Sensory neuropathy can be detected through tests such as Semmes Weinstein Monofilament or Neurothesiometry. The advantage of these tests is that they can identify patients who have lost protective pain sensation and are therefore prone to foot ulceration.<\/p>\n

The second is motor neuropathy, which leads to foot deformities (claw toe, hammer toe, etc.), causing a disruption in pressure points and biomechanics of the foot, making them susceptible to ulceration.<\/p>\n

The third is autonomic neuropathy. In autonomic neuropathy, there is a disruption in the normal regulation of sweating, skin temperature adjustment, and control of blood flow. This reduces tissue elasticity, leads to the formation of calluses that increase susceptibility to cracks and fissures. This condition allows bacteria to reach deep tissues and cause infection. The skin moisture condition of patients with autonomic neuropathy can be tested using Neuropad.<\/p>\n

In addition, there are tests available to detect impaired blood circulation in the feet. These include palpating foot pulses (dorsalis pedis artery, posterior tibial artery) to confirm their presence and assess vascular flow using a small hand-held Doppler or measuring blood pressure (sphygmomanometer) in the arm and ankle to calculate the Ankle Brachial Pressure Index (ABPI) or examining the pattern of arterial flow in the foot using Doppler ultrasound or measuring transcutaneous oxygen tension.<\/p>\n

Diabetic foot is a complication that can be prevented with patient education and early treatment. The American Diabetes Association reports that good patient education, comprehensive foot ulcer treatment, and regular patient monitoring result in a reduction of foot amputations by 49-85%. For these reasons, we should be aware that we need expert opinion for foot control and monitoring and should not neglect seeking medical advice.<\/p>\n","protected":false},"excerpt":{"rendered":"

Diabetic foot is one of the most important complications of diabetes, which can lead to foot ulcers and infections resulting from impaired blood circulation due to the loss of function of the nerves innervating the foot muscles (peripheral neuropathy) or vascular occlusion (peripheral vascular disease), ultimately leading to foot loss (amputation). The number of diabetic […]<\/p>\n","protected":false},"author":1,"featured_media":19505,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-guide"],"acf":[],"_links":{"self":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/posts\/525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/comments?post=525"}],"version-history":[{"count":0,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/posts\/525\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/media\/19505"}],"wp:attachment":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/media?parent=525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/categories?post=525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/tags?post=525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}