Prasannam Diabetic Foot Centre is taking care of diabetic foot lesions with the aim of keeping major amputations to the lowest. The motto of our working is,as well said by Dr A Bal :
“A deformed foot with a proper footwear is better than the most sophisticated prosthesis”
At present the working of the foot clinic is mainly of management of foot lesions, but gradually, in due course of time, with increasing awareness in the patients and increasing support of my referring colleagues, I am sure to reach a stage when I will mainly work for prevention of these lesions.
Dr. Archana Sogani, MS- General Surgery, completed her MS General Surgery in 1991 and MBBS in 1987 from SMS Medical College, Jaipur.
• Dr. Sogani has been working on Diabetic foot lesions since 1996
• Dr. Sogani has started the first Diabetic Foot Clinic at Jaipur in Rajasthan
• Dr. Sogani is a life member of Diabetic Foot Society of India
• Dr. Sogani is actively conducting patient education programmes and CMEs on Diabetic Foot Care.
In Diabetics, foot problems are a big risk. All diabetics should closely monitor their feet, because if they don’t, the consequences can be severe, including amputation, or worse – Septicaemia a potentially life threatening condition. Diabetic ulcers are the most common foot lesion leading to lower extremity amputation. Family physicians have a pivotal role in the prevention or early diagnosis of diabetic foot complications. Management of the diabetic foot requires a thorough knowledge of the major risk factors for amputation, frequent routine evaluation and meticulous preventive maintenance. Minor injuries become major emergencies in diabetics before they know it. A wound, as small as a blister, caused by wearing a shoe that’s too tight, can cause a lot of damage. Diabetes also decreases the blood flow, hence injuries are slow to heal. When the wound is not healing, it is at risk for infection which spreads faster than in a non-diabetic. We all emphasise on a management without a major amputation. This is because there are clear cut reasons why a major amputation should be prevented as far as possible.
Following are the reasons why a foot needs to be saved in Diabetics:
• A Below Knee amputee requires 40 % more K Cal/min
• Net oxygen consumption increases
• A Below Knee amputee needs 5 – 10 % extra Cardiac reserve
• An early Below Knee amputation leads to a contra-lateral amputation in 35.50 % of cases • There is 85 % mortality at the end of 5 years.