Abstract
This article presents the results of a survey of 102 patients with diabetes mellitus type 1 and 2 diabetic with diabetic foot syndrome. The mean duration of type 1 diabetes was 13.9 years; type 2 diabetes — 9.9 years. The average level of HbA1c was 8,4_2,2 %. We examined motor nd sensory functions of these patients, performed Doppler examination of the lower extremities vessels, microbiological examination with sensitivity to antibiotics. 68% of the patients were diagnosed with autonomic neuropathy. Doppler examination revealed occlusion of the arteries in 75% of cases. 49% of patients suffered from dry and wet gangrene. The aim of the treatment was compensation of carbohydrate metabolism, inhibition of the infection process and elimination of ulcers. In 3 patients, conservative therapy was ineffective, and therefore, the amputation was performed. This study like previous one performed in Albania, once again confirmed the importance of the problem of diabetic foot syndrome and the need to address this pathology in everyday medical practice.
Highlights
IntroductionAbout 20 % of patients with type 2 diabetes mellitus are affected from diabetic foot [4, 5]
According to global statistics, about 20 % of patients with type 2 diabetes mellitus are affected from diabetic foot [4, 5]
The base of the occurence of diabetic foot are: peripheral neuropathy of legs nerves, sudomotor autonomous neuropathy, microvascular and macrovascular damage of legs arteries, and the infection placing on the injured leg [6,7,8,9,10,11]
Summary
About 20 % of patients with type 2 diabetes mellitus are affected from diabetic foot [4, 5]. There is a big the number of patients with diabetic foot, in our country considering that the prevalence of diabetes mellitus is about 2.5 % of the population as a whole, as well as that from type 2 diabetes suffer around 90 % of diabetics in total [12, 13]. 5–75 % of ulcers lead to amputations, while the 5-year survival for inferior limbs amputations is around 40 % [14]. The cost of treatment for diabetic ulcers is around 7,000 euros, while the total cost of amputations is about 49,000 euro [15]
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