Asif Zaman Rashid, Mohammad Zafar Iqbal, Khalid Mehmood, Riaz Anwar Bashir.
Diabetic foot ulcer; sequelae.
Professional Med J Jan ;23(01):001-5.

The number of diabetic patients is increasing at a rapid rate1. Management of diabetic foot has been a challenge for medical professionals. This study was carried out to find the sequelae of diabetic foot ulcer management. Study design: Observational analytical study. Setting: Military Hospital, Combined Military Hospitals Rawalpindi and MIMC teaching Hospital, Mirpur (AJK). Period: Sep 2009 to August 2013. Materials and methods: Total 310 patients were included in this study as outdoor and indoor cases. Out of these 184 were males and 126 were females. Age affected ranged from 20 years to 90 years. Average age was 50 years. Wagner’s grading for diabetic foot ulcer was used as guideline for management. Results: Hyperglycemia was controlled in consultation with physicians in all these patients. Out of these 310patients 199 (64%) patients got their feet wounds healed on conservative management without amputation while 111(35.8%) patients had to undergo some amputation at some level. Conclusion: Diabetes mellitus, fore runner of so many diseases requires multidisciplinary approach. Well controlled diabetes mellitus, good feet hygiene, rational antibiotics in light of culture/sensitivity report and timely conservative or active surgical intervention produce good results in diabetic foot management.

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