In India about 7 crores people have Diabetes and the number is projected to rise to 12.5 crores by 2040.Prevalence of Diabetes has doubled in last 10 years in India and India is also called as Diabetes capital because of its everyday increasing cases of Diabetes.
Among all Diabetic patients, almost 10 -15% develop Diabetic foot problems and up to 4-6% of patients require amputation (minor or major). A foot is lost to Diabetes somewhere in the world every 30 seconds.
Most Diabetic amputations start with ulcers and almost 85% amputations can be prevented with proper management, good foot care and screening to assess the risk for foot complications.
Infection: Any small cut or blister or ulcer is more prone to infection in Diabetic patients.
Diabetic Neuropathy: Over few years in Diabetes, touch sensation in foot decreases and foot becomes numb and insensitive. It can lead to increased risk to injury, cuts or blister formation without pain and it can get easily infected due to diabetes.
Peripheral Arterial Disease (PAD)/Ischemia:Diabetes also leads to calcium deposition (Atherosclerotic Changes) in to blood vessels, particularly in heart and lower limbs and thus reducing blood flow to feet which further hampers the healing of foot ulcers.
As prevention is better than cure and Diabetic feet wear is a first step in prevention of Diabetic foot ulcers.