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Definition

Diabetic foot

As per International Working Group on the Diabetic Foot (IWGDF), diabetic foot refers to a break in the skin of the foot that includes the epidermis and a part of the dermis in a patient with diabetes mellitus (DM).

Diabetic Foot Ulcer

Diabetic foot ulcer (DFU) refers to infection, ulceration, or destruction of the tissues of the foot associated with neuropathy and/or peripheral artery disease in the lower extremity of a person with diabetes mellitus.

Facts and Figures

  • 15 % of diabetic patients are affected with DFUs in the Indian population.
  • Out of 62 million diabetic patients in India, 25% develop DFUs, of which, 50% become severely infected requiring hospitalization and approximately 20% need amputation.
  • In India, 100,000 leg amputations per year occur due to diabetes-related complications alone.
  • India is the most expensive country for DFU care. On an average, 5.7 years of an average patient's income is required to pay for complete DFU therapy.
  • People with foot problems and diabetes mellitus have 15 times the increased risk of undergoing a lower extremity amputation compared to those without diabetes.
  • The mortality after unilateral lower limb amputation has been projected to be as high as 39%-80% at 5 years, which is similar or worse than many common types of cancer.
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