Diabetes continues to be a major public health challenge in India. As one in six individuals with diabetes is at risk of developing diabetic foot complications, there is a need for increased awareness and preventive measures.
World Diabetes Day underscores the pressing need to prevent diabetic foot complications, given the pervasive impact of diabetes on approximately 15 to 20% of adults globally. Shockingly, one in 6 or one in 7 individuals with diabetes will develop diabetic foot complications, emphasizing the urgency for heightened awareness and preventive measures.
Diabetes, a global health concern affecting millions, takes center stage on this day. Recent data reveals that India, home to the world’s largest diabetic population, faces a monumental challenge. The sheer magnitude of individuals with diabetes in India emphasizes the critical need for comprehensive solutions to mitigate complications.
A severe consequence of diabetes is its impact on nerves and blood supply to the feet, increasing the risk of developing ulcers. Dr. Harish Kumar, Clinical Professor and Head, Department of Endocrinology and Diabetes, Amrita Hospital, Kochi, notes that an estimated 15 percent of people with diabetes will face diabetic foot problems, translating to one in 6 or one in 7 individuals grappling with potentially devastating complications.
Uncontrolled diabetes is identified as the primary cause of these complications. Properly managing diabetes can prevent such issues, as uncontrolled diabetes adversely affects foot nerves and blood supply, resulting in a high-risk diabetic foot lacking sensory feeling and susceptible to injuries.
Dr. Harish Kumar emphasizes the importance of preventive measures, including the use of appropriate diabetic footwear for both indoor and outdoor activities. Recognizing that neuropathy elevates the risk of foot problems, daily foot examinations, cleanliness, and moisture maintenance become imperative.
Individuals with diabetes are urged to exercise caution in various environments, especially where footwear needs removal, as surfaces like sunbaked cement or hot sand pose burn risks. The lack of sensation in diabetic feet heightens the likelihood of complications.
Dr. Vivek Lakshmanan, Podiatric Surgeon, Amrita Hospital, Kochi, stresses the key mantra for preventing diabetic foot complications: “treating feet with the same care as the face. Daily inspection, cleanliness, and consistent use of protective footwear are paramount. Early medical attention is essential, as modern therapies offer effective solutions for wound healing and amputation prevention.”
