THE PREVALENCE OF AT-RISK FOOT IN PATIENTS WITH DIABETES MELLITUS, PATIENTS WITHOUT DIABETES MELLITUS WITH NEUROLOGICAL DISORDERS, AND SUBJECTS WITHOUT KNOWN DIABETES MELLITUS OR LOWER LIMB SENSORY LOSS

2008 ◽  
Vol 56 (1) ◽  
pp. 180-181
Author(s):  
Zoltan Pataky ◽  
François R. Herrmann ◽  
Delphine Regat ◽  
Hubert Vuagnat
Curationis ◽  
2003 ◽  
Vol 26 (1) ◽  
Author(s):  
P. Matwa ◽  
M. M. Chabeli ◽  
M. Muller ◽  
N. S. Levitt

The former Transkei is a predominantly rural region of the Eastern Cape Province. The poor infrastructure in this area results in inaccessibility of the available health services. The majority is ill equipped to deliver optimum diabetes care. There is an increase of lower limb amputations and lack of knowledge among patients with diabetes mellitus in the former Transkei. These complications can be prevented by patient education on self-management and appropriate footcare procedures. This qualitative study was conducted to explore and describe the experiences and footcare practices of diabetic patients who live in the rural areas of Transkei.


1995 ◽  
Vol 19 (9) ◽  
pp. 553-554
Author(s):  
Gill Salmon

Although pharmaceutical companies report side effects that may occur with use of their medications, little data on specific groups of patients that may be at risk of particular side effects is available (Katz et al, 1991). Patients with diabetes mellitus form an important group for psychiatrists since the occurrence of depression is relatively common with this group and guidance on its treatment is lacking.


2016 ◽  
Vol 15 (1) ◽  
pp. 42-49 ◽  
Author(s):  
D. A. Usanov ◽  
A. V. Skripal ◽  
S. N. Potakhin ◽  
A. A. Sagaidachnyi ◽  
A. V. Fomin ◽  
...  

The aim of the study - thermography-based analysis of lower limb vascular response to thermal impact in patients with trophic disorders, diabetes mellitus and peripheral atherosclerosis. Materials and methods. Thermal impact was carried out using the heating pad acting for 20 minutes. Control of temperature of back of the feet was performed by thermal imaging camera with a thermal sensitivity of 0.02°C. The study involved a group of 8 subjects without vascular disorders of the lower limbs (controls), and patient group of 8 subjects with trophic disorders due to the progression of diabetes and atherosclerosis (age of 67±8 years). All patients had type 2 diabetes and peripheral arterial disease with different levels and the degree of the main arterial occlusion. Intensity of trophic disorders changed from apical necrosis and trophic ulcers to gangrene of the foot. We calculated spectral amplitude parameters and temperature dynamics. Fourier transform was used to perform spectral analysis of temperature data. Results. Temperature response of limbs in patients with diabetes compared with healthy subjects was characterized by monotonous temperature variation without distinct oscillations; reduction in amplitude of oscillations within endothelial temperature range; relatively high average temperature difference between the left and right foot. In the group of healthy subjects reaction on thermal impact is not strictly two-stage, usually interpretable by theory as primary and secondary vasodilation. Conclusions. Decrease of temperature amplitude of endothelial range registered during thermal impact can be the sign of endothelial dysfunction in patients with diabetes and peripheral arterial disease. Spectral and temperature characteristics of reaction of limbs on thermal impact can be used to assess trophic disorders and compensation mechanisms of regulation of metabolic processes in the group of patients with diabetes mellitus.


Gerontology ◽  
2008 ◽  
Vol 54 (6) ◽  
pp. 349-353 ◽  
Author(s):  
Zoltan Pataky ◽  
François R. Herrmann ◽  
Delphine Regat ◽  
Hubert Vuagnat

2017 ◽  
Vol 22 (08) ◽  
pp. 1 ◽  
Author(s):  
Viktor V. Dremin ◽  
Evgeny A. Zherebtsov ◽  
Victor V. Sidorov ◽  
Alexander I. Krupatkin ◽  
Irina N. Makovik ◽  
...  

2018 ◽  
Vol 24 (2) ◽  
pp. 14-19
Author(s):  
S.M. Didenko

Objective — to study the features of performing arteriography in patients with diabetes mellitus with chronic critical ischemia of the lower limb with stenotic-occlusive lesions of the arteries of the popliteo-tibial segments. Materials and methods. The arteriography experience in 108 patients with diabetes mellitus 2 type with chronic critical ischemia of the lower limb has been analyzed. All patients had stenotic-occlusive lesions of the arteries of the popliteo-tibial segments for the passable arteries of the ilio-femoral segments.The first group included 56 patients, who performed arteriography according to the proposed methodology (Ukrainian patent for utility model No. 114970 dated March 27, 2017, «Method of angiographic examination of lower extremity arteries in patients with ischemic form of diabetic foot syndrome»), the second group included 52 patients, who performed arteriography by Seldinger’s method. Results. With the help of ultrasound examination it was proved that 63.1 % of the common femoral artery blood volume in patients with diabetes mellitus with chronic critical ischemia of the lower limb with stenotic-occlusive lesions of the arteries of the popliteo-tibial segments is divided to the superficial femoral artery and 36.9 % in the deep femoral artery. Application of the developed method of arteriography has allowed to reduce the amount of active ingredient of contrast, which was administered to patients in the first group 2.16 times in comparison with the second group. In the first group the percentage of hemorrhagic complications was significantly lower than in the second group. Conclusions. The developed method of performing arteriography should be used in patients with diabetes mellitus with chronic critical ischemia of the lower limb with stenotic-occlusive lesions of the arteries of the popliteo-tibial segments.


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