Managing Diabetic Foot Complications During COVID-19 Lockdown in India: A Survey

2021 ◽  
pp. 153473462110636
Author(s):  
Sukanya Nachimuthu ◽  
Balkhiwala Ahmed Khan ◽  
Vijay Viswanathan
Keyword(s):  
Blood Glucose ◽  
Diabetic Foot ◽  
Online Survey ◽  
Surgical Intervention ◽  
Foot Ulcer ◽  
Self Monitoring ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Foot Complications ◽  
Survey Monkey

To understand the management of diabetic foot complications by the Diabetic Foot Research India (DFRI) members during the lockdown period. An online survey link was created in “Survey Monkey", and the link was sent to all the members of Diabetic Foot Research India (DFRI) who are staying in different parts of India and data were collected from May 2020 to June 2020. The survey included questions on the type of consultation they provided to their patients, management of a patient with an active foot ulcer, and the various difficulties encountered by the doctors during the lockdown. A total of 33 diabetologists from all over the country participated in this survey. Among them, 26 doctors had attended to active diabetic foot infection at the time of the online survey. Almost three fourth of the (n = 24; 72.7%) doctors recorded difficulties during the inpatient consultations. Difficulty in regular follow-ups, the facility's workforce shortage was reported to be a significant concern. In managing active foot ulcer cases, 15 doctors (45.5%) opted for in-person consultation in their hospital as they felt the infection cannot be handled over a tele-consultation. Amputation was not performed by 78.7% of doctors, 15% (n = 5) of the doctors performed less than five amputations, and 6% (n = 2) of the doctors performed more than five amputations during the lockdown period. In the case of SMBG (Self-monitoring blood glucose) values, the regularity of patients reporting the values varied significantly. Only 8 (24.2%) doctors reported that 75% of their patients regularly shared their SMBG values while all the others mentioned that their patients were not performing SMBG regularly. Most of the physicians were able to manage the diabetic foot complications by tele-consultation during the lockdown and only a few asked the patients to get hospitalized for surgical intervention. All doctors should recommend SMBG to continuously monitor patients’ blood glucose levels and prevent complications of hyperglycemia, particularly during pandemic situations.

Accuracy of Devices for Self-Monitoring of Blood Glucose Including Hypoglycemic Blood Glucose Levels

Diabetes Care ◽  
1995 ◽  
Vol 18 (4) ◽  
pp. 587-588 ◽  
Author(s):  
P. D. Zenob ◽  
A. Keller ◽  
S. E. Jaeggi-Groisman ◽  
Y. Glatz
Keyword(s):  
Blood Glucose ◽  
Self Monitoring ◽  
Glucose Levels ◽  
Blood Glucose Levels

False Elevation of Blood Glucose Levels Measured by GDH-PQQ-BASED Glucometers Occurs during all Daily Dwells in Peritoneal Dialysis Patients Using Icodextrin

2010 ◽  
Vol 30 (3) ◽  
pp. 329-335 ◽  
Author(s):  
Chiu-Yeh Tsai ◽  
Su-Chu Lee ◽  
Chi-Chih Hung ◽  
Jia-Jung Lee ◽  
Mei-Chuan Kuo ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Blood Glucose ◽  
Glucose Dehydrogenase ◽  
Serum Glucose ◽  
Monitoring Systems ◽  
Self Monitoring ◽  
Glucose Levels ◽  
Follow Up Study ◽  
Blood Glucose Levels

♦ ObjectiveFalse elevation of blood glucose levels measured by glucose dehydrogenase pyrroloquinoline quinone (GDH-PQQ)-based glucose self-monitoring systems; glucometer) in peritoneal dialysis (PD) patients using icodextrin solution has been well documented. However, adverse hypoglycemic events caused by misreadings for blood glucose are still being reported. We aimed to study blood glucose levels measured simultaneously using different methods in PD patients with switching of icodextrin, and throughout daily exchanges either using icodextrin or not.♦ DesignWe recruited 100 PD patients, including 40 using icodextrin; 128 hemodialysis patients served as a reference. Fasting serum glucose was measured using our laboratory reference method (LAB) and 2 glucose self-monitoring systems based on glucose dehydrogenase nicotinamide adenine dinucleotide (GDH-NAD) and GDH-PQQ respectively. 80 PD patients had a second follow-up study. A time course study was performed in 16 PD patients through measuring fingertip glucose using the 2 glucose self-monitoring systems during daily exchanges.♦ ResultThe differences in measured serum glucose levels in (PQQ minus LAB) versus (NAD minus LAB) were markedly increased in PD patients using icodextrin compared to other patient groups, and was further confirmed by the follow-up study in patients that switched to icodextrin. The high serum glucose levels measured by the GDH-PQQ-based glucose self-monitoring system were present throughout all exchanges during the day in patients using icodextrin solution.♦ ConclusionsFalse elevation of blood glucose measured by GDH-PQQ-based glucose self-monitoring systems exists in patients using icodextrin. To avoid misinterpretation of hyperglycemia and subsequent over-injection of insulin, GDH-PQQ-based glucose self-monitoring systems should not be used in PD patients.

scholarly journals The correlation of fasting blood glucose levels with the severity of diabetic foot ulcers and the outcome of treatment strategies

2018 ◽  
Vol 29 (9) ◽  
Author(s):  
Hamdi Almaramhy ◽  
Nehal Anam Mahabbat ◽  
Khulood Yahya Fallatah ◽  
Bashaer Ahmad Al Ahmadi ◽  
Hadeel Hadi Al Alawi ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Diabetic Foot ◽  
Fasting Blood Glucose ◽  
Treatment Strategies ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Glucose Levels ◽  
Blood Glucose Levels

scholarly journals Self-monitoring of blood glucose as an essential component of exerting total control over diabetes

2014 ◽  
Vol 5 (1) ◽  
pp. 29-33
Author(s):  
E. V Biryukova
Keyword(s):  
Blood Glucose ◽  
Modern Medicine ◽  
Ease Of Use ◽  
Self Monitoring ◽  
Glucose Lowering ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Full Participation ◽  
Treatment Of Diabetes ◽  
Glucose Lowering Therapy

Diabetes mellitus (DM) is a chronic disease associated with the development of micro-and macrovascular complications, prevention of which is an important task of modern medicine. Achieving and maintaining blood glucose levels close to normal, however, is almost impossible without the full participation of the patient in the treatment of diabetes. Self-monitoring of blood glucose (SAG) is the basis of the effectiveness of glucose-lowering therapy and prevention of hypoglycemia. This article discusses the recommended frequency of SCG depending on the type of diabetes. For measuring blood sugar at home now a variety of devices is available. Selection of quality meter is determined by ease of use, ease of operation of the device, ease of preparation and fair presentation of results of the results of measurement.

scholarly journals Diabetic Foot Spa Implementation in Early Neuropathy Diagnosis Based on Blood Glucose Levels, Foot Sensitivity and the Ankle Brachial Index in Patients with Diabetes Mellitus

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 106
Author(s):  
Erika Martining Wardani ◽  
Chilyatiz Zahroh ◽  
Nur Ainiyah
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Vascular Complications ◽  
P Value ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Patients With Diabetes ◽  
Foot Problems

Introduction: Diabetes Mellitus (DM) is a cause of morbidity mainly due to vascular complications. The prevention of diabetic foot problems can be done through metabolic control and foot exercises. The purpose of this study was to determine the effect of diabetes foot spa measures on blood glucose levels, foot sensitivity and the ankle brachial index.Methods: This research was a pre-experimental design. The population totaled 170 DM patients and the sample was finalized at 30 respondents. The independent variable was diabetic foot spa, while the dependent variables were blood glucose levels, blood sensitivity and the ankle brachial index. The data was analyzed using a t-test and Wilcoxon rank test.Results: Diabetic foot spa in early neuropathy detection testing has a blood glucose level of t=9.523 and a p value=0.000. Diabetic foot spa also significantly affects foot sensitivity with a ρ <α (0.001<0.05) and an ankle brachial index of (ABI) ρ<α (0.008 < 0.05).Conclusion: Diabetic foot spa conducted regularly and independently can reduce the level of complications in Diabetes Mellitus patients. Furthermore, the tingling and pain in the feet can be reduced or even disappear as well as preventing complications such as foot ulcers that can often become amputations.

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