Diabetic Foot Care Center

Centers and Programs

 

 How to diagnose the diabetic foot care

     Leg pain and numbness when walking as well as wounds on feet that take more than two weeks to heal are signs of diabetic foot disease. For every patient with suspected diabetic foot disease, family history of the disease and physical check-ups, which are standard diagnostic procedures, are required.

     In the cases of asymptomatic, patients who have no symptoms of diabetic foot disease, Ankle Brachial Index (ABI) procedure will be performed. ABI is a procedure to simultaneously measure blood pressure in both ankles and both arms. Blood pressure readings and analysis can predict asymptomatic diabetic foot disease in diabetic patients.The Ankle Brachial Index is one of the most comprehensive and safest procedures to diagnoses peripheral arterial occlusive disease.    

 

   

                                       
 Ankle Brachial Index (ABI) 

  • The ABI is painless, non-invasive assessment that gives rapid result, and patients are not required to refrain from taking food and drink before the procedure.
  • ABI is an examination to locate blocked arteries and to test their flexibility.
  • The ABI value can be used as an accurate predictor of patients with other vascular diseases such as coronary heart disease or carotid artery stenosis.
  • Ankle Brachial Index (ABI) and Pulse Volume (PWV) are reliable techniques and are widely used. They are performed by measuring blood pressure in all four limbs at the same time.
  • ABI can be an indicator of hidden signs of diabetic foot disease in asymptomatic diabetic patients.
  • ABI is used to evaluate the risk of peripheral arterial occlusive disease, the most common disease in patients with carotid artery stenosis, patients with coronary heart disease, and especially patients with diabetes who are heavy smokers and suffer from leg pain.

 Why is diabetic foot disease need to be treated

     Diabetic patients do not only suffer from narrowed arteries in the legs but also experience numbness and nerve damages in legs and feet. Since diabetes can damage the nerves, when there is an injury or pressure on the skin of a foot, patients are less likely to feel or notice the pain until severe damage or infection develops. A severe diabetic foot ulcer can be life threatening, and in severe cases even the amputation of a toe, a foot or even the lower leg may not be able to treat infection and necrotic tissue.

     Therefore, it is very important that diabetic patients receive proper care and treatment to prevent foot or leg amputations due to severe diabetic complications.

 How to treat diabetic foot disease ? 

There are several methods to treat patients with diabetic foot disease that is caused by atherosclerosis. Patients with early stage of blockage may begin treatment with medications. Severe cases with heavy plaque formation in artery may need advanced treatments such as transcatheter dilatation and stenting, or more invasive surgery to bypass the narrowed or blocked arteries to increase blood flow to legs.

 Why does diabetic foot disease need to be treated with Stenting

     The advantages of treating patients with blocked arteries by transcatheter dilatation and stenting are its high success rate and its minimally invasive technique that causes less pain and require a shorter recovery compared to bypass surgery.