THE CLINICAL ASPECTS OF DIABETIC FOOT

Authors

  • Aga¸ci F. University Hospital «Shefqet Ndroqi» Diabetic Foot Unit Tirana, Albania
  • Hasho S. University Hospital «Shefqet Ndroqi» Diabetic Foot Unit Tirana, Albania
  • Idrizi M. University Hospital «Shefqet Ndroqi» Diabetic Foot Unit Tirana, Albania
  • Sadedini A. University Hospital «Shefqet Ndroqi» Diabetic Foot Unit Tirana, Albania
  • Tafaj S. University Hospital «Shefqet Ndroqi» Diabetic Foot Unit Tirana, Albania
  • Celo E. University Hospital «Shefqet Ndroqi» Diabetic Foot Unit Tirana, Albania

DOI:

https://doi.org/10.21856/j-PEP.2016.1.02

Keywords:

diabetes mellitus, diabetic foot

Abstract

This article presents the results of a survey of 102 patients with diabetes mellitus type 1 and 2 diabetic with diabetic foot syndrome. The mean duration of type 1 diabetes was 13.9 years; type 2 diabetes — 9.9 years. The average level of HbA1c was 8,4_2,2 %. We examined motor  nd sensory functions of these patients, performed Doppler examination of the lower extremities vessels, microbiological examination with sensitivity to antibiotics. 68% of the patients were diagnosed with autonomic neuropathy. Doppler examination revealed occlusion of the arteries in 75% of cases. 49% of patients suffered from dry and wet gangrene. The aim of the treatment was compensation of carbohydrate metabolism, inhibition of the infection process and elimination of ulcers. In 3 patients, conservative therapy was ineffective, and therefore, the amputation was performed. This study like previous one performed in Albania, once again confirmed the importance of the problem of diabetic foot syndrome and the need to address this pathology in everyday medical practice.

References

Coleman WC, et al. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed,1997: 1159-1182.

Graf PM. Current Therapy in Endocrinology and Metabolism, 1994: 446-451.

Rajbhandari SM, et al. Diabetologia, 2002; 45:1085-1096.

Prompers L, et al. Diabetologia 2008; 51:747-755.

Korolevski AS, et al. Joslin’s Diabetes Mellitus, 2005: 795-808.

Logerga FW, et al. Joslin’s Diabetes Mellitus 13 th Ed, 1994: 970-975.

Steinberg D. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed, 1997: 193-206.

Levin ME, et al. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed,1997: 1127-1158.

Porte D, et al. Clinical Guide to Diabetes Mellitus, New York, 1987: 143-158.

Donifrio PD. Medical Management of Diabetes Mellitus, 2000: 479-498.

Sentochnik, et al. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 1017-1033.

Mete F, et al. Second Balkan Diabetes Meeting. Proceedings Thessanoliki 2004: 4.

Agaci F, et al. Int J Endocrinol 2009; 3(21):24.

Manes CM, et al. Diabethologia 2003; 46(2):A3(OP.1).

Prompers M, et al. Diabethologia 2008;11(51):1826-1834.

WHO. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Part 1. Diagnosis and classification of Diabetes Mellitus, Geneva, 1999.

Buse JB, et al. William’s Textbook of Endocrinology 10th Ed, 2003: 1485-1508.

Eisenbarth GS, et al. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 425-448.

Karam JH. Basic and Clinical Endocrinology 3 th Ed, 1991: 592-650.

Mashram U, et al. Basic and Clinical Endocrinology 7 th Ed, 2004: 658-746.

Steinberg D. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed, 1997: 193-206.

King GL, et al. Joslin’s Diabetes Mellitus 13 th Ed, 1994: 631-647.

Eisenbarth GS, et al. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 425-448.

Kolterman OG. Clinical Guide to Diabetes Mellitus, New York, 1987: 1-14.

Lealy JL. Medical Management of Diabetes Mellitus, 2000: 115-150.

Weir GL, et al. Joslin’s Diabetes Mellitus 13th Ed, 1994: 240-264.

Karam JH. Basic and Clinical Endocrinology 5 th Ed,1997: 595-663.

Mashram U, et al. Basic and Clinical Endocrinology 7 th Ed, 2001: 623-688.

Garber Al. Internal Medicine 4 th Ed,1994: 1391-1423.

Nathan DM. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 809-821.

Mc Farlane SI, et al. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 969-974.

Kaplan NM. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed,1997: 1097-1104.

Sentochnik, et al. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 1017-1033.

Lipsky BA. 6 th Int Symp Diabetic Foot, 2011: 50.

Goodday CM, et al. 6 th Int Symp Diabetic Foot, 2011: 68.

Wukich D, et al. 6 th Int Symp Diabetic Foot, 2011: 88.

Green DA, et al. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed,1997: 1007-1076.

Gavish H, et al. X Meeting of the Diabetic Foot Study Group of the EASD, Berlin- Potsdam, 2012: 71.

Tarsy D, et al. Joslin’s Diabetes Mellitus 13 th Ed, 1994: 794-816.

Gibbons GW. Medical Management of Diabetes Mellitus, 2000: 443-456.

Levin ME, et al. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed,1997: 1127-1158.

Akabari GM, et al. Joslin’s Diabetes Mellitus 14 th Ed, 2005: 1123-1131.

Prompers L, et al. Diabetologia 2007; 50:18-25.

Lealy JL. Medical Management of Diabetes Mellitus, 2000: 115-150.

Mashram U, et al. Basic and Clinical Endocrinology 7 th Ed, 2001: 623-688.

Blackard WG. Current Therapy in Endocrinology and Metabolism, 1994: 380-383.

Moses AC, et al. Joslins Diabetes mellitus13 th Ed, 1994: 570-585.

Strowing SM, et al. Ellenberg and Rifkins Diabetes Mellitus 5 th Ed, 1997: 709-734.

Berngstal RM, et al. Endocrynology. 13 th Ed,1995; 2:1482-1505.

Lipsky BA, Berendt AR, Cornia PB, et al. Clin Infect Dis 2012; 54(12):1679-1684.

Selva Olid A, Solà I, Barajas-Nava LA, et al. Cochrane Database Syst Rev 2015; 9:CD009061.

Schaper NC, Dryden M, Kujath P, et al. Infection 2013; 41(1):175-186.

Saltoglu N, Dalkiran A, Tetiker T, et al. Clin Microbiol Infect 2010; 16(8):1252-1257.

Lipsky BA, Giordano P, Choudhri S, Song J. J Antimicrob Chemother 2007; 60(2):370-376.

Zeillemaker AM, Veldkamp KE, van Kraaij MG, et al. Foot Ankle Int 1998; 19(3):169-172.

Downloads

Published

2021-08-18

How to Cite

Aga¸ci , F., Hasho , S., Idrizi , . M., Sadedini , A., Tafaj , S., & Celo , E. (2021). THE CLINICAL ASPECTS OF DIABETIC FOOT. Problems of Endocrine Pathology, 55(1), 14-22. https://doi.org/10.21856/j-PEP.2016.1.02

Issue

Section

CLINICAL ENDOCRINOLOGY