Diabetic Foot can lead to Limb Amputation: Dr Ravul Jindal


Dr. Ravul Jindal at Moga.

Moga, June 6, 2015: Diabetic foot care is one of the most ignored aspects of diabetic care in India. Sharing worrying facts about diabetic foot care in the Indian scenario, Dr Ravul Jindal, Director – Vascular Surgery at Fortis Hospital Mohali addressed the media persons in Moga on Saturday.

“We have been trying to raise awareness regarding diabetic foot. This is another such initiative so that people can benefit from advancing medical science. Earlier, we have released a book on diabetic foot care,” said Dr Jindal.

Warning against the conditions that leads to foot amputation, Dr Jindal said black toes in the diabetics may not only be the onset of gangrene leading to foot amputation but may also be the knock of heart ailments. He said ignoring blackened toes may not only lead to amputation of foot or leg, but can also cause onset of heart ailment.

Dr Jindal added: “In India, 41 million people suffer from diabetes, which will rise to 79 million in 2030. Apart from the high incidence of diabetes, age at which it occurs is the Indian population is a cause of great concern. In India about 40,000 limbs are amputated every year because of diabetes related foot complications.”

He said that amputation due to diabetic foot can be prevented in 90 percent of cases with proper education and timely treatment.

Dr Jindal, who has received advanced training in vascular surgical procedures from St Mary's Hospital, London, added that people suffering from PAD run two to six times greater risk of dying from heart attack or stroke as compared to others.

“If not treated on time, patients can have amputation either of foot or leg. This carries a huge morbidity and mortality as these patients also have associated heart disease,” he warned. Smokers having associated diabetes are more prone for gangrene than smoking or diabetes alone. 

The absence of early diagnosis worsens problem in individual. “Though there are no figures for vascular patients in country, the fact that there are over 25 million diabetics is just a small pointer to vast numbers of undiagnosed vascular cases. Studies show that patients of severe vascular disease have been treated for low backache and arthritis for years,” he revealed.

While majority of diabetics in developed countries are 65 years and older, most diabetics in India range between 45 and 65 years of age and approximately 15% of diabetics patients suffer  from foot problems. Since it is productive age group, disease burden in this age group has huge socio-economic impact. 

Saturday, June 6, 2015