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Diabetes Threatens Amputation Risk Patients

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Controlling blood sugar is a major requirement to avoid the occurrence of complications in diabetic patients. One of the complications can be prevented is the risk of amputation due to infection of wounds in the legs.


According Prof.Sarwono Waspadji, infection in the foot or diabetic foot is a complication of the most frightening and most destructive. "Amputation is unavoidable if blood sugar is not strictly controlled," he told a seminar in Jakarta diabetes (02.11.11).

Data in 2008 showed 5 of 6 patients with amputations due to diabetic foot complications. Research at RSCM in 2010 also mentions only 50 percent of patients with amputations that can survive up to 5 years.

Sarwono explained, diabetic foot due to nerve damage and blood vessel so that the recovery time of infection. Narrowing of blood vessels will also be a cause of healing old wounds.

'The decaying tissue that are toxic. If not amputated the infection will spread "the doctor of the division of endocrinology and metabolic Faculty of Medicine, University of Indonesia.

Damage to nerves and blood vessels in diabetic patients is characterized by a decreased ability to feel pain and numbness that often patients are not aware of the injury.

"Many patients with diabetes who are not aware of a nail punctured his leg, there is also a blistered foot as he walked on the pavement barefoot, but he did not feel sick," he explained.

According to Sarwono, about 49 percent of the causes ulcers in the legs are mechanical injuries such as punctured sharp or narrow shoes. Cause trivial as the nail is too long or scrape calluses with a sharp object can also develop into decay wounds.

To prevent the occurrence of diabetic wounds, early detection and control of blood sugar is very important. "About 85 percent of amputations can be avoided if done early detection," added dr.Em Yunir, Sp.PD, in the same occasion.

Therefore, diabetic patients should frequently check the condition of his feet. Thorough foot examination should be performed either before or after the emergence of wound injury occurs.

According to Em Yunir, examinations carried out through examination of a history of diabetes and complications exist, examination of skin disorders, as well as the presence or absence of leg blood vessel disorders and neurological disorders.

"Patients with diabetes are at high risk are advised not to walk barefoot. If you see a change in the shape of the foot or nail should consult a doctor because it is a symptom that needs to watch out for," he said.

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