Showing posts with label Kanpur 2010. Show all posts
Showing posts with label Kanpur 2010. Show all posts

Saturday, April 10, 2010

70% of lower extremity amputations happen to people with diabetes: IDF

"Over one million lower extremity amputations are performed each year, 70% of which happen to people with diabetes. In India, almost 40,000 legs are amputated every year as a consequence of diabetes" said Professor Jean Claude Mbanya, President of International Diabetes Federation (IDF) in his message to the mid-term continuing medical education (CME) meeting on "High-risk diabetic foot" organized by the Association of Surgeons of India (ASI), UP Chapter and Indian Podiatry Association (IPA) in Kanpur on Sunday, 11 April 2010. Read more


Dr Mbanya's message was read out by Editor CNS Shobha Shukla in the Kanpur CME and handed out to the media. "The latest data from the International Diabetes Federation indicates that diabetes affects 285 million people around the world, and is increasingly on the rise. Of the many serious complications that can affect individuals with diabetes, it is the complications of the foot that take the greatest toll" further added Dr Mbanya in his message to this CME.

"Many of these amputations can be prevented. Better education and improved management of foot care can be performed at relatively low costs and have been shown to reduce the number of lower extremity amputations by 50-85%" said Dr Mbanya.

"It is time for the global diabetes community to engage in a concerted effort to increase awareness among carers at all levels of healthcare services worldwide. It is time to reduce the unnecessary suffering that foot complications can bring. With relatively low investment, it is possible to advance education and prevention that will result in lower rates of amputation, and better quality of life for people with diabetes. The time to act is now!" added Dr Mbanya, who is the Professor of Medicine and Endocrinology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon. Dr Mbanya is also the Director of the National Obesity Centre University of Yaounde, Cameroon and Chief of the Endocrinology and Metabolic Diseases Unit, Hospital Central in Yaoundé, Cameroon.

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Experts sound alarm on diabetic foot

Experts who are convening for the mid-term continuing medical education (CME) on "High-risk diabetic foot" organized by the Association of Surgeons of India (ASI), UP Chapter and Indian Podiatry Association (IPA) in Kanpur on Sunday, 11 April 2010, are sounding an alarm bell for people with diabetes to be wary of diabetic foot. "People with diabetes can, over time, develop nerve damage throughout the body. Some people with nerve damage have no symptoms. Others may have symptoms such as pain, tingling, or numbness - loss of feeling - in the hands, arms, feet, and legs" informed Professor (Dr) Rama Kant, who is the President of ASI, UP, and Head of the Department of Surgery, at CSM Medical University (formerly King George's Medical College - KGMC) in Lucknow, India. Professor (Dr) Rama Kant will speak on "Surgical Approach to Diabetic Foot. How I do it" at this CME in Kanpur. Read more


"It is not about money. No amount of money will give back my limb" said a 65 years old woman with diabetes (name withheld on request) who underwent limb amputation at the Gandhi Memorial & Associated Hospitals (GM & AH) in the past.

The diabetes-related complication which had devastated the life of the 65 years old woman is diabetic foot. "The foot of the patient with long-standing diabetes is often the site of neuropathic and vascular growth which poses a considerable threat, not only to the lower limb but also to the life of the patient" warns Prof Rama Kant.


Relatively diabetic foot is one of the leading causes resulting in long hospital stays for people with diabetes. It demands much care and attention by both the patient and healthcare personnel. Two major problems which predispose the patients with diabetes to amputation are the development of neuropathy due to uncontrolled diabetes over several years while result in damage to the nerves in the feet leading to the loss of sensation. They also develop certain high pressure points under the feet which result in the formation of callus which later turns in to an ulcer. In addition cigarette smoking will lead to nerve damage and reduced blood flow in the feet.

With increasing age, people with diabetes may develop diminished sensation and decreased peripheral circulation in the feet, and thus are at a heightened risk of developing foot infections.

Prof Rama Kant lists some ways people with diabetes can take care of their feet:
1. Keep feet clean – wash them regularly.
2. Use only lukewarm water – no hot water, heating pads, hot water bottles, iodine or alcohol.
3. Keep the feet dry – especially between toes-use unscented lotion or cream to keep skin soft.
4. Use only medicines recommended by your doctor
5. Cut toe nails straight across, not deep into the corners to help avoid ingrown toe nails.
6. Never use razors, knives or corn caps to remove corns.
7. Wear shoes or slippers at all times -never walk bare foot even at home.
8. Wear good fitting shoes/slippers - not tight or worn-out ones. Boots should be used only for short periods.

High-risk diabetic foot in spotlight

High-risk diabetic foot is the theme of the mid-term continuing medical education (CME) organized by the Association of Surgeons of India (ASI), UP Chapter and Indian Podiatry Association (IPA) in Kanpur on Sunday, 11 April 2010. "This theme has been chosen to enable all participants to improve clinical care for patients living with diabetes and its complications" said Dr Sanjay Kala, Secretary of IPA and Associate Professor, Department of Surgery, GSVM Medical College, Kanpur. This medical conclave will focus on specific issues related to diabetic foot including stem cells in diabetic wounds, peripheral vascular disease, wound healing and care, charcot's neurothropathy, foot biomechanics, infections, therapeutic footwear, surgical techniques, VAC therapy, risk factor assessment, vascular interventions for diabetic foot salvage and latest innovations in diabetic wounds. Read more



This CME meeting will emphasize the importance of incorporating effective treatment strategies for limb preservation based on available evidence and the need for a multi-disciplinary team approach. It will provide a platform for the exchange of knowledge and in hand communication among physicians, diabetologist, vascular and orthopaedic surgeons, podiatrists, general and plastic surgeons, physiotherapists, orthotist and prosthetist and other foot care professionals.

"This meeting will serve as a resource to obtain up-to-date information on theory and management of diabetic foot disorders and serve as a venue to highlight research into the diabetic foot" informed Dr Kala.


This CME is all decked up with a rich panel of experts on diabetes care. Dr Anil Gomber from Delhi will speak on "Glycaemic control to heal Diabetic wounds - Future Directions", Dr APS Suri, President of IPA, will speak on "Biomechanics of Diabetic Foot, Role of Planter Pressure", Dr RK Chittoria from Tirupati, will speak on "New Inventions in Science of Wound Healing", Dr Rajnish Saxena from Ajmer will speak on "Role of Preventive & Therapeutic Footwear in Diabetic Footcare", Professor (Dr) Rama Kant, President, ASI, UP will speak on "Surgical Approach to Diabetic Foot. How I do it", among other galaxy of highly acclaimed experts on management of diabetic foot.

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