DIABETIC FOOT CARE: INVESTING IN PREVENTION IS COST-EFFECTIVE - PowerPoint PPT Presentation

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DIABETIC FOOT CARE: INVESTING IN PREVENTION IS COST-EFFECTIVE

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Foot facts ... In developing countries, foot problems related to diabetes are thought to be even more common ... Feet should last a lifetime. Conclusions ... – PowerPoint PPT presentation

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Title: DIABETIC FOOT CARE: INVESTING IN PREVENTION IS COST-EFFECTIVE


1
DIABETIC FOOT CARE INVESTING IN PREVENTION IS
COST-EFFECTIVE Dr Karel Bakker Chair IDF
Consultative Section IWGDF
2
Foot facts worldwide
  • Over 1,000,000 amputations per year
  • Every 30 seconds a leg is lost to diabetes

3
Foot facts
  • People with diabetes are 25 times more likely to
    lose a leg than people without the condition
  • Throughout the world, up to 70 of all leg
    amputations happen to people with diabetes

4
Foot facts
  • In developed countries one in every six people
    with diabetes will have an ulcer during their
    lifetime
  • In developing countries, foot problems related to
    diabetes are thought to be even more common
  • 85 of diabetes-related lower extremity
    amputations are preceded by a foot ulcer

5
Pathway to diabetic foot problems
Nerve damage
Poor blood supply
Injury
Ulcer
Infection
Amputation
6
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9
Pathway to diabetic foot problems
Nerve damage
Poor blood supply
Injury
Ulcer
Infection
Amputation
10
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11
Pathway to diabetic foot problems
Nerve damage
Poor blood supply
Injury
Ulcer
Infection
Amputation
12
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13
Pathway to diabetic foot problems
Nerve damage
Poor blood supply
Injury
Ulcer
Infection
Amputation
14
Costs of diabetic foot problems (US )
  • Ulcer healing 7,000-10,000
  • Direct costs of amputation 30,000-60,000

15
Costs of diabetic foot problems
  • In developed countries diabetic foot care
    accounts for 15-25 of total healthcare resources
    available for diabetes.
  • In some developing countries, it has been
    estimated that foot problems may account for as
    much as 40 of the resources available

16
Prevention
  • Up to 85 of all diabetes-related amputations can
    be prevented
  • It is possible to save up to 30 of healthcare
    budget
  • Education and podiatry are the most cost
    effective strategies

17
Prevention
  • In countries where National Diabetes Programmes
    exist, foot clinics are emerging
  • EVA project opening of 10 foot clinics in 5
    countries of the Andes (Bolivia, Peru, Ecuador,
    Colombia, Venezuela)
  • However
  • Podiatric education is still scarce in many
    countries of the SACA Region
  • Prevention programmes are still the exception

18
What can be done?
  • Cornerstones of Prevention
  • Regular inspection and examination of feet and
    footwear
  • Identification of the high-risk foot
  • People with diabetes
  • Make sure you have your feet checked periodically
    by a healthcare professional

19
What can be done?
  • Healthcare professionals
  • Risk of neuropathy can be detected by using a 10g
    monofilament
  • Palpation of foot pulses is the simplest means of
    identifying peripheral arterial disease

20
What can be done?
Cornerstones of Prevention 3. Education of
people with diabetes, family members and
healthcare workers 4. Appropriate
footwear 5. Rapid treatment of all foot problems
21
Sponsors WDD Campaign 2005

22
Conclusions
  • The human and financial consequences of the
    diabetic foot are devastating
  • Action is possible and affordable
  • Amputations are preventable
  • Even in low-resource settings, foot care can
    substantially reduce ulceration and amputation
  • Feet should last a lifetime

23
Conclusions
  • Every 30 seconds a limb is lost to diabetes
    somewhere in the world. . .
  • . . . This needs to be changed!
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