Impact of Diabetic Angiopathy and Diabetic foot Optimistic

Impact of Diabetic Angiopathy and Diabetic foot Optimistic Review M. A. Kubtan MD FRCS M. A. Kubtan 1

Ø In Diabetics atherosclerosis develop in younger age than in normal subjects. Ø Atherosclerotic changes affects the arteries in Diabetics 3 times more than those in normal subjects Ø The main predisposing factor leading to formation of Diabetic ulcer are peripheral artery disease , diabetic neuropathy , feet disfiguring. Ø 15% of those suffering with diabetes may develop Diabetic ulcer. Ø 70% of those who undergo lower limb amputation are diabetics. M. A. Kubtan 2

In Diabetics Ø Atherosclerotic features most likely developed in the arteries below the knees but the sole arteries escape from being affected by atherosclerosis. Ø Compromised blood supply to lower limbs may lead to intermittent claudication , and rest pain. Ø In Scandinavian studies : 40% of ischemic lower limb diabetics sufferers needed amputation , while only 15% of those with ischemic disease without being diabetics needed amputation. M. A. Kubtan 3

Penetrating diabetic ulcer in the sole of foot M. A. Kubtan 5

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Wet diabetic gangrene in Rt foot M. A. Kubtan 7

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Venous popleteal – posterior tibial bypass graft. M. A. Kubtan 14

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In the horizon ØDespite what's been said we must admit that as a physicians or surgeons we are far beyond achieving a cure to diabetes or diabetics. ØThe challenge is tremendous , and our hope of cure may become true through advances in Medical Sciences in future. M. A. Kubtan 30

. The only answer currently for the cure of Diabetes Metabolic Surgery M. A. Kubtan 31