Chapter 1

Introduction

The diabetic foot syndrome is a triad of neuropathy, vasculopathy, and immunopathy that can lead to tissue breakdown which results in morbidity and possible amputation. The metabolic intricacy particularly raised blood sugar, can be easily controlled. While the foot, kidney, eye and heart are easy targets of deep-rooted complications. Among all the longstanding complexities, foot involvement is the supreme complication. The other organs impaired are brain, heart, kidneys and the eyes. Diabetic patients with foot ulcers aggregate the majority of hospital admissions. Diabetes is conjoined with various complications related to macrovascular, microvascular and metabolic etiologies. Diabetes extends to be the most prevalent underlying source of nontraumatic lower extremity amputations. The world is presently experiencing an wide  spread of diabetes mellitus, particularly adult onset or type II. There is solid affirmation that this can be avoided by screening and community based health education programmes processed by a multidisciplinary team.

Dr V.T. Arasu M.S

Professor and Guide, Department of General Surgery, Chengalpattu Medical College