3. Back ground
• “Public foot the bill, patients pay
the price”
• National figures
• 15% will develop ulcer in their life
• 2% PA develop new ulcer
• Of those with neuropathy, 3% will develop an ulcer each
year
• Incidence of major amputation 3% per year
• 5 year mortality for patients presenting with new foot
disease is 45-50% Diabetes
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4. World Health Organisation
definition of the Diabetic Foot
“a group of syndromes in which
neuropathy, ischaemia, and
infection lead to tissue breakdown
resulting in morbidity and possible
amputation”
Diabetes
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5. Plymouth PCT Population
• In 2008/09 there were 10321 people aged
17 years and older diagnosed with
diabetes in Plymouth PCT. (3.8%
compared with 4.0% of population in a
range of similar PCTs)
Diabetes
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6. Guidance
• NICE cg 10
• NICE cg 119, inpatient management of
diabetic Foot
• Map of medicine (Diabetes/Foot care)
• Local guidance ;Inpatient pathway,
• joint formulary,
Diabetes
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7. What are the main problems
affecting the lower limbs of people
• Infection
• Neuropathy
• Arterial disease
• Foot deformity
• MOBILITY
Diabetes
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