A REVIEW ON DIABETIC FOOT ULCER: COMPLICATION OF DIABETES MELLITUS

Abstract

In present scenario sedentary life style, lot of stress and over nutrition are important etiology of diabetic mellitus, as one of the most prevalent disease in the world. Diabetic foot ulcer is often quite dreaded disability cause of non traumatic lower extremity amputation. It occurs in 15% of all patient with diabetes mellitus and precedes 84% of all lower leg amputation. The classical triad such as angiopathy, neuropathy & infection in the formation of Diabetic foot ulcer vividly explained. The pathogenesis of foot ulcer is complex. Preventing of this condition should be first priorities. To help reduce the enormous burden of foot ulceration on both patient and health resource. The management of Diabetic foot ulcer required based on Blood sugar control, debridement, advanced dressing, and offloading modalities. Furthermore, surgery to heal chronic ulcer and recurrence should be considered as essential component of management. Also, Hyperbaric oxygen therapy, electrical stimulation could be used as adjacent therapies for rapid healing of Diabetic foot ulcer. In Ayurveda literature, Aacharya Sushruta has described sixty treatment modalities for Vrana. Shodhana (purification) by guduchyadi kwatha and Lepana (coating) by tiladi lepa having excellent result in diabetic foot ulcer.