Diabetic Foot

Diabetes affects the whole body, but the eyes, heart, kidneys and feet are most at risk.

Body Clinic uses internationally defined standards such as screening frequency, goals, physical examinations and treatment protocols and Footcare Advice to Patients founded on evidence–based clinical guidelines and present strategies in management and prevention as recommended by the International Consensus on the Diabetic Foot which is endorsed by the International Diabetes Federation.

This decreases variability in practice, reduces complications and improves quality of life.

There are 2 primary aspects of management of the Diabetic foot:
1. Prevention
2. Management

Prevention focuses on patient education in foot care and footwear, off–loading the deformed or insensate foot and re–perfusion if the arteries are affected by build up of atherosclerotic plaque. A series of non–invasive investigations are performed to establish a baseline and basis upon which risk of acquiring diabetic foot disease is assessed and subsequent to that a treatment plan can be devised to provide preventive treatment and therapies.

Management of acute wounds requires accurate diagnosis and choice of treatment plan, investigation for infection, application of the moist wound healing technique and prevention of recurrence.

Control of infection, pressure and perfusion are key in interrupting the pathways that lead to gangrene, necrosis, amputation, morbidity and mortality.

This is a highly skilled sub–specialty of podiatry and the company’s goal is to establish an acute diabetic foot clinic in association with a multi–disciplinary tertiary facility in Jakarta.

Studies show that where debridement and off–loading (podiatry services) and re–vascularization (by Vascular Physician) are included in a multi–disciplinary approach, there is a 73% long–term lower extremity salvage rate.

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