Introduction- ischemia & infection along with immune dysfunction.

   Introduction- Diabetes mellitusis a worldwide problem. Its incidence isincreasing globally as well as it is on therise in India. Patients with diabetesmellitus have a 15% life time risk ofdeveloping a foot ulcer 1 . Foot disorders are amajor source of morbidity and a leading causeof hospitalization for those affectedwith diabetes mellitus. The countries with the largest number ofpeople suffering from diabetes mellitusare India, United States & China 2 .In India diabetes mellitus is expected to affect80 million people by 2034. India with 62million people as diabetics is referred toas the “DIABETIC CAPITAL” of the world. Diabetes is one of the leading cause ofnon-traumatic lower extremity amputation.

The three pathologies synergisticallyaffecting the foot in a diabetic patient areneuropathy, ischemia & infectionalong with immune dysfunction. Approximately60%of all diabetic foot ulcers are purelyneuropathic whereas 45% have bothneuropathic and ischaemic components 3 .Ulcers, necrotizing infections, cellulitisand gangrene are the common modes ofpresentation in a diabetic foot. As we know most patients of diabetes mellitushave foot affections, there is lack ofawareness regarding podiatry care as footbeing the most ignored part.                  Objectives- 1. To study the clinical and pathologicalpattern of foot infections in diabetic    patients.

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 2. To study the microbiological flora indiabetic foot patient.   Methodology- 1. Study design/Study type-      Itis a prospective, observational study  2. Study population-     Allthe diabetic patients presenting with foot infections of any form in the    departmentof surgery at our Hospital, attached to my College.  3. Sample size-     Weexpect atleast 30- 40 patients during the study period.

  4. Selection criteria- Adult patients of either gender. Between 18 to 80 years of age            suffering from foot infections with diabetes mellitus. Both type 1 and type 2 diabetes mellitus patients will be included.

  5. Data collection procedure-     All the patients with diabetic footundertaking treatment in Hospital of    my city will be chosen from differentsurgical units in the hospital. The patients    will be examined and data will be recordedon a pre-tested pro forma which     includes  Clinical history and examination (general and local). Routine laboratory investigations (if any)              Implications-   Understanding the pattern and progression of disease helps in better treatment ,planning and management towards limb salvage. Interaction with patients can lead to better counseling of patients regarding podiatry care for as to prevent future foot complications.