Background and targets
Telemedicine have been proposed as a device to manipulate
diabetes, however its position in control of diabetic foot ulcer is still
evolving. The COVID-19 pandemic and related social regulations have
necessitated using telemedicine in the management of diabetic foot sickness
(tele-podiatry), specifically of sufferers labeled as low-chance.
Materials and methods
We present a record of 3 cases of varied diabetic foot
troubles assessed at some point of the existing pandemic the usage of different
forms of telemedicine for triaging, control of low-hazard cases and for
follow-up.
Results
Tele-podiatry become effective inside the management of
low-hazard topics with diabetic foot ulcer, and additionally beneficial in
referral of high-chance topics for clinic/health facility visit, facilitating
right control. It also helped within the comply with-up of the instances.
Conclusion
Telemedicine is a superb screening tool for diagnosing and
coping with low-risk subjects with diabetic foot troubles, and additionally
enables a triaging system for deciding on health facility visits and
hospitalization. Telemedicine gives several advantages within the control of
diabetic foot sickness, even though it additionally has some obstacles. Based
on our revel in at some point of the pandemic, we suggest its sensible use
within the triaging of patients of diabetic foot disease and management of
low-danger cases. Future innovation in generation and artificial intelligence
may assist in higher tele-podiatry care within the time to return.
Introduction
The incidence and unfold of the Coronavirus precipitated
ailment (COVID-19) has posed a public fitness venture worldwide . The care of
human beings with non-COVID related persistent health situations, consisting of
diabetes, has emerge as an vital attention at some stage in the pandemic . The
pandemic-related regulations led to difficulties and apprehensions a number of
the humans even as commuting to hospitals. Accordingly, diverse governments,
including the Government of India, have supported the usage of telemedicine via
various advisories . Telemedicine is the shipping of health care where distance
is a concern, by means of fitness care specialists the usage of era for
disorder management and enhancing health . Telemedicine can be specially
beneficial inside the control of diabetes, as demonstrated in a look at of kind
1 diabetes .
Diabetic foot is one of the catastrophic headaches of
diabetes, as it is able to result in large morbidity and mortality. Telemedicine
may additionally offer a gadget of triage (prioritizing patients based totally
on severity of the circumstance) in diabetic foot (DF) control. As nearly 94%
of human beings with DF may also fall in ‘solid’ category , ought to they be
controlled remotely through telemedicine? The ultimate fall into guarded and
severe or vital class . These categories
would surely want to go to the clinic for active interventions.
We file our revel in in coping with three varied instances
of diabetic foot, which elucidate the feasibility of this ‘triage’ concept to
the actual world. We will also speak the pros and cons of telemedicine or
“tele-podiatry” in diabetic foot control.
Case 1
A sixty six-year-antique gentleman offered for an online
session with a toe injury. He has had type 2 diabetes mellitus for 10 years. He
also had peripheral neuropathy when you consider that many years. He was taking
a combination of insulin and oral anti-diabetic pills (OADs) for diabetes. He
monitored blood glucose stages frequently and visited a medical doctor for
regular diabetes take a look at-ups.
During the pandemic, he sustained an harm on the left large
toe, for which he self-dressed the wound three times every day with a topical
antibiotic cream (sodium fusidate) for the preliminary two days. On the third
day he discovered the wound to be oozing with a yellowish discharge, for which
he consulted the health practitioner at our medical institution online, wherein
he defined the incident and additionally shared an photograph of the wound
Photographs of case 1. 1a: Wound on the tip of the left
massive toe at preliminary presentation. 1b: Wound at the tip of the left large
toe healed at the 4th day following the tele-podiatry consultation.
His blood glucose tiers have been underneath manage, and
there was no records of fever. On analyzing the photo, the wound seemed pink;
there has been no redness to be seen surrounding the wound. He become confident
that the wound changed into clean, and suggested to do once each day dressing
with the equal topical antibiotic cream after cleaning with everyday saline,
and cover the wound with sterile dressing.
