title: Diabetic foot problems in India: an overview and potential simple approaches in a developing country.
abstract: India has the highest number of people with diabetes in the world. Diabetic foot care is one of the most ignored aspects of diabetes care in India. Due to social, religious, and economic compulsions, many people walk barefoot. Poverty and illiteracy lead to usage of inappropriate foot wear and late presentation of foot lesions. Many nonphysicians are interfering in the treatment of diseases, including diabetes. Patients also try home remedies before visiting their physicians. We believe that rational improvisation is the key to success when working with diabetic foot patients in developing countries. We have developed several improvised techniques/approaches for diabetes care in general and specifically for foot care. Our techniques/approaches are based on four principles: 1) they are simple, 2) no special training is needed, 3) they are affordable, and 4) they are effective. Only simple and affordable methods are successful in the developing world.
authors.affiliation: Lucknow Diabetic Foot Care Clinic and Research Centre, LK Diabetes Centre, Indiranagar, Lucknow 226016, Uttar Pradesh, India. consultantdiabetologist@gmail.com
authors.forename: Kshitij
authors.initials: K
authors.lastname: Shankhdhar
authors.forename: Lakshmi Kant
authors.initials: LK
authors.lastname: Shankhdhar
authors.forename: Uma
authors.initials: U
authors.lastname: Shankhdhar
authors.forename: Smita
authors.initials: S
authors.lastname: Shankhdhar
mesh_terms: D001177:Arthropathy, Neurogenic / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D017719:Diabetic Foot / Q000473:pathology / Q000503:physiopathology* / Q000628:therapy*; D016523:Foot Ulcer / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D007194:India