THE STUDY OF THE IMPACT OF NEUROPATHY AND OTHER CHRONIC COMPLICATIONS ON FOOT IN A GROUP OF PATIENTS WITH TYPE 1 DIABETES MELLITUS WITH A DISEASE DURATION OVER 25 YEARS

Abstract

The diabetic foot is a generic term used for foot problems in patients with diabetes mellitus. The major increase in mortality among patients with diabetes mellitus is due to the development of macro and microvascular complications. Diabetic neuropathy and obliterant diabetic arteriopathy frequently affect the inferior limb in the patient with type 1 diabetes mellitus. Diabetic neuropathy is the most frequent and early microvascular complication met, while diabetic arteriopathy is the most frequent macrovascular complication. Dyslipidaemia and high blood pressure are frequently met in patients with diabetes mellitus over 25 years and they are usually associated with diabetes complications. Overweight and obesity were found in an unexpectedly high percentage in patients with type 1 diabetes mellitus with a disease duration over 25 years. Smoking any form of tobacco causes damage to the small blood. This damage can disrupt the healing process and is a major risk factor for infections and amputations.