Diabetes Essay

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INTRODUCTION
Diabetes is a chronic disorder that affects a large segment of the population and is a most significant public health problem. Diabetes is a metabolic disorder affecting the Langher islets of pancreas affecting the insulin and glucoagan production and consecutively affecting the sugar (glucose) metabolism which in turn affecting the overall metabolism the disease may be classified into type I diabetes mellitus and type II diabetes mellitus. Type I diabetic mellitus is previously known as insulin- dependent diabetic mellitus. Type II diabetes mellitus is characterized by hyperglycemia due to an individual’s struggle to insulin with an insulin secretory defect (Papanas and Maltezos, 2007). The changes are primarily the consequence of the low insulin glucagons ratio. The effects of insulin on carbohydrate lipid and amino acid metabolism have been demonstrated in diabetic Mellitus all these effects are overturned (Varaiya et al., 2008).
Diabetes and foot problems are in the order of synonymous. A recent WHO report designates that India has the biggest diabetic population (19 million in 1995) that is predictable to rise to 57 million by 2025 (Mayhfield et al., 1998). Kahn (1999) reported that a commonly accepted definition of foot infection is the incidence of systemic signs of infection (e.g.,fever and leucocytosis) or purulent secretions or two or more restricted symptoms or signs (redness, warmness, indurations, pain, or tenderness). Viswanathan et al. (2002) reported that 25% of diabetic individuals is predictable to expand brutal foot problems at some point in their lifetime that frequently end with amputation. Diabetic foot infections are more ruthless and more complex to treat than infections in non-diabetics.

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AIM AND OBJECTIVE
1. Study on socioeconomic status- includes Age category, Gender, Literacy Status and Economic Status (Annual income) of diabetic patients with foot ulcer at the different private laboratory at Sankari and Edappadi

2. Study on diabetic related factors include duration of diabetes mellitus, random blood sugar at the time of questionnaire, associated disease along with foot ulcer, history of previous amputation, type of treatment at the time of questionnaire and foot care maintenance of diabetic patients with foot ulcer at the different private laboratory at Sankari and Edappadi
3. Study on isolation and identification of Pseudomonas aeruginosa from diabetic foot ulcer.
4. Study on antibiotic resistance pattern of Pseudomonas aeruginosa from diabetic foot ulcer.
5. Effect of essential oil against Pseudomonas aeruginosa from diabetic foot ulcer.

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