The lack of ulcer scarring is what leads to such complications in the diabetic patient. Therefore, the key to reduce amputation rate is preventing ulceration.
Patient diagnosed with type LADA (latent autoimmune diabetes in adults) diabetes in 2011, when he was 34 years old.
From the onset of the disease, he has been treated with insulin glargine + insulin aspart.
He finds it hard to accept the disease.
He almost discontinued insulin treatment for nearly a year, during all 2014.
At the end of 2014, he is admitted to hospital due to an infected wound on his right foot, where it is debrided and locally and systemically treated. In addition, insulin therapy is properly reinitiated. After a weak and having experienced an improvement, the patient is discharged from hospital.
The wound is treated from then on at his health centre and at hospital outpatient clinics.
On December the 12th of 2014, a neuropathic and vascular examination is performed on patient’s left foot, finding in sole a hyperkeratotic area with subkeratotic hemorrhage. The patient is provided with a pair of Muvu socks for diabetic foot prevention in order to prevent the potential ulceration and he is trained on foot care. At 15 days, he sent me a picture of wound evolution.
With regard to right foot, in March of 2015, the wound was almost totally closed and healed.
Currently he is totally cured. The patient has become aware of his disease. He has started looking after his diet with good insulin treatment compliance and the use of Muvu sock, showing an excellent control of his foot problems.