ஜர்னல் ஆஃப் நீரிழிவு சிக்கல்கள் & மருத்துவம்

The indications for amputation include vascular or diabetic indications, such as infection, tissue loss, pain and ischaemia; as well as non-vascular indications, such as trauma, malignancy and congenital malformation. Below-knee amputation (BKA) is not always possible and a proximal amputation is sometimes required. In these instances, an above-knee amputation is routinely performed. A through-knee amputation is not an alternative to BKA and AKA in current daily practice. There is stronger evidence in literature supporting that; "Surgeons can perform TKA as a primary alternative to AKA in patients when BKA is not feasible."

Hypoglycemia is termed as unusual low blood glucose levels. It is most common in people who have DM. This study aimed to estimate the hypoglycemic activity of salicylate and anti-hypertensive drugs. The study was performed in In-patient and outpatient departments at Gandhi hospital. It is a prospective observational study with Sample size 80 to 100 in a duration of six months. Both in IP patients and OP patients there is significant change in glucose levels. When they are taken in combinations like hypoglycemic agents, anti-hypertensive and aspirin. In the present study out of 64 subjects, the greater number of cases found in age group 50-59 years (28.1%). According to statistical data the age groups between 50-59 years are at more risk followed by 60-69 years. When compared with op patients, there is much more decrease in blood glucose levels by taking combination of aspirin, OHA, HTN drugs in ip patients.

Diabetes is an emerging chronic disorder in present and future years. Diabetes is of two type’s type 1 and type II. In 2019, there were 9.3% adults were affected with diabetes and by an estimation studies by 2045 we will have around 700 million people living with the diabetes. In further years the risk of men affecting to diabetes will increase when compared to the women. The complications of the diabetes are much riskier when compared to the actual cause that is diabetes. The high blood sugar levels in the body will cause internal organ dysfunctions which may also lead to the organ failure. The main complications caused by the diabetes patients are diabetic retinopathy, diabetic nephropathy, diabetic neuropathy and diabetic cardio vascular diseases like diabetic cardio myopathy. In this present review article, the 40 articles were reviewed and has parts of diabetic complications and their diagnosis, management and treatments. The diabetic foods to include in the daily life to avoid further complications of the diabetes patients.