Therefore, imaging presentation will vary due to lack of specificity in complex clinical circumstances. This should only be ordered to confirm a suspected diagnosis and direct patient management.
A simple definition of diabetes is a disorder of metabolism. It is a serious disease that can be developed from lack of insulin production in the body. Most of the food we eat is broken into glucose. This glucose is the form of sugar and the main fuel of the body. Glucose passes into the bloodstream where it is used for the growth and energy. Insulin must be present in order for the glucose gets into the cells. It is a hormone produced by pancreas gland that helps the process of food we eat and turn it into energy.
The symptoms of diabetes may begin gradually and can be hard to identify first. These may include feeling tired or ill, slow healing of infections and genital itching. When there is extra sugar in blood, one way the body gets rid of it is through frequent urination. This loss of fluid in the body causes extreme thirst.
According to Burke A. Cunha diabetes often goes undiagnosed because of it's harmless symptoms like frequent urination, excessive thirst, extreme hunger, irritability and blurry vision. Complications can be associated with diabetes. This disrupts the vascular system that affects many areas of the body such as eyes, kidneys, legs and feet. However, people with this kind of disease should pay special attention to their feet because the smallest of the injuries can lead to a medical emergency. This is because the common problems of people with diabetes are foot infections. These individuals are predisposed to foot infections because of a compromised vascular supply. Moreover, patients with diabetes can have a combined infection involving bone and soft tissue called fetid foot.
Diabetes is a chronic metabolic disorder in which the body cannot metabolize carbohydrates, fats and proteins because of a lack of insulin.
A disorder that affects microvascular circulation is diabetes mellitus. The microvascular disease due to sugarcoated capillaries limits the blood supply to deep structures. Pressure due to ill-fitting shoes further compromises the blood supply at the microvascular level that affects a person to infection. The infection may involve the skin, soft tissues, bone or all these tissues. The primary problem in diabetic foot infection is microvascular compromise, these occur in setting of good dorsalis pulse. Impaired microvascular circulation hinders white cell migration in the area of infections and limits the ability of antibiotic reach the infected area.
The chronic osteomyelitis represents an island of infected bone. This bone fragment that are isolated have no blood supply. However, administered antibiotics do not penetrate the devascularized infected bone fragments. They can only enter through the remaining blood supply. In conclusion, antibiotic therapy alone cannot cure patients with chronic osteomyelitis without surgical debridement to remove these isolated infected elements.
Diagnosed diabetes is most prevalent in middle-aged and elderly populations. The highest rates occurring in people aged 65 years