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Bemp Case 8.1

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8.4 Discussion

Diabetic patients often the wound heal poorly. They have higher incidence of DFU. Even if the patients have normal pulse rate the healing of wound and peripheral injuries are slow. The poor healing is diabetes is due to micro vascular change manifested by endothelial proliferation in small arteries and basement membrane thickening in capillaries. The obesity also leads to diabetes and reduces the immune capacity of the patient. Constant hyperglycaemia and poor foot hygiene, lack of lifestyle modification, poor blood glucose monitoring, and lack of exercises may lead to uncontrolled diabetes. The diabetic neuropathy leads the patient’s feet to get injury and ulcer formation. The BMI indicates that the person’s weight the degrees …show more content…

A high BMI can be an indicator of high body fatness. The normal BMI for an adult is 18.5 to 24.5 mgK2. The benefits of maintaining a healthy weight include fewer joint and muscle pains, increased energy and ability to join in more activities, improved regulation of bodily fluids and blood pressure, reduced burden on the heart and circulatory system, improved sleep patterns, reductions in blood triglycerides, blood glucose, and risk of developing type 2 diabetes and reduced risk for heart disease and certain cancers. (Harrison, 2008)

A study was conducted to assess the relationship between obesity, insulin resistance and coronary heart disease risk. The goal of the study was to define the relationship between body mass index and insulin resistance and to determine the relationship between BMI and coronary heart disease risk factors. The study concluded that the obesity and insulin resistance are both powerful predictors of CHD risk and insulin resistance at any given degree of obesity accentuates the risk of CHD and type 2 diabetes mellitus. (Fahim abbasi, …show more content…

Many patients coming for regular check up are diagnosed as diabetes. The normal random blood sugar is 80 mg to 140 mg. The persistent hyperglycemia leads to many complications in the long run like neuropathy, nephropathy, CAD, foot ulcer and gangrene resulting finally in amputation of the limb. The high blood glucose causes the cell walls to become stiff and rigid, impairing the flow of blood throughout the small vessels located at the surface of the wound. This reduces the blood flow and permeability of red blood cells, which are required for the development of dermal tissue. Diabetics experiencing cut blisters on the feet should be taken care of to prevent chronic foot

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