Conclusion: The many aspects of the diabetic foot make it an interesting and challenging concern not only for diabetologists but for all primary care physicians as well. The evaluation, diagnosis, and management of such infections are vital to the well-being of the diabetic patient. Optimal wound care techniques and appropriate technologies are imperative. Education, a multi-disciplinary approach and active participation of all stakeholders are essential elements in the prevention and successful management of this multifaceted disease.
DIABETES

Conclusion: The patient followed up in good spirits. CBG was being monitored daily. Adherence to diet as well as lifestyle modification (stopped his alcohol intake and lessened meat intake) was remarkable. Laboratory results especially blood sugar control reached and exceeded target levels. The patient's proteinuria was fiurther evaluated. Twenty-four hour urine collection showed protein spillage but renal function was good. The plan is for continuous monitoring of this parameter. The patient's insulin (premixed 70/30) dose from an initial dose of 20-10 was adjusted until a maximum of 40-24 then reduced gradually. His present dose is 8-4.
HYPERGLYCEMIC

Diabetes develop various complications that require surgical treatment. It is hard for the internist and surgeon to agree when surgery may be safely done in the severe diabetic. There is no actual need for normoglycemia nor for the over-enthusiasm in bringing glucose level to normal to the extent that other metabolic and biochemical defects are forgotten. (Author)
Human ; SURGERY ; DIABETES COMPLICATIONS

Human ; Female ; Adult ; DIABETES COMPLICATIONS ; PREGNANCY

In many instances, the differences between the two types of Diabetes may not always be easily perceived. What is seen in current practice is a combination of signs and symptoms that make diagnosis a bit more complex. This is an illustration of such. Clinical judgment alone may not be enough and laboratory findings will be extremely helpful. The clinician has to develop the skill in decision-making based on all the available data.

Human ; Female ; Adolescent ; Nutritional And Metabolic Diseases ; Glucose Metabolism Disorders ; Diabetes Mellitus, Type 1 ; Diabetes Mellitus, Type 2 ; Diabetes Mellitus

Human development is " process of enlarging people's choices to lead a long and healthy life, to be educated and to enjoy a decent standard of liv- ing" (UNDP 1990). Basic services such as health, social welfare, education and housing are essential to achieve this. Health is a very powerful element for social protection and inclusion. Good health enables individuals to work and participate fully in their communities, allow people to have better chances for employment and support themselves financially.