Risk factors of diabetic foot in older adults: Clinical Case

Abstract

Diabetic foot is defined as infection, ulceration, or destruction of the deep tissues of the foot that may be associated with different factors. Objective: To carry out a bibliographic analysis and treatment of the disease to determine the risk factors of diabetic foot in elderly women through a clinical case of the FUNPRA geriatric center in the city of Cañar - Ecuador. Clinical case: 80-year-old female patient, widowed, from the city of Azogues and resident in Cañar-Ecuador FUNPRA (nursing home), with no education. She is treated for diabetic foot grade I superficial wound in the right foot, does not involve tendon capsule or bone, in the healing process granulation tissue is observed. Treatment and evolution: She was administered a general diet, physical activity prior to healing, insulin in the morning 14 IU/dL and in the afternoon 6 IU/dL per day at the end of healing and bandaging. With 3 years of evolution DMT type II, 3 months of evolution of diabetic foot. No pathological, surgical, or family history. Improvement of the patient is observed after the cures performed, control of glycemia and administration of medication appropriately. Conclusion: A patient with diabetes mellitus type II was treated, her diabetic foot was associated with obesity, inadequate care, and poor hygiene.