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Diabetic Foot in Colombia

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Vascular Surgery

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Abstract

The prevalence of diabetes is increasing worldwide and particularly in developing countries. Studies by the Colombian Association of Diabetes (ACD) have demonstrated that in Colombia 7 % of the population living in urban areas and older than 30 are diabetics and that annually there are 3 or 4 new cases of type 1 diabetes per 100,000 children, less than 15 years old per year [1, 2]. A substantial proportion of individuals with diabetes remain undiagnosed in Colombia and untreated and the percentage of treated individuals reaching International Diabetes Federation treatment goals for blood glucose, blood pressure and serum cholesterol is low. These low rates of diagnosis, treatment and control reflect the lost opportunity for reducing the burden of diabetes [3]. The principal cause of morbidity in the diabetic population in Colombia is diabetic foot, 20 % of all hospital admissions for diabetics in the country [4]. The presence of arterial disease, neuropathy and the sequence of ulceration, infection and gangrene, precedes lower limb amputations in diabetics in Colombia and is no different than in other regions of the world. Every year, more than 1 million of diabetics suffer an amputation related to the disease and has been estimated that every 20 s a lower limb is lost to diabetes somewhere in the world [5]. In Colombia this is equally true and amputation was frequently performed without an attempt of limb salvage, before the implementation of Diabetic Foot Teams.

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Authors and Affiliations

  1. Department of Surgery, National University of Colombia, Bogotá, Colombia

    Alberto Muñoz

  2. Aorta and Vascular Surgery Unit, Clinica Palermo, Clinica Vascular de Bogota, Bogotá, Colombia

    Alberto Muñoz

  3. Vascular Surgery Service, Santafe de Bogota Foundation University Hospital, Bogotá, Colombia

    Alberto Muñoz

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  1. Alberto Muñoz
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  1. Yale University School of Medicine, New Haven, Connecticut, USA

    Alan Dardik

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Muñoz, A. (2017). Diabetic Foot in Colombia. In: Dardik, A. (eds) Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-33745-6_20

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  • DOI: https://doi.org/10.1007/978-3-319-33745-6_20

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