Diabetic Foot complications are the leading cause of amputations in Pakistan & huge financial burden on the society-Iqbal Durrani


Prevent Diabetic Foot complications to save whole family
which suffers-Prof. Jamil Ahmad

Diabetic Foot complications are the leading cause
of amputations in Pakistan & huge financial
burden on the society-Iqbal Durrani

PWGDF is a multidisciplinary group to create awareness
and train healthcare professionals on diabetic foot
management-Dr. Zahid Miyan

There are 400,000 people with diabetic foot in Pakistan of
which 10% will have amputation within a year-Prof. Abdul Basit

KARACHI: Non Communicable Diseases (NCDs) account for high morbidity and mortality in Pakistan and health sector’s focus is not at micro level how to manage it. It accounts for almost 54% of total deaths in the country annually. Pakistan is the sixth largest country with diabetes and one fourth of Pakistanis is obese and overweight which needs our attention. Diabetic foot complications are the leading cause of amputation in Pakistan and huge financial burden on the society. This was stated by Sindh Health Secretary Mr. Iqbal Durrani while inaugurating the Diabetic Foot Symposium organized by Pakistan Working Group on Diabetic Foot in collaboration with Baqai Institute of Diabetes and Endocrinology (BIDE) from Baqai Medical University here from August 22-24th 2014.

PWGDF/BIDE organized a symposium on Diabetic Foot at Karachi recently.
Photograph shows Prof. Abdul Basit Director BIDE alongwith Dr. Zahid Miyan
presenting mementoe to Mr. Iqbal Durrani Sindh Health Secretary. Also seen
on extreme right is Prof. Jamil Ahmad.

Non communicable diseases and issues like diabetic foot need to be in focus of public as well as private healthcare facilities. It was commendable that Baqai Medical University took the initiative in 1996 to start the Diabetic Foot clinic which has become a great success. Diabetic foot is devastating for the entire family and meetings like this help create not only awareness but it also comes into main focus so that it can be reflected in our policy documents. I have personally learnt a lot from the meeting and would be too glad to help the organizers at the provincial level, he added.
Earlier Dr. Zahid Miyan chairman of the organizing committee in his welcome address pointed out that Pakistan Working Group on Diabetic Foot (PWGDF) was a multidisciplinary group which offers a national platform to train the healthcare professionals in the management of diabetic foot besides creating awareness in public and doctors community. Diabetic Foot is a serious problem and team approach is the key to success. Podiatrist is an important member of this team. BIDE has trained a lot many podiatrists and Diabetic Foot Care Assistants and during the symposium a Hands on Workshop has also been organized on this topic, he added.

In his speech on the occasion Dean Faculty of Medicine at Baqai Medical University and Principal of Baqai Medical College Prof. Jamil Ahmad said that time has come that we should concentrate on preventing the complications instead of treating these diseases. These complications not only cripple the individual but the whole family suffers. NCDs have now taken over the communicable diseases and it is a huge financial burden. We should never underestimate diabetic neuropathy as a problem and efforts should be made to prevent this serious complication, he remarked.

Prof. Abdul Basit Director BIDE presenting mementoe to Prof. Jamil Ahmad
Dean Faculty of Medicine at Baqai Medical University who was the Guest of
Honour at the inaugural session of symposium on Diabetic Foot held
from August 22-24th 2014.

Prof. Abdul Basit, Executive Director of BIDE and the moving spirit behind the Pakistan Working Group on Diabetic Foot in his concluding remarks thanked all those who helped to organize this academic activity. He also pointed out that there are seven million diabetics in Pakistan while the number of diabetic foot accounts for four hundred thousand, 10% of which are at risk of having amputation in a year. Those with diabetic foot, 30% will die in a year, 50% within three years and 70% within five years. Diabetic foot has frightening mortality; it should be taken carefully and seriously. We started this journey of diabetic foot eighteen years ago by establishing the first Diabetic Foot Clinic in Pakistan. We have trained a large number of Diabetic Foot Care Assistants and so far have established 115 Diabetic Foot Clinics all over the country. We plan to establish seventeen hundred such diabetic foot clinics all over Pakistan for which we have so far trained six hundred teams. In addition we have also established 34 clinics for those suffering from Type-I diabetes in Sindh province. We have undertaken Peripheral Artery Disease project and published eighty two papers based on our research in national and international peer reviewed biomedical journals. We have also now undertaken a project of Gestational Diabetes. All those who suffer from GDM, 70% of them are likely to develop diabetes later on. In this project we intend to identify thirty clinics in Karachi and Hyderabad to offer cost effective treatment for gestational diabetes. We also plan to start mobile screening for diabetics suffering from diabetic retinopathy and kidney diseases, he added.

Diabetic Foot- where do we stand and the Role of Podiatry- a Step Forward was the theme of the symposium which was very well attended. Scientific programme consisted of state of the art presentations besides eight Hands on Workshops. For Detailed report see next issue.