telemedecine

Background : Diabetes mellitus is a public health problem. Diabetic foot is one of its major complications and is secondary to neuropathy, arteriopathy, infectious and mechanical foot involvement. It is a major cause of lower limb amputation and thus of motor disability. Material and methods We propose a descriptive study of the main anomalies found in the examination of thefeet in 40 patients with type 1 diabetes. Results: The median age of our population was 34.5 years. The average duration of diabetes was 25.35 years. 15% of people have neuropathic pain, and about one third describe the pain as severe. Hallux valgus and claw toes were observed in 35% of patients and a Charcot foot was found in 2 patients. 10% of subjects already had stage 4 arterial disease and 10% had intermittent claudications. The results of the care of 3 patients through telemedicine are encouraging. Management was early and further damage was prevented. Conclusion: Foot involvement in diabetes mellitus is common and often severe. Early intervention, via telemedicine, could improve outcomes.