Susan Tulley, head of podiatry at Healthpoint, says not enough foot doctors are working in the emirate. Mona Al Marzooqi / The National
Susan Tulley, head of podiatry at Healthpoint, says not enough foot doctors are working in the emirate. Mona Al Marzooqi / The National

Diabetics in danger of losing limbs



ABU DHABI // There is a desperate lack of podiatrists for patients with diabetic foot – one of the biggest complications associated with diabetes – which can lead to amputation if not treated.

Susan Tulley, head of podiatry services at Abu Dhabi’s Healthpoint, said there were only eight full-time and two part-time foot doctors in the emirate.

“The World Health Organisation recommends that for this area and for the problem we need at least 200 specialists, and that is for diabetics,” Ms Tulley said. “You can see the problem. There are not enough of us.”

Diabetic foot is often overlooked as a complication of the disease, and there is fear of amputation in having it seen to, she said. “The three main microvascular complications of diabetes are eyes, feet and kidneys, in that order,” said the British expatriate, who has more than 20 years experience in the Middle East.

“In this part of the world eyes and kidneys tend to be well covered and feet have been neglected. People are always frightened of going to hospital with a foot problem because they are scared of amputation. They believe one thing will lead to another.

“It is not inevitable. But if you have not got any prevention in place it will become inevitable.”

Every 20 seconds, somewhere in the world a limb is lost as a consequence of diabetes, said Ms Tulley.

The first sign of diabetic foot is usually a wound or lesion on the foot that does not heal.

“It is likely that [the victim] will get a lesion of the foot, because of a shoe or a sandal, from walking around, that you and I would notice but they don’t.

“They cannot see it because the eyes have gone and they cannot feel it because of neuropathy [nerve damage] in the feet.

“Sometimes it is when they notice the smell of something or the trail of blood that they realise that there is something wrong.”

More than half of all foot ulcers in the world will become infected, with a fifth of them resulting in amputation. This can range from a toe to a below-the-knee amputation.

Ms Tulley said early detection was vital. Screening programmes for diabetics should include an annual foot check-up, she said.

jbell@thenational.ae

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Company name: baraka
Started: July 2020
Founders: Feras Jalbout and Kunal Taneja
Based: Dubai and Bahrain
Sector: FinTech
Initial investment: $150,000
Current staff: 12
Stage: Pre-seed capital raising of $1 million
Investors: Class 5 Global, FJ Labs, IMO Ventures, The Community Fund, VentureSouq, Fox Ventures, Dr Abdulla Elyas (private investment)

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Padmaavat

Director: Sanjay Leela Bhansali

Starring: Ranveer Singh, Deepika Padukone, Shahid Kapoor, Jim Sarbh

3.5/5

COMPANY%20PROFILE
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Her most famous song

Aghadan Alqak (Would I Ever Find You Again)?

Would I ever find you again
You, the heaven of my love, my yearning and madness;
You, the kiss to my soul, my cheer and
sadness?
Would your lights ever break the night of my eyes again?
Would I ever find you again?
This world is volume and you're the notion,
This world is night and you're the lifetime,
This world is eyes and you're the vision,
This world is sky and you're the moon time,
Have mercy on the heart that belongs to you.

Lyrics: Al Hadi Adam; Composer: Mohammed Abdel Wahab

Cracks in the Wall

Ben White, Pluto Press 

Company Profile

Name: JustClean

Based: Kuwait with offices in other GCC countries

Launch year: 2016

Number of employees: 130

Sector: online laundry service

Funding: $12.9m from Kuwait-based Faith Capital Holding

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Confirmed%20bouts%20(more%20to%20be%20added)
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How to protect yourself when air quality drops

Install an air filter in your home.

Close your windows and turn on the AC.

Shower or bath after being outside.

Wear a face mask.

Stay indoors when conditions are particularly poor.

If driving, turn your engine off when stationary.

How to report a beggar

Abu Dhabi – Call 999 or 8002626 (Aman Service)

Dubai – Call 800243

Sharjah – Call 065632222

Ras Al Khaimah - Call 072053372

Ajman – Call 067401616

Umm Al Quwain – Call 999

Fujairah - Call 092051100 or 092224411