Abstract Introduction: In the years between 1958 and 1993, the number of people diagnosed with diabetes multiplied five – fold1. In 1994, 135 million patients world - wide were living with Diabetes mellitus. By the year 2025, it is estimated that this figure would increase to more than 300 million. Aims and Objectives: To study Clinical Pattern of Diabetic Foot Lesions and Their Management Methodology: This is a prospective study of consecutive Diabetic patients with foot complications admitted in the surgical wards of Aarupadai Veedu Medical Co l l e g e and Ho s p i t a l during the period of September 2013 – August 2015. A total of 200 cases were analysed during this period. Detailed history and thorough clinical examination was done in all cases. Documentation was done using a stratified proforma which included demographic data of the patients studied; all the details of investigations carried out and the types of management and treatments provided to the patients enrolled in the study. Statistical analysis was done by Chi- square test. Result: Peak Incidence of diabetic foot was seen in the Age group of 50- 69years. Increased prevalence was seen among males (69%). In males increased prevalence was seen in the age group of 50-59 years and in females in age group of 60-69 years. There was significant family history of diabetes mellites in 67.5% of patients (p < 0.0001). Foot lesions developed either due to trauma or spontaneously. But most of the neuropathic patients would have not noticed or felt the trauma. As per Clinical Pattern Abscess was present in 2% cases, cellulitis in 23% Cases, Ulcer in 55% cases and Gangrene in 19.5% Cases. Most of the patients presented with Wagner Grade II type of foot lesions. Hence early and effective management can save the limb The above table shows that 8% of patients had macrovasculararteriopathy. These patients were subjected to Duplex Scan. Neuropathy was present in 30.5% of patients. Conclusion: adequate glycemic control, appropriate antibiotic therapy and prompt slough excision–mediated debridement therapy can be the successful limb salvage programme in nearly all the diabetic foot cases.

Keywords: Clinical Pattern of Diabetic Foot, Management of Diabetic Foot.