Abstract :
Introduction:The term diabetes mellitus describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and proteinmetabolism resulting from defects in insulin secretion, insulinaction, or both. People with diabetes are at increased risk of peripheral arterial disease and neuropathy, as well as having a higher risk of developing infections and decreased ability to clear infections. Therefore, people with diabetes are prone to frequent and often severe foot problems and a relatively high risk of infection, gangrene andamputation. Now adays we use a new modality to treat diabetic foot which called carbothera which is soda-spa refers to the warm water that dissolves carbon dioxide, another name for it is Soda Bath.Our aim of this study is to discuss if there is any effect of hypertension and other atherosclerotic problems as coronary heart diseases and cerebrovascular accident in the treatment of diabetic foot by carbothera therapy. Patients and methods: 800 patients were included in this study, all were chosen from diabetic centerrandomly, exclusion criteria was implemented for patients with,burn and fungal infection and those patients that use carbothera for neuropathy only. Age, sex, occupation, type of therapy, duration of disease and number of sessions of carbothera therapy all were taken in consideration and the age of the patients was ranging from 7 to 82, all of them underwent investigations in form of random blood sugar, glycosuria, renal function test, HbA1c…the instrument was used is auto analyzer, and specific type of kits. Conclusion: In our study we found that presence of hypertension and other atherosclerotic problems like ischemic heart disease or cerebrovascular problems in addition to DM doesn t affect number of sessions in carbothera therapy that used for diabetic foot.
