The purpose of the study was to assess the health-related quality of life and treatment satisfaction of diabetes patients (n = 36) with foot ulcers undergoing insulin and ayurvedic adjunct therapy. Retrospective hospital based cross-sectional design considered patients with diabetes foot ulcers undergoing 4-week treatment with insulin and ayurvedic combinatorial therapy. The Audit of Diabetes Dependent Quality of Life Questionnaire and Diabetes Treatment Satisfaction Questionnaire were completed for the assessment. The mean duration of diabetes among participants was 9.32 ± 5.3 years. Assessment of Diabetes Treatment Satisfaction Questionnaire (total treatment satisfaction) score was found to be 26.0139 ± 5.20369, and Audit of Diabetes Dependent Quality of Life Questionnaire (average weighted impact) score was -3.0819 ± 1.83003. Relationship with diabetes complications showed that Audit of Diabetes Dependent Quality of Life Questionnaire score (P = .383) had no relationship, but Diabetes Treatment Satisfaction Questionnaire score (P = .039) showed significance. Integrated approaches for diabetes foot ulcer management with insulin and ayurvedic management have a favorable impact on patient-perceived quality of life.

The diabetic wound healing process is a complex task under the category of B40 classification and below. The medical expenses are high in private wound specialist organizations compared to government hospitals. This article designed a computer-aided automatic detection and classification method for wound and ulcer care for diabetic patients using image processing techniques by Edge detection, colour scale of tissues, wound area calculation, and percentage calculation with GUI. The system results, Combination of edge detection methodology and 2-D boundary technique and design with the significant three tissues classification which is harmful and required immediate medical responses are Granulation, Fibrin and Necrotic values are used for wound area determination. The result of the system will help the patient immediately, which is classified as high or less severity.

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