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AKILDIA DERMO ADJUVANTS DERMO ADJUVANTS
SPECIFIFIC TREATMENT SPECIFIFIC TREATMENT
FOR DIABETIC FEETFOR DIABETIC FEET
®
DOC SSL 14 12 05 V1
LABORATOIRES ASEPTA - MONACOLABORATOIRES ASEPTA - MONACO
DIABETESDIABETES
A few figuresA few figures
What are the consequences for the feet?What are the consequences for the feet?
Preventive foot care for diabeticsPreventive foot care for diabetics
Advice to give to diabetics on foot careAdvice to give to diabetics on foot care
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET
OF DIABETICSOF DIABETICS
A few figuresA few figures
DIABETESDIABETES
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
DERMO ADJUVANTSDERMO ADJUVANTS
In 2003:In 2003: 189 million diabetics in the world 189 million diabetics in the world
- Type II diabetes: around 90 % of al cases- Type II diabetes: around 90 % of al cases
20 millions en Europe. 1.7million in France.1.7million in France. 4.1 million in Germany.4.1 million in Germany.
2.5 million recorded in Poland (9 % of the population)2.5 million recorded in Poland (9 % of the population) 14 millions in the USA (20 millions in 2010).
In 2025: In 2025: 333 millions throughout the world333 millions throughout the world
DIABETESDIABETES
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
Évolution de la population diabétique dans le mondeÉvolution de la population diabétique dans le monde
Around 333 million in 2025 = 6.3%Around 333 million in 2025 = 6.3%
DEVELOPMENT OF DIABETES IN THE WORLDDEVELOPMENT OF DIABETES IN THE WORLD
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
Around 177 million In 2003 = 5.1%Around 177 million In 2003 = 5.1%
What are the consequences What are the consequences
for the feet?for the feet?
DIABETESDIABETES
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
DERMO ADJUVANTSDERMO ADJUVANTS
CONSEQUENCES FOR THE FEET CONSEQUENCES FOR THE FEET
NERVENERVE AND AND ARTERY ARTERY PROBLEMS IN THE LOWER LIMBSPROBLEMS IN THE LOWER LIMBSCAUSE CAUSE TROPHIC SKIN PROBLEMS IN THE FEET.TROPHIC SKIN PROBLEMS IN THE FEET.
THESE PATHOLOGIES THESE PATHOLOGIES (neurological and vascular)(neurological and vascular) ARE OFTEN ARE OFTENLINKED TO AND ARE LINKED TO AND ARE WORSENED BY A RISK OF INFECTION.WORSENED BY A RISK OF INFECTION.
THE FEET OF DIABETICS = THE FEET OF DIABETICS = A FRAGILE FOOTA FRAGILE FOOT
®® AKILDIA AKILDIA CARE AND PREVENTION FOR THE FEET OF CARE AND PREVENTION FOR THE FEET OF
DIABETICSDIABETICS
FOOT INFECTION:FOOT INFECTION: 40 times higher in diabetics. 40 times higher in diabetics. It can be caused by a trauma or following trophic problems and fissural It can be caused by a trauma or following trophic problems and fissural
hyperkeratosis.hyperkeratosis.
RISK OF GANGRENE:RISK OF GANGRENE: 17 times higher in diabetics.17 times higher in diabetics.
50 % 50 % of lower limb amputations are performed on diabetics. of lower limb amputations are performed on diabetics. 5 to 15 %5 to 15 % of diabetics undergo the amputation of a toe, a foot or a leg. of diabetics undergo the amputation of a toe, a foot or a leg. 25 %25 % of hospitalisations of diabetics are due to a foot problem. of hospitalisations of diabetics are due to a foot problem.
““NEUROLOGICAL” FOOTNEUROLOGICAL” FOOT
CONSEQUENCE OF NEUROPATHIA - CHARACTERISED BY:CONSEQUENCE OF NEUROPATHIA - CHARACTERISED BY:
- Total or partial loss of sensation- Total or partial loss of sensation
- Increased blood flow with opening of arterial and venal shunts - Increased blood flow with opening of arterial and venal shunts - osteoporosis (fractures)- osteoporosis (fractures)- malformation of the foot- malformation of the foot- reduction in perspiration: intense dehydration- reduction in perspiration: intense dehydration
Consequences for the skinConsequences for the skin: : very dry, hard skin with zones of hyperkeratosis. very dry, hard skin with zones of hyperkeratosis. Protective function disturbed: opening door to infectionsProtective function disturbed: opening door to infections
Major riskMajor risk: :
Wound breaking through the sole of the footWound breaking through the sole of the foot
Very high risk of over-infection and gangrene.Very high risk of over-infection and gangrene.
Hooked toesHooked toes
pes cavus pes cavus
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
““VASCULAR” FOOTVASCULAR” FOOTCONSEQUENCE OF MACRO-ANGIOPATHIA OF THE LOWER LIMBS CONSEQUENCE OF MACRO-ANGIOPATHIA OF THE LOWER LIMBS DIABETIC ARTERITIS IS CHARACTERISÉD BY:DIABETIC ARTERITIS IS CHARACTERISÉD BY:
- Nocturnal pains- Nocturnal pains - Intermittent claudication - Intermittent claudication - Pale, cold foot - Pale, cold foot - Weak pulse - Weak pulse - Absence of hair - Absence of hair - Hyperonychia - Hyperonychia - Ischemic foot - Ischemic foot
Consequences for the skinConsequences for the skin: : Thin, fragile skin, atrophied skin tissue, skin healing problems due to a blood flow Thin, fragile skin, atrophied skin tissue, skin healing problems due to a blood flow deficiency in the small blood vesselsdeficiency in the small blood vessels
Major riskMajor risk: : risk of ischemia - necrosis.risk of ischemia - necrosis.
Very high risk of over-infection and gangrene.Very high risk of over-infection and gangrene.
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
Preventive care for the feet of Preventive care for the feet of
diabeticsdiabetics
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
DERMO ADJUVANTSDERMO ADJUVANTS
GENERAL ADVICE FOR FOOT PROBLME RISKS:GENERAL ADVICE FOR FOOT PROBLME RISKS:
CONSULT DOCTOR IMMEDIATELYCONSULT DOCTOR IMMEDIATELY
(strict control of the diabetes, treatment of superficial infections , (strict control of the diabetes, treatment of superficial infections , anti-tetanus prophylaxis, prevention of ischemia…..)anti-tetanus prophylaxis, prevention of ischemia…..)
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
PREVENTION:PREVENTION:
- Checking the foot through consultation of a range of multidisciplinary - Checking the foot through consultation of a range of multidisciplinary specialists and education suited to the patient and their family.specialists and education suited to the patient and their family.- Screening for neuropathia and arteriopathia - Screening for neuropathia and arteriopathia - Monthly visits to a foot care specialist (ablation of hyperkeratoses, cutting of - Monthly visits to a foot care specialist (ablation of hyperkeratoses, cutting of nails, orthoses to compensate for the foot statics)nails, orthoses to compensate for the foot statics)
- Daily foot examination- Daily foot examination
- Regular and vigorous foot hygiene regime- Regular and vigorous foot hygiene regime
- Daily use of a foot product to:- Daily use of a foot product to: hydrate the skinhydrate the skin prevent the appearance of hyperkeratosisprevent the appearance of hyperkeratosis retain the protective role of the skinretain the protective role of the skin
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
AKILDIA CREAM
DERMO ADJUVANTS DERMO ADJUVANTS SPECIFIC FOOT CARESPECIFIC FOOT CARE
FOR DIABETICSFOR DIABETICS
SPECIFIC FOOT HYGIENESPECIFIC FOOT HYGIENEFOR DIABETICSFOR DIABETICS
SPECIFIC FOOT CARESPECIFIC FOOT CAREFOR DIABETICSFOR DIABETICS
®
DERMO ADJUVANTSDERMO ADJUVANTS
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET
OF DIABETICSOF DIABETICS
AKILDIA
SPECIFIC FOOT CARESPECIFIC FOOT CAREFOR DIABETICSFOR DIABETICS
®
DERMO ADJUVANTSDERMO ADJUVANTS
PRODUCT ADVANTAGESPRODUCT ADVANTAGES
- Keeps foot hydrated- Keeps foot hydrated- Restores the barrier function- Restores the barrier function- Helps the foot keep its softness - Helps the foot keep its softness for protection for protection - Prevention of hyperkeratosis- Prevention of hyperkeratosis- Helps the skin tissue healing process- Helps the skin tissue healing process
®
PRESCRIPTION AND USE ADVICEPRESCRIPTION AND USE ADVICE
Skin dryness and foot hyperkeratosis for diabeticsSkin dryness and foot hyperkeratosis for diabetics
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE TREATMENT AND PREVENTIVE CARE FOR THE
FEET OF DIABETICSFEET OF DIABETICS Formula designed to meet the
needs of diabetics
From pluridisciplinary collaboration between diabetology specialists,
chiropodists and pharmacists
Recognised by the French Diabetics Association
Used and recommended in hospitals
®®AKILDIA CREAMAKILDIA CREAM
FOOT PROTECTION CREAMFOOT PROTECTION CREAM
ACTIVE SUBSTANCES FOR TOTAL LOCAL TREATMENT OF THE ACTIVE SUBSTANCES FOR TOTAL LOCAL TREATMENT OF THE
FEET OF DIABETICSFEET OF DIABETICS
MOISTURISE AND RESTORE THE HYDRO-LIPIDIC BARRIER MOISTURISE AND RESTORE THE HYDRO-LIPIDIC BARRIER Essential fatty acids and shea butter in a non-occlusive H/E emulsion Essential fatty acids and shea butter in a non-occlusive H/E emulsion
HELP HEALING PROCESS AND ACT ON THE MICRO-CIRCULATION HELP HEALING PROCESS AND ACT ON THE MICRO-CIRCULATION Centella Asiatica Centella Asiatica
CALM AND MAINTAIN THE PHYSIOLOGICAL BALANCE OF THE SKINCALM AND MAINTAIN THE PHYSIOLOGICAL BALANCE OF THE SKIN Palmitoyl caseinic lipo-amino acidPalmitoyl caseinic lipo-amino acid
HELP HELP PREVENT HYPERKERATOSIS PREVENT HYPERKERATOSIS vitamin A palmitate vitamin A palmitate
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
CREME CREME ®®AKILDIAAKILDIA
FOOT PROTECTION CREAMFOOT PROTECTION CREAM
PROVEN EFFECTIVENESS IN SEVERAL CLINICAL CLINICAL STUDIESPROVEN EFFECTIVENESS IN SEVERAL CLINICAL CLINICAL STUDIES
1111
HEALING EFFECT ON FISSURAL HYPERKERATOSES ON THE SOLE OF THE FOOTHEALING EFFECT ON FISSURAL HYPERKERATOSES ON THE SOLE OF THE FOOT
DOUBLE BLIND CLINICAL STUDY USING A PLACEBO ON THE EFFECTIVENESS OF AKILDIA CREAM ON DOUBLE BLIND CLINICAL STUDY USING A PLACEBO ON THE EFFECTIVENESS OF AKILDIA CREAM ON THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESSTHE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESS
CLINICAL STUDY ON THE EFFECTIVENESS OF THE AKILDIA CREAM ON THE REDUCTION OF CLINICAL STUDY ON THE EFFECTIVENESS OF THE AKILDIA CREAM ON THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESSHYPERKERATOSIS AND SKIN DRYNESS
2222
3333
In hospitals – Under dermatological control – In sports medicine – By chiropodistsIn hospitals – Under dermatological control – In sports medicine – By chiropodists
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
3333 STUDY ON THE USE OF AKILDIA IN SPORTSTUDY ON THE USE OF AKILDIA IN SPORT
1111
CLINICAL STUDY ON THE EFFECTIVENESS OF AKILDIA CREAM ON CLINICAL STUDY ON THE EFFECTIVENESS OF AKILDIA CREAM ON
THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESSTHE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESS
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
HOTEL DIEU at LE CREUSOT (France) HOTEL DIEU at LE CREUSOT (France) DIABETOLOGY DEPARTMENT of DR. S.CLAVELDIABETOLOGY DEPARTMENT of DR. S.CLAVEL
STUDY CONDITIONS :STUDY CONDITIONS :
• 50 diabetic patients50 diabetic patients- 100% neuropathia of the lower limbs- 100% neuropathia of the lower limbs- 64% macro-angiopathia- 64% macro-angiopathia -60% serious foot problems (wounds breaking through the sole of the foot, -60% serious foot problems (wounds breaking through the sole of the foot,
necrosis of the toes, feet or legs, wounds of bedsores) necrosis of the toes, feet or legs, wounds of bedsores)- 40% minor trophic skin problems- 40% minor trophic skin problems
• 2 month treatment, 1 application per day.2 month treatment, 1 application per day.
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
RESULTS:RESULTS:
ASSESSMENT OF THE EFFECTIVENESS OF THE AKILDIA® CREAM ON THE REDUCTION OF ASSESSMENT OF THE EFFECTIVENESS OF THE AKILDIA® CREAM ON THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESSHYPERKERATOSIS AND SKIN DRYNESS
• VERY HIGH LEVEL OF SKIN TOLERANCE WITH AKILDIA® CREAM ( 96 % of subjects)VERY HIGH LEVEL OF SKIN TOLERANCE WITH AKILDIA® CREAM ( 96 % of subjects)
• GOOD EFFECTIVENSS ON THE REDUCTION OF HYPERKERATOSIS, SKIN DRYNESS. GOOD EFFECTIVENSS ON THE REDUCTION OF HYPERKERATOSIS, SKIN DRYNESS.
• IMPROVEMENT IN SOFTNESS AND ELASTICITY OF SKIN. IMPROVEMENT IN SOFTNESS AND ELASTICITY OF SKIN.
55.3% 31.9%
12.8%0%
10%
20%
30%
40%
50%
60%
Excellent effectiveness of Akildia® cream in 55.3% of subjectsGood effectiveness of Akildia® cream in 31.9% of subjectsAverage effectiveness of Akildia® cream in 12.8 % of subjects
2222
DOUBLE BLIND CLINICAL STUDY USING PLACEBO ON THE DOUBLE BLIND CLINICAL STUDY USING PLACEBO ON THE
EFFECTIVENSS OF AKILDIA CREAM ON THEEFFECTIVENSS OF AKILDIA CREAM ON THE
REDUCTION OF HYPERKERATOSISREDUCTION OF HYPERKERATOSIS
AND SKIN DRYNESS AND SKIN DRYNESS
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
SWEDEN SWEDEN DIABETOLOGY DEPARTMENT DR. SKARBERGDIABETOLOGY DEPARTMENT DR. SKARBERG
STUDY CONDITIONS :STUDY CONDITIONS :
• 24 diabetic patients :24 diabetic patients :
- 70.8 %: neuropathia of lower limbs- 70.8 %: neuropathia of lower limbs
- 50 %: arteriopathia- 50 %: arteriopathia
Condition of skin before treatment:Condition of skin before treatment:
- 91.7 %: skin dryness- 91.7 %: skin dryness
- 75 %: hyperkeratosis- 75 %: hyperkeratosis
• 3-month treatment, 2 applications per day.3-month treatment, 2 applications per day.
Right foot: AKILDIA® creamRight foot: AKILDIA® cream
Left foot: placeboLeft foot: placebo
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
RESULTS :RESULTS :
ASSESSMENT OF THE EFFECTIVENESS OF THE AKILDIA® ASSESSMENT OF THE EFFECTIVENESS OF THE AKILDIA® CREAM ON THE REDUCTION OF HYPERKERATOSIS AND CREAM ON THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESSSKIN DRYNESS
• GOOD EFFECTIVESS OF THE AKILDIA CREAM ON THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESS. GOOD EFFECTIVESS OF THE AKILDIA CREAM ON THE REDUCTION OF HYPERKERATOSIS AND SKIN DRYNESS.
• SIGNIFICANT DIFFERENCE WITH THE PLACEBO (which is nonetheless not without activity because it is made of the SIGNIFICANT DIFFERENCE WITH THE PLACEBO (which is nonetheless not without activity because it is made of the
excipient of AKILDIA cream, which has a moisturising properties). excipient of AKILDIA cream, which has a moisturising properties).
% subjects
REDUCTION OF SKIN DRYNESSREDUCTION OF SKIN DRYNESS• Good for 86.4% of subjects treated with AKILDIA Good for 86.4% of subjects treated with AKILDIA
• Good for 27.3 % of subjects treated with placeboGood for 27.3 % of subjects treated with placebo
IMPROVEMENT IN HYPERKERATOSIS IMPROVEMENT IN HYPERKERATOSIS • Good for 88.9% of subjects treated with AKILDIA Good for 88.9% of subjects treated with AKILDIA
• Good for 33.3 % of subjects treated with placeboGood for 33.3 % of subjects treated with placebo
86.4%
27.3%0%
20%
40%
60%
80%
100%
88.9%33.3%
0%
20%
40%
60%
80%
100%
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
RESULTS :RESULTS :
ASSESSEMENT OF THE EFFECTIVENSS OF AKILDIA® CREAM ON THE IMPRROVEMENT ASSESSEMENT OF THE EFFECTIVENSS OF AKILDIA® CREAM ON THE IMPRROVEMENT
OF SKIN SENSITIVITY (OF SKIN SENSITIVITY (filament method)filament method)
• IMPROVEMENT OF THE SENSE OF TOUCH OF THE FOOT TREATED WITH AKILDIA CREAMIMPROVEMENT OF THE SENSE OF TOUCH OF THE FOOT TREATED WITH AKILDIA CREAM
• SIGNIFICANT DIFFERENCE WITH THE PLACEBOSIGNIFICANT DIFFERENCE WITH THE PLACEBO
% subjects
IMPROVEMENT IN SENSE OF TOUCHIMPROVEMENT IN SENSE OF TOUCH
70.6%
17.6%0%
20%
40%
60%
80%
Improvement in skin sensitivity for 70.6% of subjects treated withAkildia® creamImprovement in skin sensitivity for 17.6% of subjects treated with theplacebo
% subjects
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
RESULTS :RESULTS :
GENERAL ASSESSMENT OF THE EFFECTIVENESS OF AKILDIA® CREAM FOR TREATEMENT GENERAL ASSESSMENT OF THE EFFECTIVENESS OF AKILDIA® CREAM FOR TREATEMENT OF THE FEET OF DIABETICSOF THE FEET OF DIABETICS
• GOOD EFFECTIVESS OF THE AKILDIA CREAM FOR TREATMENT OF FEET OF DIABETICSGOOD EFFECTIVESS OF THE AKILDIA CREAM FOR TREATMENT OF FEET OF DIABETICS
• SIGNIFICANT DIFFERENCE WITH THE PLACEBO (which is nonetheless not without activity because it is SIGNIFICANT DIFFERENCE WITH THE PLACEBO (which is nonetheless not without activity because it is made of the excipient of AKILDIA cream, which has also has moisturising properties). made of the excipient of AKILDIA cream, which has also has moisturising properties).
66.7%
16.7% 16.6%0%
20%
40%
60%
Good effectiveness of the Akildia® cream for 66.7% of subjectsGood effectivess of the placebo for 16.7% of subjectsIdentical effectivess of the Akildia® cream and the placebo in 16.6 % of subjects
3333
STUDY ON THE HEALING EFFECTOF AKILDIA CREAMSTUDY ON THE HEALING EFFECTOF AKILDIA CREAM
ON FISSULAR HYPERKERATOSES ON THE SOLES OF FEET ON FISSULAR HYPERKERATOSES ON THE SOLES OF FEET
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
TEST PERFORMED UNDER DERMATOLOGICAL CONTROL TEST PERFORMED UNDER DERMATOLOGICAL CONTROL
STUDY CONDITIONS :STUDY CONDITIONS :
• 10 patients with fissural hyperkeratosis10 patients with fissural hyperkeratosis
• Two-week treatment. Two-week treatment.
• 2 applications per day. 2 applications per day.
• 1 foot treated, 1 foot as control.1 foot treated, 1 foot as control.
VARIATIONVARIATION IN NUMBER OF FISSURESIN NUMBER OF FISSURES ON THE FOOT TREATEDON THE FOOT TREATEDCOMPARED WITH THE NON-TREATED FOOTCOMPARED WITH THE NON-TREATED FOOT
• Significant reduction in the number of fissures on the foot treated. (-1.8 )Significant reduction in the number of fissures on the foot treated. (-1.8 )
• Increase in the number of fissures on the foot treated. (+0.6 ) Increase in the number of fissures on the foot treated. (+0.6 )
Score*Score* : presence of fissures 0 = zero / 1 = slight / 2 = average/ 3 = significant/ 4 = very significant : presence of fissures 0 = zero / 1 = slight / 2 = average/ 3 = significant/ 4 = very significant/ / 5 = severe5 = severe
BEFORE TREATMENT BEFORE TREATMENT AFTER TWO WEEKS OF TREATMENTAFTER TWO WEEKS OF TREATMENT
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
RESULTS:RESULTS: HEALING EFFECT OF AKILDIA® CREAM ON FISSULAR HYPERKERATOSIS ON THE SOLES HEALING EFFECT OF AKILDIA® CREAM ON FISSULAR HYPERKERATOSIS ON THE SOLES OF THE FEETOF THE FEET
0
1
2
3
4
5
DO FOOTTREATED
DO FOOT NOTTREATED
Clinical score *
2.75.1
0
1
2
3
4
5
D14 FOOTTREATED
D14 FOOT NOTTREATED
Clinical score *
-1.8 +0.6
RESULTS:RESULTS: HEALING EFFECT OF AKILDIA® CREAM ON FISSULAR HYPERKERATOSISHEALING EFFECT OF AKILDIA® CREAM ON FISSULAR HYPERKERATOSIS ON THE SOLES OF THE FEETON THE SOLES OF THE FEET
®® AKILDIA AKILDIA TREATMENT AND PREVENTATIVE CARE FOR THE TREATMENT AND PREVENTATIVE CARE FOR THE FEET OF DIABETICSFEET OF DIABETICS
VARIATION IN NUMBER OF HYPERKERATOSIS ON THE FOOT TREATEDVARIATION IN NUMBER OF HYPERKERATOSIS ON THE FOOT TREATEDCOMPARED WITH THE NON-TREATED FOOTCOMPARED WITH THE NON-TREATED FOOT
• Significant reduction in hyperkeratosis on the foot treated. (-1.2 )Significant reduction in hyperkeratosis on the foot treated. (-1.2 )
• No significant variation of hyperkeratosis on the non-treated foot.(- 0.2) No significant variation of hyperkeratosis on the non-treated foot.(- 0.2)
Score clinique *
AFTER TWO WEEKS OF TREATMENTAFTER TWO WEEKS OF TREATMENTBEFORE TREATMENTBEFORE TREATMENT
0
1
2
3
DO FOOTTREATED
DO FOOT NOTTREATED
Clinical score*
0
1
2
3
D14 FOOTTREATED
D14 FOOT NOTTREATED
-1.2
Score* : presence of hyperkeratosis 0 = zero / 1 = slight / 2 = average/ 3 = significant/ 4 = very significant/ 5 Score* : presence of hyperkeratosis 0 = zero / 1 = slight / 2 = average/ 3 = significant/ 4 = very significant/ 5 = severe = severe
3333
STUDY ON THE USE OF AKILDIA CREAM FOR SPORTSTUDY ON THE USE OF AKILDIA CREAM FOR SPORT
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
EXPERIMENT IN THE SPORTING ENVIRONMENTEXPERIMENT IN THE SPORTING ENVIRONMENT
ASSESSMENT AND RESEARCH DEPARTMENT OF CREPS ASSESSMENT AND RESEARCH DEPARTMENT OF CREPS
DR GENSON DR GENSON
STUDY CONDITIONS:STUDY CONDITIONS:
• 10 walkers with diabetes10 walkers with diabetes
- Fragile skin problems (ulcers…) - Fragile skin problems (ulcers…) - 80 % suffering from pain- 80 % suffering from pain - 100 % with œdemas on the feet- 100 % with œdemas on the feet
•3 month treatment3 month treatment
• 1 application per day1 application per day
• Sporting activity kept upSporting activity kept up
RESULT: ASSESSMENT BY A DOCTOR OF THE OVERALL EFFECTIVENESS OF THE ASSESSMENT BY A DOCTOR OF THE OVERALL EFFECTIVENESS OF THE AKILDIA® CREAM FOR SPORTING ACTIVITIESAKILDIA® CREAM FOR SPORTING ACTIVITIES
Good assessment of the overall effectiveness of the AKILDIA® creamGood assessment of the overall effectiveness of the AKILDIA® creamfor sporting activities.for sporting activities.
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
% of subjects% of subjects
70%
30%
0%
20%
40%
60%
80%
EXCELLENT EFFECTIVENESS OF AKILDIA FOR 70 % OF SUBJECTS
GOOD EFFECTIVENESS OF AKILDIA CREAM FOR 30% OF SUBJECTS
50% 50%
0 % 0%0%
10%
20%
30%
40%
50%
60%
severe œdema significant œdema
slight œdema no œdema
0% 0%
60 % 40%
0%
10%
20%
30%
40%
50%
60%
severe œdema significant œdema
moderate œdema no oedema
BEFORE TREATMENTBEFORE TREATMENT
RESULT: ASSESSMENT BY A DOCTOR OF THE EFFECTIVENESS OF AKILDIA® CREAM ASSESSMENT BY A DOCTOR OF THE EFFECTIVENESS OF AKILDIA® CREAM
ON THE ON THE REDUCTION OF OEDEMAREDUCTION OF OEDEMA
After 3 months of treatment, clear reduction in œdemas ( 100% slight to zero œdemas against 100 % of After 3 months of treatment, clear reduction in œdemas ( 100% slight to zero œdemas against 100 % of significant to severe œdema before treatment)significant to severe œdema before treatment)
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
AFTER THREE MONTHS OF TREATMENT WHILE AFTER THREE MONTHS OF TREATMENT WHILE
KEEPING UP SPORTING ACTIVITYKEEPING UP SPORTING ACTIVITY
% de subjects % de subjects
0%40% 40 %
10% 10%0%
20%
40%
60%
80%
No pain Slight pain
Moderate pain Significant pain
Severe pain
BEFORE TREATMENTBEFORE TREATMENT
80%
20% 40 % 0% 0%0%
20%
40%
60%
80%
No pain Slight pain
Moderate pain Significant pain
Severe pain
RESULTRESULT: ASSESSMENT BY A DOCTOR OF THE EFFECTIVENESS : ASSESSMENT BY A DOCTOR OF THE EFFECTIVENESS OF AKILDIA® CREAM ON THE OF AKILDIA® CREAM ON THE REDUCTION OF PAINREDUCTION OF PAIN
Après 3 mois de traitement, nette diminution de la douleur.
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
% de subjects
AFTER THREE MONTHS OF TREATMENT WHILE AFTER THREE MONTHS OF TREATMENT WHILE
KEEPING UP SPORTING ACTIVITYKEEPING UP SPORTING ACTIVITY
After 3 months of treatment, clear reduction in pain (80 % of the subjects feel no pain, although all After 3 months of treatment, clear reduction in pain (80 % of the subjects feel no pain, although all felt slight to severe pain before).felt slight to severe pain before).
% de subjects
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICSBATH OIL
& TOILET LOTION AKILDIA
SPECIFIC HYGIENE SPECIFIC HYGIENE FOR THE FEET OF FOR THE FEET OF
DIABETICSDIABETICS
®
DERMO ADJUVANTSDERMO ADJUVANTS
• ADVANTAGES OF THE PRODUCTADVANTAGES OF THE PRODUCT
- - Practical: can be used without water, no rinsingPractical: can be used without water, no rinsing - Cleans and deodorises the feet- Cleans and deodorises the feet - Avoids maceration - Avoids maceration • ITS ACTIVE SUBSTANCESITS ACTIVE SUBSTANCES
- Essential oils of lemon, lavender - Essential oils of lemon, lavender, thyme and rosemary, thyme and rosemary - Vegetal glycerine- Vegetal glycerine
•RECOMMENDATIONS FOR USE RECOMMENDATIONS FOR USE
Use on a toilet glove, or a cotton cloth, to clean and deodorise the Use on a toilet glove, or a cotton cloth, to clean and deodorise the foot. foot. Do not rinse, and dry immediately Do not rinse, and dry immediately
®®® AKILDIA AKILDIA
TOILETTOILET
LOTIONLOTION
TREATMENT AND PREVENTATIVE TREATMENT AND PREVENTATIVE CARE FOR THE FEET OF DIABETICSCARE FOR THE FEET OF DIABETICS
• ADVANTAGES OF THE PRODUCTADVANTAGES OF THE PRODUCT
- Concentrated bath oil for feet - Concentrated bath oil for feet - Softens the skin (superfatting agent effect) - Softens the skin (superfatting agent effect)
- Gives a feeling of well-being and relaxation - Gives a feeling of well-being and relaxation
- Contains a complex of fungicidal and bacterial active substances - Contains a complex of fungicidal and bacterial active substances that cleanse the skinthat cleanse the skin
ITS ACTIVE SUBSTANCESITS ACTIVE SUBSTANCES
- - Essential oils of lemon, lavender, thyme and rosemaryEssential oils of lemon, lavender, thyme and rosemary
- Hydrosoluble coconut oil- Hydrosoluble coconut oil - Fungistatic agent- Fungistatic agent
• RECOMMENDATIONS FOR USERECOMMENDATIONS FOR USE
Dilute 1 cap in 5 litres of warm water (35 to 37 ° maximum) Dilute 1 cap in 5 litres of warm water (35 to 37 ° maximum) Bathe the feet for 5 minutes (not more)Bathe the feet for 5 minutes (not more) Dry the feet carefully without rubbingDry the feet carefully without rubbing
®®® AKILDIA AKILDIA HYGIENE FOR FEET OF DIABETICSHYGIENE FOR FEET OF DIABETICS
ESSENTIAL OIL BATHESSENTIAL OIL BATH
DIABETESDIABETES
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
Advice to be given to a diabetic Advice to be given to a diabetic
patient regarding foot carepatient regarding foot care
®® AKILDIA AKILDIA TREATMENT AND PREVENTIVE CARE FOR THE FEET TREATMENT AND PREVENTIVE CARE FOR THE FEET OF DIABETICSOF DIABETICS
Monthly pedicure ( removal of hyperkeratoses, cutting of nails, Monthly pedicure ( removal of hyperkeratoses, cutting of nails, ortheses to compensate for statics of the sole of the foot)ortheses to compensate for statics of the sole of the foot)
Inform your chiropodist of your diabetesInform your chiropodist of your diabetes Examine your feet daily Examine your feet daily At the slightest injury or wound, consult your doctor urgentlyAt the slightest injury or wound, consult your doctor urgently Regular and careful foot hygieneRegular and careful foot hygiene
Be careful when taking a bath (temperature, length)Be careful when taking a bath (temperature, length) Dry the feet well ( maceration, mycosis)Dry the feet well ( maceration, mycosis) Do not use corn removersDo not use corn removers File your nails ( do not use scissors)File your nails ( do not use scissors) Wear appropriate shoes ... Wear appropriate shoes ... Do not use a hot water bottle, electric blanket…Do not use a hot water bottle, electric blanket… Never walk bare footNever walk bare foot Use a foot care product daily to ensure the protective role of the skinUse a foot care product daily to ensure the protective role of the skin