Diabetic foot

From Wikipedia, the free encyclopedia

A diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term (or "chronic") complication of diabetes mellitus.[1] Presence of several characteristic diabetic foot pathologies is called diabetic foot syndrome. These are thus umbrella terms.

The most serious foot complications in diabetes are:[2] [3]

  • Ulceration – Research estimates that the lifetime incidence of foot ulcers within the diabetic community is around 15% and may become as high as 25%.[4]
  • Infection
  • Neuropathic osteoarthropathy

Prevention

"Of all methods proposed to prevent diabetic foot ulcers, only foot temperature-guided avoidance therapy was found beneficial in RCTs" according to a meta-analysis.[5]

References

  1. Boulton in Diabetes, 30;36 2002
  2. Frykberg RG, Armstrong DG, Giurini J, et al. (2000). "Diabetic foot disorders: a clinical practice guideline. American College of Foot and Ankle Surgeons". J Foot Ankle Surg 39 (5 Suppl): S1–60. PMID 11280471. 
  3. "Diabetic Foot". North Yorkshire Orthopaedic Specialists. Retrieved 4 February 2013. 
  4. Singh, N. "Preventing Foot Ulcers in Patients With Diabetes". JAMA. Retrieved 21 November 2013. 
  5. Arad Y, Fonseca V, Peters A, Vinik A (2011). "Beyond the Monofilament for the Insensate Diabetic Foot: A systematic review of randomized trials to prevent the occurrence of plantar foot ulcers in patients with diabetes". Diabetes Care 34 (4): 1041–6. doi:10.2337/dc10-1666. PMC 3064020. PMID 21447666. 


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