Management of Diabetic Foot
Key Points
Key Points
Every year, >1 million people with diabetes suffer limb loss as a result of diabetes.
Approximately 80% of diabetes-related lower extremity amputations are preceded by a foot ulcer.
This progression from foot ulcer to amputation lends to several possible steps where intervention based on evidence-based guidelines may prevent major amputation.
Prevention
...revention...
...ion of Diabetic Foot Ulcerati...
...that patients with diabetes undergo annual...
...e recommend that foot examination inclu...
...end education of the patients and the...
...eutic Footwear:...
...against the routine use of specialized...
...recommend using custom therapeuti...
...uate glycemic control (hemoglobin A1c...
...end against prophylactic arterial revas...
Assessment
Assessme...
...e 1. Suggested Frequency for Follow-Up Eval...
Diagnosis of Diabetic Foot Osteomyelit...
...with a diabetic foot infection (DFI) with an o...
...tients presenting with a new DFI, we suggest...
...hose patients who require additional (ie, more sen...
In patients with suspected DFO for whom MRI...
...s at high risk for DFO, we recommend that th...
...débrided to treat osteomyelitis, we r...
...not undergoing bone débridement, we suggest...
...erial Disease (PAD) and the DFU
...that patients with diabetes have ankle-b...
...suggest that patients with diabetes who ha...
...d that patients with DFU have pedal perfu...
...n patients with DFU who have PAD, we rec...
...nd Implementation RemarksPrediction of pat...
...namics and Probability of Healing of...
Treatment
Treatme...
...oading DFUs...
...ents with plantar DFU, we recommend...
...ents with DFU requiring frequent dressing changes,...
...against using postoperative shoes or stan...
...with nonplantar wounds, we recomm...
...gh-risk patients with healed DFU (including those...
...Care For DFUs...
...ommend frequent evaluation at 1- to 4-week interv...
...recommend evaluation for infection on initi...
...that treatment of DFIs should follow the mos...
...ommend use of dressing products th...
...recommend sharp débridement of all dev...
...g lack of evidence for superiority of any give...
...that fail to demonstrate improvem...
...t the use of negative pressure wound thera...
...t consideration of the use of PDGF (beca...
...est consideration of living cellular t...
...deration of the use of extracellular...
...nts with DFU who have adequate perfusion that f...
...igure 2. Algorithm for Prevention...
...xtremity Threatened Limb (SVS WIfI) Classi...
...ecommendation Highlights...