Facing the global challenge of Diabetic foot ulcers

The Diabetic Foot - prevention and treatment of ulcers

Diabetes is an ever increasing condition and a massive 439 million may have the condition by 20301 People with diabetes are prone to frequent and often severe foot problems such as ulcers and a relatively high risk of infection, gangrene and amputation. The Mölnlycke Health Care therapy approach to this is to provide both solutions and support.

Management of Diabetic Foot Ulcers

Rapid management by a team of healthcare professionals skilled in the various facets of diabetic foot ulcer management has been shown to benecessary to achieve optimal outcomes as early as 1986...

Correct foot wear

Ill-fitting shoes which rub or pinch the feet excessively can lead to ulceration and foot injury, simply because the person with diabetes who has sensory loss may not feel the injury until it is too...

Education of people with diabetes and healthcare professionals

There is limited evidence from randomised controlled trials about the value of education in preventing diabetic foot ulcers. However, International guidelines......

Annual Visual Inspection and Identification of the Foot at Risk

The IDF (2005) and the National Institute for Clinical Excellence (NICE 2004) in the United Kingdom recommends that all people with diabetes should have an annual visual assessment......

Diabetes incidence, complications, foot ulcers

Diabetes is an ever- increasing condition. Recent estimates have suggest that approximately 285 million people worldwide have this condition......

Successful Treatment using Negative pressure in DFU

Negative Pressure Wound Therapy (NPWT) has recently been recommended in the management of some diabetic foot wounds...

Skin care for diabetic feet

People with diabetes can develop two main complications that affect the feet. Peripheral neuropathy...

Challenges of Diabetic Foot Disease

 With the anticipated global increase in diabetes from 366 million in 2011 to 552...

About diabetic foot ulcers

Diabetes incidence, complications, foot ulcers

Recent estimates have suggest that approximately 285 million people worldwide have diabetes and this figure will increase to 439 million by 20301.

People with diabetes are prone to a number of complications related to their condition. These include an increased incidence of cardiovascular diseases, such as heart attacks or strokes and microvascular complications, such as retinopathy, which can lead to blindness and nephropathy, which can lead to kidney failure. One of the most devastating complications of diabetes is an amputation. It has been estimated that every 30 seconds somewhere in the world someone has a lower extremity amputation as a result of diabetes and that 85 percent of these amputations are preceded by a foot ulcer (International Diabetes Federation (IDF) 2005). Approximately 15 percent of all people with diabetes will be affected by a foot ulcer during their lifetime2 and the greater the number of diabetics the greater the number of ulcers requiring treatment.
 
A diabetic foot ulcer (DFU) is defined as a “full thickness wounds below the ankle in a diabetic patient, irrespective of duration”(IDF 2005.) Foot ulcers develop as a result of either neuropathy or peripheral arterial disease either in isolation or in combination and leads to the categorization of the neuropathic foot, ischemic foot or neuroischeamic foot The neuropathic foot commonly presents with a warm, well-perfused foot with palpable pedal pulses. Non-invasive tests using a 10g monofilament or a 128 mhz tuning fork will reveal sensory loss. Ulceration is commonly found on the sole of the foot underneath neglected callus and high plantar pressures. The ischaemic foot / ulcer is cool and pedal pulses are absent when palpated. The foot is often painful. Ulcers are commonly seen on the edge of the foot, the tips of the toes or the areas around the back of the heel. The neuroischeamic will have a combination of the above factors.

IDF’s position is that management in the prevention and treatment of diabetic foot problems includes the following:

  - Annual inspection of the foot
  - Identification of the foot at risk
  - Education of people with diabetes and healthcare professionals
  - Appropriate foot wear
  - Rapid treatment of all foot problems

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