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
...vention
...ion of Diabetic Foot Ulceration...
...that patients with diabetes undergo annual i...
...at foot examination include testing for perip...
...end education of the patients and the...
...apeutic Footwear:...
...suggest against the routine use of speci...
...commend using custom therapeutic footwear in h...
...gest adequate glycemic control (hemoglobin A...
...e recommend against prophylactic arterial...
Assessment
...sessment...
...able 1. Suggested Frequency for Follow-Up...
...iagnosis of Diabetic Foot Osteomyelitis...
...ith a diabetic foot infection (DFI...
...presenting with a new DFI, we suggest that se...
...se patients who require additional (ie, mo...
...th suspected DFO for whom MRI is contraindicat...
...igh risk for DFO, we recommend that the diagnosi...
...brided to treat osteomyelitis, we recommend sendi...
...ents not undergoing bone débridement, we sugge...
...ral Arterial Disease (PAD) and the DFU...
...patients with diabetes have ankle-brachi...
...patients with diabetes who have a prior his...
...end that patients with DFU have pedal...
...patients with DFU who have PAD, we...
...echnical and Implementation RemarksPredicti...
...modynamics and Probability of Heal...
Treatment
Treatmen...
...Loading DFU...
...h plantar DFU, we recommend off-loading with a to...
In patients with DFU requiring frequent dressin...
...gainst using postoperative shoes or standard...
...atients with nonplantar wounds, we recommend using...
...ients with healed DFU (including tho...
...und Care For DF...
...commend frequent evaluation at 1- to 4...
...commend evaluation for infection on in...
...gest that treatment of DFIs should f...
...commend use of dressing products that...
...rp débridement of all devitalized tissue and su...
...sidering lack of evidence for super...
...s that fail to demonstrate improvement (>50% wou...
...ggest the use of negative pressure wo...
We suggest consideration of the use of PDGF (beca...
...consideration of living cellular therapy u...
...ggest consideration of the use of extra...
...ients with DFU who have adequate perfusion th...
...lgorithm for Prevention and Care of Diabetic Foot...
...wer Extremity Threatened Limb (SVS WIfI) Classific...
...ecommendation Highlights...