Open-access international guidelines address foot disease in diabetes

  • Schaper NC & al.
  • Diabetes Metab Res Rev
  • 1 mar. 2020

  • de Miriam Tucker
  • Clinical Essentials
El acceso al contenido completo es sólo para profesionales sanitarios registrados. El acceso al contenido completo es sólo para profesionales sanitarios registrados.

Takeaway

  • series of free-access papers from the International Working Group on the Diabetic Foot provides evidence-based guidance on classification, diagnosis, and management of foot disease in people with diabetes.

Why this matters

  • Diabetic foot disease is a major global burden for patients and health care systems.

Key topics addressed

  • Prevention of diabetic foot ulcers (DFUs).
  • Offloading DFUs.
  • Diagnosis, prognosis, and management of peripheral artery disease in patients with DFUs.
  • Diagnosis and treatment of foot infection.
  • Interventions to enhance DFU healing.
  • DFU classification.
  • Funding: Unrestricted grants from several industry groups.

Key DFU prevention elements

  • Identifying the at-risk foot.
  • Regularly inspecting and examining the at-risk foot.
  • Educating the patient, family, and health care professionals.
  • Ensuring routine wearing of appropriate footwear.
  • Treating risk factors for ulceration.

Organization of DFU care elements

  • Education of patients, carers, hospital staff, and primary care professionals.
  • Systems in place for detecting at-risk individuals.
  • Annual foot exams for all with diabetes.
  • Access to ulceration risk reduction measures, i.e., podiatric care, appropriate footwear.
  • Access to prompt foot ulcer/infection treatment.
  • Regular service auditing.