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Prevention of diabetic foot may include optimising metabolic control via the regulation of blood glucose levels; identification and screening of people at high risk for diabetic foot ulceration, especially those with advanced painless neuropathy; and patient education in order to promote foot self-examination and foot care knowledge.
Treatment involves proper wound care and antibiotics. Pseudomonas aeruginosa empiric therapy is not warranted unless the patient had a previous infection with a culture identifying the organism, or if the patient has risk factors for it such as frequent use of wet dressings or living in hot climates.
Diabetic foot ulcer is a breakdown of the skin and sometimes deeper tissues of the foot that leads to sore formation. It is thought to occur due to abnormal pressure or mechanical stress chronically applied to the foot, usually with concomitant predisposing conditions such as peripheral sensory neuropathy, peripheral motor neuropathy, autonomic neuropathy or peripheral arterial disease. [1]
New research published in the journal Diabetes Care analyzed health records from nearly 76,000 adults who took metformin for type 2 diabetes and compared them to more than 13,000 adults who took ...
Total contact casting (TCC) is a specially designed cast designed to take weight off of the foot (off-loading) in patients with diabetic foot ulcers (DFUs). Reducing pressure on the wound by taking weight off the foot has proven to be very effective in DFU treatment.
However, diabetes does cause higher morbidity, mortality and operative risks with these conditions. [ 41 ] Diabetic foot, often due to a combination of sensory neuropathy (numbness or insensitivity) and vascular damage, increases rates of skin ulcers ( diabetic foot ulcers ) and infection and, in serious cases, necrosis and gangrene.
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