open access

Vol 9, No 1 (2008): Practical Diabetology
Review articles (submitted)
Published online: 2008-04-01
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Early dedection of diabetic foot syndrome

Teresa Koblik
Diabetologia Praktyczna 2008;9(1):48-53.

open access

Vol 9, No 1 (2008): Practical Diabetology
Review articles (submitted)
Published online: 2008-04-01

Abstract

Prevention and early detection of the diabetic foot syndrome (DFS) may reduce markedly the number of lower limb amputations and diabetes-related disability. Patient education and proper shoe selection is the mainstay of prevention. Early detection of the DFS is feasible if we are aware of the cascade of events leading to limb injury i.e. we understand the etiology, causative factors and risk factors. The next step is clinical assessment including a history, clinical examinations, screening for neuropathy and evaluation of the vessels. Regular foot examinations allow for early detection of lesions that may result in foot ulceration and infection. Then the patient is allocated to a specific risk category for developing complications such as ulcers and/or infection to determine the intensity of case management. The risk of the DFS can be defined according to PEDIS, University of Texas, Wagner or International Working Group on the Diabetic Foot 2007. The key determinant of early detection of the DFS is a well educated patient and a well educated doctor who respects the guidelines of the Polish Diabetological Society. (Diabet. Prakt. 2008; 9: 48-53)

Abstract

Prevention and early detection of the diabetic foot syndrome (DFS) may reduce markedly the number of lower limb amputations and diabetes-related disability. Patient education and proper shoe selection is the mainstay of prevention. Early detection of the DFS is feasible if we are aware of the cascade of events leading to limb injury i.e. we understand the etiology, causative factors and risk factors. The next step is clinical assessment including a history, clinical examinations, screening for neuropathy and evaluation of the vessels. Regular foot examinations allow for early detection of lesions that may result in foot ulceration and infection. Then the patient is allocated to a specific risk category for developing complications such as ulcers and/or infection to determine the intensity of case management. The risk of the DFS can be defined according to PEDIS, University of Texas, Wagner or International Working Group on the Diabetic Foot 2007. The key determinant of early detection of the DFS is a well educated patient and a well educated doctor who respects the guidelines of the Polish Diabetological Society. (Diabet. Prakt. 2008; 9: 48-53)
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Keywords

diabetic foot; risk category; early detection

About this article
Title

Early dedection of diabetic foot syndrome

Journal

Clinical Diabetology

Issue

Vol 9, No 1 (2008): Practical Diabetology

Pages

48-53

Published online

2008-04-01

Bibliographic record

Diabetologia Praktyczna 2008;9(1):48-53.

Keywords

diabetic foot
risk category
early detection

Authors

Teresa Koblik

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