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By Mayo Clinic Staff. Diabetes complications can include nerve damage and poor blood circulation. These problems can lead to skin sores (ulcers) on the feet that can get worse quickly. The good news is that managing your diabetes and taking care of your feet can help prevent foot ulcers.
We recommend evaluation for infection on initial presentation of all diabetic foot wounds, with initial sharp débridement of all infected diabetic ulcers, and urgent surgical intervention for foot infections involving abscess, gas, or necrotizing fasciitis (Grade 1B).
At least half of all amputations occur in people with diabetes, most commonly because of an infected diabetic foot ulcer. A thorough understanding of the causes and management of diabetic foot ulceration is essential to reducing lower-extremity amputation risk.
29 sty 2024 · The management of diabetic foot ulcers, including local wound care, use of mechanical offloading, treatment of infection, and indications for revascularization, are reviewed here. The evaluation of the diabetic foot and specific management of the threatened limb are reviewed separately.
The standard practices in DFU management include surgical debridement, dressings to facilitate a moist wound environment and exudate control, wound off-loading, vascular assessment, and infection and glycemic control. These practices are best coordinated by a multidisciplinary diabetic foot wound clinic.
1 lip 2024 · Recommendations for the duration of antibiotic therapy for diabetes-related foot osteomyelitis have tended to decrease in recent years and now range from 5 days (post amputation) to a maximum of 6 weeks when no bone resection has been performed, or to 3 weeks after resection of all visibly infected bone but with positive proximal bone margins ...
Results: We recommend screening a person with diabetes at very low risk of foot ulceration annually for the loss of protective sensation and peripheral artery disease, and screening persons at higher risk at higher frequencies for additional risk factors.
