Diabetic Foot

Important Points Patients with diabetic foot can cause emergencies with sepsis (with or without ischemia) and may suffer loss of the tissue. Rapid diagnosis, clear path, management plan, and emergency surgical intervention will reduce complications and reduce the risk of cutting. Because these situations can threaten life, a multimodal team approach is inevitable. The prevalence of global epidemiological diabetes mellitus is 1%, and it is increasing. It is expected to reach 7% by 2 0 301.

One common type of wound is a diabetic foot ulcer. Diabetes Foot International Working Group (2010) defines diabetic foot ulcers in a research system as a full layer penetration of the foot of a diabetic patient. According to Jeffocoate and Harding (2003), diabetic foot ulcers are a common complication of diabetes, which is disabling and often leads to leg cutting. It is usually caused by neuropathy, vessel changes, foot malformations, plantar callus and smoking of diabetic foot (NICE, 2010).

Diabetic foot ulcers include neurological disorders and ischemia in the presence of peripheral diabetic neuropathy; ischemia in patients with peripheral arterial disease but without diabetic peripheral neuropathy; associated with neuropathy and ischemia It is defined as a neurological disorder. In addition to this fairly rough classification, much effort has been made to classify foot ulcers based on range, size and depth, location, presence of infection, and ischemia. The Meggitt - Wagner classification is one of the most commonly used validation categories for foot ulcers (Table 2). Other classification systems for diabetic foot ulcers have also been proposed and validated.

According to statistics, diabetic foot foot complications are common complications in the UK population, 23 to 42% are associated with neuropathy, 9 to 23% are associated with vascular disease, and 5 ~ 7% are foot ulcers (SIGN 2010). The Diabetes Foot Care Guide is very important and should account for the majority of basic diabetes education programs and workshops (Michael et al. 2005). Diabetic patients and caregivers nurses or doctors should be taught to use nail cutting techniques (Michael et al. 2005). Diabetic patients should cut their nails when soft and soft, so you should cut your nails after taking a shower or after taking a shower, cutting the entire nail, cutting the corner of the nail, or cutting it further Should not. Side cutting (Edmonds 2008) When the nail is thick, it is necessary for a professional nurse or doctor to care for the nails (Michael et al. 2005).