Holistic management of diabetic foot

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Lindarto, D.^1

Division of Endocrine-Metabolic, Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Haji Adam Malik General Hospital, Medan, Indonesia^1

关键词: Diabetes mellitus;    Diabetic foot ulcer;    Diabetic patient;    Holistic approach;    Long-term impacts;    Multi-disciplinary teams;    Myocardial Infarction;    Vascular disease;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012162/pdf
DOI  :  10.1088/1755-1315/125/1/012162

来源: IOP

【 摘 要 】

Diabetic foot ulcer (DFU) is the most costly and devastating complication of diabetes mellitus, which affect 15% of diabetic patients during their lifetime. DFUs are complex, chronic wounds, which have a major long-term impact on the morbidity, mortality and quality of patients' lives. Individuals who develop a DFU are at greater risk of premature death, myocardial infarction and fatal stroke than those without a history of DFU. Unlike other chronic wounds, the development and progression of DFU is often complicated by wideranging diabetic changes, such as neuropathy and vascular disease. The management of DFU should be optimized by using a multidisciplinary team, due to a holistic approach to wound management is required. Based on studies, blood sugar control, wound debridement, advanced dressings and offloading modalities should always be a part of DFU management. Furthermore, surgery to heal chronic ulcer and prevent recurrence should be considered as an essential component of management in some cases.