Péče o pacienty se syndromem diabetické nohy v podiatrické ambulanci

Title in English Comprehensive care ofpatients with diabatic foot syndrome


Year of publication 2014
Type Article in Periodical
Magazine / Source Interní medicína pro praxi
MU Faculty or unit

Faculty of Medicine

Field Endocrinology, diabetology, metabolism, nutrition
Keywords Diabetic angiopathy; Diabetic foot syndrome; Diabetic neuropathy; Education; Infection; Therapy; Ulcer
Description Diabetic foot syndrome is one of the long-term complications of diabetes mellitus. Diabetics with DFS are endangered by foot ulcer occurrence. The crucial source of the ulcer is polyneuropathy and/or ischemia. During the DFS therapy it is important to have a multifactorial approach and a more conservative attitude residing in podiatric care, the early administration of antibiotics in case of foot infection and metabolic parameters correction. It is vital to attempt revascularisation in case of ischemia and surgically treat the foot (incision, drainage, nephrectomy, small amputation). The prevention consists of watching problematic patients and removing their pre-ulcer lesions, redundant skin and nails. It is necessary to educate and lead the patient to developing good foot-care habits, choosing the right footwear and preventing injuries.

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