The potential impact of a diabetic foot ulcer has been widely recorded. Based on work that appeared in the European Journal of Vascular & Endovascular Surgery, researchers determined that 85% of all amputations performed on individuals with diabetes began with a foot ulcer. With that in mind, a four-pronged approach could be the key to preventing the ulcers and reducing the possibilities of complications.
The four keys to diabetic foot lesion prevention were elaborated by researchers in a study revealed on consultant 360 and included:
- Patient education.
- Foot skin and toenail care.
- Selection of appropriate Footwear.
- Proactive surgical interventions.
Researchers aforementioned these points were crucial to not only preventing diabetic foot lesions, however decrease the possibilities of a continual foot ulcer. Let’s look nearer at the four keys to preventing diabetic foot ulcers.
In educating patients on diabetic foot ulcers, researchers mentioned the practitioner plays a significant role as he or she is in control of the management of medical services delivery. They’ll inform patients of the danger factors that precede a diabetic foot ulceration and will conjointly advise them on weight management, watching blood glucose levels and maintenance like keeping feet clean and moisturized, having calluses removed by professionals and wearing clean socks.
Foot Skin and Toenail Care:
Because diabetic patients will have nervous system dysfunctions, their skin is significantly at risk of dryness and suffer from a loss of elasticity and additional probably to create calluses at the location of the recovered wound. These and alternative factors (skin fragility, repetitive contact pressure, etc.) create diabetes patients additional liable to foot ulcers. Toenails are areas of concern as they will develop fungal infections or become dysmorphic or ingrown, making a sore which will later become ulcerous. The Diabetic Foot Council recommends clinicians perform a comprehensive foot test yearly.
An American Diabetes Association report highlights the effectiveness of protecting footwear. the danger factors present and any deformities within the foot can confirm the extent of protecting footwear that’s required or suggested for diabetic patients. additionally, the location of the wound (or of past wounds) and any peripheral artery disease ought to even be considered. The protecting footwear might involve soft inserts, arch support and bigger toe boxes and will either be industrial, non-prescription shoes accessible in shops or special footwear that’s custom shaped.
Finally, having surgery done before a diabetic foot lesion develops are often a prospering prevention measure, consistent with the researchers. They explicit that an underlying bone deformity, inadequate blood flow and an unresolved infection deep within the foot are often the rationale several diabetic foot ulcers fail to heal. All 3 are often managed by surgical techniques as suggested by a practitioner and blood flow may be improved by hyperbaric oxygen treatments.
Conference: CME & CPD Accredited 2nd International Conference on Wound Care, Tissue Repair and Regenerative Medicine
Date & venue: February 21-22, 2019 | Paris, France