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Diabetic foot is an umbrella term for foot problems in patients with diabetes mellitus. Due to arterial abnormalities and diabetic neuropathy, as well as a tendency to delayed wound healing, infection or gangrene of the foot is relatively common.
Additional recommended knowledge
Prevention is by frequent chiropody review, good foot hygiene, diabetic socks and shoes, and avoiding injury.
The one randomized controlled trial that showed benefit of custom foot wear was in patients with a prior foot ulceration . In this trial, the number needed to treat was 4 patients.
Foot ulcers in diabetes require multidisciplinary assessment, usually by diabetes specialists and surgeons. Treatment consists of appropriate bandages, antibiotics (against staphylococcus, streptococcus and anaerobe strains), debridement and arterial revascularisation.
It is often 500 mg to 1000 mg of flucloxacillin, 1 g of amoxicillin and also metronidazole to tackle the putrid smelling bacteria.
Specialists are investigating the role of nitric oxide in diabetic wound healing. Nitric oxide is a powerful vasodilator, which helps to bring nutrients to the oxygen deficient wound beds. Specialists are using forms of light therapy such as LLLT to treat diabetic ulcers.
|This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Diabetic_foot". A list of authors is available in Wikipedia.|