Preventive measures of diabetic foot complications
Malacarne, S.; Chappuis, B.; Egli, M.; Hagon-Traub, I.; Schimke, K.; Schönenweid, C.; Peter-Riesch, B.
Revue Medicale Suisse 12(521): 1092-1096
2016
ISSN/ISBN: 1660-9379 PMID: 27487677 Document Number: 687450
Diabetic foot complications are a public health challenge and preventive measures although simple are often not enforced, as evidenced by the lack of decrease in the rate of ulcers and amputation in Switzerland. This article proposes a risk score to grade individual risk of the diabetic patient and an individualized prevention measures as this risk. We discuss the importance of collaboration of various specialists. Two areas are important, first the early involvement of specialists in revascularization because the diabetic population with feet at risk of ulcération risk nowadays primarily has neuro-ichemic ulcerations and also the close collaboration with podiatrists and orthopedic shoemakers who are full partners of the multidisciplinary team.