Update on prevention of diabetic foot ulcer

Miranda, Cesare; Ros, Roberto Da; Marfella, Raffaele

doi:10.5114/amsad.2021.107817

Cited by 17 publications

(13 citation statements)

References 79 publications

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“…Neuropathy and PAD often co-exist and may lead to neuroischemic ulceration, and symptoms may be absent, despite severe peripheral ischemia. The combination of two or more of the above risk factors commonly results in ulceration [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Diabetic foot disease during the COVID-19 pandemic: lessons learned for our future

Miranda¹,

Zanette²,

Ros³

2022

Arch Med Sci Atheroscler Dis

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The COVID-19 pandemic has had a strong impact on the treatment of all diseases, especially chronic ones, and diabetic foot is no exception. The COVID-19 pandemic has favored the adoption of a new model of assistance delivery to facilitate the delivery of remote assistance to patients. The standard model based on face-to-face visits has been integrated by a hybrid model of telemedicine, home care and face-to-face visits to keep patients at home to minimize the number of in-person visits to clinics and admissions except for complicated DFUs. However, telemedicine is not always possible or suitable for various reasons (patients not digital, need for practical treatment of the foot etc.). In this review, we looked at the different approaches to diabetic foot ulcer management and the indirect impact of the COVID-19 pandemic on diabetes-related lower extremity complications and the lessons we have learned for the future.

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Section: Introductionmentioning

confidence: 99%

Diabetic foot disease during the COVID-19 pandemic: lessons learned for our future

Miranda¹,

Zanette²,

Ros³

2022

Arch Med Sci Atheroscler Dis

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“…Although this research has a significant contribution to knowledge, there are some limitations to this research. Diabetic foot ulcers can be detected in various ways, including checking blood glucose, HbA1c (Miranda, Da Ros, and Marfella 2021), ankle brachial index (ABI) (Yang et al 2021), monofilament examination (Baldursdottir et al 2020), TcPO2 . examination (Fagher and Löndahl 2021) as well as regular foot checks.…”

Section: Discussionmentioning

confidence: 99%

Exercise intervention to reduce the risk of diabetic foot ulcers in diabetics with the health belief model approach

Mulyaningsih¹,

Qadrijati²,

Mulyani³

et al. 2022

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Diabetic foot ulcers are common complication in diabetics. This study aims to explore the effect of exercise on the risk of diabetic foot ulcers in diabetics using the Health Belief Model approach. One of the essential benefits of this study is to reduce the risk of developing diabetic foot ulcers, thereby reducing disability rates. The problem of diabetic foot ulcers can be prevented by implementing exercise interventions. In this experimental study, there were three groups, with 161 diabetics as respondents. Group one and group two were given different interventions, while group three was the control group. In this study, changes in the ankle-brachial index and the effect of Health Belief Model on activeness in the intervention were measured. Follow-up was done after three months of intervention. All aspects of the Health Belief Model scale were different in the three groups. Perceptions of obstacles showed the most significant difference (p=<0.001). All aspects of the Health Belief Model scale also affect the activity of diabetics in doing exercise (p=0.001). The results of the ankle-brachial index measurement showed that there were differences between the three groups (p=0.019) and the “MULDA” exercise group had the highest median value.

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“…Researchers mainly focus on medical treatment rather than prevention. Cesare Miranda[ 179 ] suggested that comprehensive management should be implemented to prevent DFUs and provided a flow chart for the prevention of DFUs, including DFU education, blood glucose control, management of PAD, identification of risky feet, regular inspection of susceptible feet, long-term wearing of appropriate shoes, and treatment of ulcer risk factors. DFU education can reduce the incidence of DFUs and amputations.…”

Section: Preventionmentioning

confidence: 99%

Diabetic foot ulcer: Challenges and future

Yang¹,

Rong²,

Wu³

2022

World J Diabetes

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Diabetic foot ulcers (DFUs) have become one of the important causes of mortality and morbidity in patients with diabetes, and they are also a common cause of hospitalization, which places a heavy burden on patients and society. The prevention and treatment of DFUs requires multidisciplinary management. By controlling various risk factors, such as blood glucose levels, blood pressure, lipid levels and smoking cessation, local management of DFUs should be strengthened, such as debridement, dressing, revascularization, stem cell decompression and oxygen therapy. If necessary, systemic anti-infection treatment should be administered. We reviewed the progress in the clinical practice of treating DFUs in recent years, such as revascularization, wound repair, offloading, stem cell transplantation, and anti-infection treatment. We also summarized and prospectively analyzed some new technologies and measurements used in the treatment of DFUs and noted the future challenges and directions for the development of DFU treatments.

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Update on prevention of diabetic foot ulcer

Cited by 17 publications

References 79 publications

Diabetic foot disease during the COVID-19 pandemic: lessons learned for our future

Diabetic foot disease during the COVID-19 pandemic: lessons learned for our future

Exercise intervention to reduce the risk of diabetic foot ulcers in diabetics with the health belief model approach

Diabetic foot ulcer: Challenges and future

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