Prevention and management of foot problems in diabetes: A summary guidance for daily practice 2015, based on the IWGDF Guidance Documents

Bakker, K., Apelqvist, J., Lipsky, B.A., van Netten, J.J., & Schaper, N.C. (2016) Prevention and management of foot problems in diabetes: A summary guidance for daily practice 2015, based on the IWGDF Guidance Documents. Diabetes/Metabolism Research and Reviews, 32(Supplement S1), pp. 7-15.

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In this 'Summary Guidance for Daily Practice', we describe the basic principles of prevention and management of foot problems in persons with diabetes. This summary is based on the International Working Group on the Diabetic Foot (IWGDF) Guidance 2015. There are five key elements that underpin prevention of foot problems:

(1) identification of the at-risk foot;

(2) regular inspection and examination of the at-risk foot;

(3) education of patient, family and healthcare providers;

(4) routine wearing of appropriate footwear, and;

(5) treatment of pre-ulcerative signs.

Healthcare providers should follow a standardized and consistent strategy for evaluating a foot wound, as this will guide further evaluation and therapy. The following items must be addressed: type, cause, site and depth, and signs of infection. There are seven key elements that underpin ulcer treatment:

(1) relief of pressure and protection of the ulcer;

(2) restoration of skin perfusion;

(3) treatment of infection;

(4) metabolic control and treatment of co-morbidity;

(5) local wound care;

(6) education for patient and relatives, and;

(7) prevention of recurrence.

Finally, successful efforts to prevent and manage foot problems in diabetes depend upon a well-organized team, using a holistic approach in which the ulcer is seen as a sign of multi-organ disease, and integrating the various disciplines involved.

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ID Code: 93262
Item Type: Journal Article
Refereed: Yes
Additional Information: Supplement: 2015 IWGDF Guidance on the Prevention and Management of Foot Problems in Diabetes and Proceedings of the 7th International Symposium on the Diabetic Foot, 20–23 May 2015, The Hague, The Netherlands
Keywords: Daily practice, Diabetic foot, Foot ulcer, Guidance, Guidelines, Implementation, IWGDF
DOI: 10.1002/dmrr.2695
ISSN: 1520-7552
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2016 John Wiley & Sons
Deposited On: 26 Feb 2016 04:13
Last Modified: 03 Mar 2016 04:18

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