ISSN: 2451-0629
Archives of Medical Science - Atherosclerotic Diseases
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Official journal of the International Lipid Expert Panel (ILEP)
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1/2021
vol. 6
 
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abstract:
State of the art paper

Update on prevention of diabetic foot ulcer

Cesare Miranda
1
,
Roberto Da Ros
2
,
Raffaele Marfella
3

1.
Clinic of Endocrinology and Metabolism Diseases, Department of Internal Medicine, Azienda Sanitaria Friuli, Pordenone, Italy
2.
Clinic of Diabetology, Department of Internal Medicine, Azienda Sanitaria Universitaria Giuliana Isontina, Monfalcone, Italy
3.
Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania ‘Luigi Vanvitelli’, Naples, Italy
Arch Med Sci Atheroscler Dis 2021; 6: e123–e131
Online publish date: 2021/06/30
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The diabetic foot ulcer is the most important reason for non-traumatic limb amputation. Based on recent data, it has been estimated that up to 34% of type 2 diabetes patients may develop diabetic foot ulcers once in their lifetime. Risk factors for developing foot ulcers are distal sensorimotor peripheral neuropathy, peripheral arterial disease, previous ulcers, and/or amputations. Understanding the factors that place patients with diabetes mellitus at high ulceration risk and the early treatment of risk factors, and continuous education of the patient (and/or caregivers) are essential for the prevention and management of diabetic foot complications. Implementing strategies to prevent these complications is a key aspect of diabetes care, but the most effective strategy in prevention has to be investigated. More evidence from well-designed studies is needed on this topic.
keywords:

prevention, amputation, peripheral neuropathy, diabetic foot ulcer, peripheral arterial disease

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