Diabetic Foot - treatment and prevention - literature review
DOI:
https://doi.org/10.12775/JEHS.2023.38.01.008Keywords
diabetic foot, diabetic neuropathy, diabetic foot ulcerAbstract
Introduction: Diabetic foot is a serious condition affecting large percentage of long term diabetics .Proper diabetic foot treatment, education and prevention can greatly influence quality of life of many diabetics who are at risk of developing this condition.
Aim of study: The purpose of the study was to review the latest literature on the most recent diabetic foot treatment, education and prevention.
Matherials and methods: A systemic review was conducted using Google Scholar, PubMed and ScienceDirect databases and the search was limited to studies published between 2000 and 2023. The search strategy was based on following terms: diabetic foot, diabetic neuropathy, diabetic ulcer, diabetic foot treatment.
Results: We found many different studies which show importance of gut microflora in various different ailments and diseases, we have also found many showing factors that influence intestinal microbiota composition.
Conclusions: diabetic foot is a severe complication of diabetes that requires a multidisciplinary approach to treatment. Prevention is essential, and patients should be educated on the importance of foot care and blood sugar control.With proper treatment and management, diabetic foot can be prevented and effectively treated.
References
The Prevention of Diabetes Mellitus. JAMA. 2021 Jan 12;325(2):190. doi: 10.1001/jama.2020.17738. PMID: 33433568.
Bandyk DF. The diabetic foot: Pathophysiology, evaluation, and treatment. Semin Vasc Surg. 2018 Jun-Dec;31(2-4):43-48. doi: 10.1053/j.semvascsurg.2019.02.001. Epub 2019 Feb 6. PMID: 30876640.
Bakker K, Apelqvist J, Lipsky BA, et al. The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes Metab Res Rev. 2016;32 Suppl 1:2-6.
Brocco E, Ninkovic S, Marin M, Whisstock C, Bruseghin M, Boschetti G, Viti R, Forlini W, Volpe A. Diabetic foot management: multidisciplinary approach for advanced lesion rescue. J Cardiovasc Surg (Torino). 2018 Oct;59(5):670-684. doi: 10.23736/S0021-9509.18.10606-9. Epub 2018 May 29. PMID: 29808982.
Lim JZ, Ng NS, Thomas C. Prevention and treatment of diabetic foot ulcers. J R Soc Med. 2017 Mar;110(3):104-109. doi: 10.1177/0141076816688346. Epub 2017 Jan 24. PMID: 28116957; PMCID: PMC5349377.
International Working Group on the Diabetic Foot, Peters EJ. IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes.
Diabetes Metab Res Rev 2016; 32 (Suppl 1): 45-74.
Blume P, Wu S. Updating the Diabetic Foot Treatment Algorithm: Recommendations on Treatment Using Advanced Medicine and Therapies. Wounds. 2018 Feb;30(2):29-35. Epub 2017 Oct 20. PMID: 29091034.
Xia N, Morteza A, Yang F, Cao H, Wang A. Review of the role of cigarette smoking in diabetic foot. J Diabetes Investig. 2019 Mar;10(2):202-215. doi: 10.1111/jdi.12952. Epub 2018 Nov 12. PMID: 30300476; PMCID: PMC6400172.
Sharma R, Sharma SK, Mudgal SK, Jelly P, Thakur K. Efficacy of hyperbaric oxygen therapy for diabetic foot ulcer, a systematic review and meta-analysis of controlled clinical trials. Sci Rep. 2021 Jan 26;11(1):2189. doi: 10.1038/s41598-021-81886-1. PMID: 33500533; PMCID: PMC7838311.
Sen P, Demirdal T, Emir B. Meta-analysis of risk factors for amputation in diabetic foot infections. Diabetes Metab Res Rev. 2019 Oct;35(7):e3165. doi: 10.1002/dmrr.3165. Epub 2019 May 6. PMID: 30953392.
Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018 Jan;1411(1):153-165. doi: 10.1111/nyas.13569. PMID: 29377202; PMCID: PMC5793889.
Jalilian M, Ahmadi Sarbarzeh P, Oubari S. Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review. Diabetes Metab Syndr Obes. 2020 May 25;13:1835-1842. doi: 10.2147/DMSO.S256243. PMID: 32547145; PMCID: PMC7259447.
Jeon BJ, Choi HJ, Kang JS, Tak MS, Park ES. Comparison of five systems of classification of diabetic foot ulcers and predictive factors for amputation. Int Wound J. 2017 Jun;14(3):537-545. doi: 10.1111/iwj.12642. Epub 2016 Oct 10. PMID: 27723246; PMCID: PMC7949506.
Boulton AJM, Whitehouse RW. The Diabetic Foot. 2020 Mar 15. In: Feingold KR, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, de Herder WW, Dhatariya K, Dungan K, Hofland J, Kalra S, Kaltsas G, Kapoor N, Koch C, Kopp P, Korbonits M, Kovacs CS, Kuohung W, Laferrère B, Levy M, McGee EA, McLachlan R, New M, Purnell J, Sahay R, Shah AS, Singer F, Sperling MA, Stratakis CA, Trence DL, Wilson DP, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000–. PMID: 28121117.
Pitocco D, Spanu T, Di Leo M, Vitiello R, Rizzi A, Tartaglione L, Fiori B, Caputo S, Tinelli G, Zaccardi F, Flex A, Galli M, Pontecorvi A, Sanguinetti M. Diabetic foot infections: a comprehensive overview. Eur Rev Med Pharmacol Sci. 2019 Apr;23(2 Suppl):26-37. doi: 10.26355/eurrev_201904_17471. PMID: 30977868.
Chang M, Nguyen TT. Strategy for Treatment of Infected Diabetic Foot Ulcers. Acc Chem Res. 2021 Mar 2;54(5):1080-1093. doi: 10.1021/acs.accounts.0c00864. Epub 2021 Feb 17. PMID: 33596041.
de Oliveira AL, Moore Z. Treatment of the diabetic foot by offloading: a systematic review. J Wound Care. 2015 Dec;24(12):560, 562-70. doi: 10.12968/jowc.2015.24.12.560. PMID: 26654736.
Schmidt BM, Holmes CM. Updates on Diabetic Foot and Charcot Osteopathic Arthropathy. Curr Diab Rep. 2018 Aug 15;18(10):74. doi: 10.1007/s11892-018-1047-8. PMID: 30112582.
Armstrong DG, Lavery LA. Diabetic foot ulcers: prevention, diagnosis and classification. Am Fam Physician. 1998 Mar 15;57(6):1325-32, 1337-8. PMID: 9531915.
Ammendola M, Sacco R, Butrico L, Sammarco G, de Franciscis S, Serra R. The care of transmetatarsal amputation in diabetic foot gangrene. Int Wound J. 2017 Feb;14(1):9-15. doi: 10.1111/iwj.12682. Epub 2016 Oct 3. PMID: 27696694; PMCID: PMC7949543.
Reardon R, Simring D, Kim B, Mortensen J, Williams D, Leslie A. The diabetic foot ulcer. Aust J Gen Pract. 2020 May;49(5):250-255. doi: 10.31128/AJGP-11-19-5161. PMID: 32416652.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Edward Wąsiewicz, Aleksandra Kuźniar, Dominik Szawica, Kamila Fularska, Michał Oleszko, Radosław Bernacki, Piotr Bernacki, Martyna Dutka, Witold Zardzewiały, Fryderyk Sobczak
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 312
Number of citations: 0
