Diabetic foot complications result in huge costs for both society and the individual patients. Few reports on the health-economic consequences of diabetic foot infections have been published. In studies considering a wide societal perspective, costs of antibiotics were relatively low, whereas total costs for topical treatment were high relative to the total costs of foot infections. Total direc...

The International Working Group on the Diabetic Foot (IWDGF) has produced in 2011 a guideline on the diagnosis and treatment of peripheral arterial disease in patients with diabetes and a foot ulcer. This document, together with a systematic review that provided the background information on management, was produced by a multidisciplinary working group of experts in the field and was endorsed b...

223 IntroductIon In England, more hospital beds are filled with people who have diabetic foot complications, than are filled with all other diabetic complications combined.1 Diabetes may alter both the musculoskeletal and soft tissue mechanics in a manner that elevates plantar pressure and makes tissue damage more likely,2 causing non-resolving neuroischaemic ulcers at weight bearing sites.3 Mo...

OBJECTIVE Subclinical inflammation is an important risk factor for type 2 diabetes and diabetes complications. However, data on the association between inflammation and acute diabetic foot syndrome are scarce. The aim of this study was to compare systemic immune mediators in diabetic patients with and without an ulcer and to identify modulating factors. RESEARCH DESIGN AND METHODS Circulating l...

BACKGROUND The aim of study was detailed analysis of the presentation of diabetic foot ulcers, characteristics and predictors of outcome (incidence of amputation in neuropathic, ischemic, neuro ischemic) in patients presenting with diabetic foot at our hospital. METHODS This prospective analytic study was conducted from January 2009-August 2010 at POF Hospital Wah Cantt. Diabetic patients who...

Background: This study attempted to determine the disease burden in terms of clinical profile and outcome of diabetic foot ulcer (DFU) admissions at a tertiary care hospital in a developing country. Methods: In this descriptive study, the data were collected from the medical record of diabetic patients with foot ulcer who were treated in Dr. Kariadi General Hospital during a 3-year period. The ...

Patients 75 patients with diabetes who had clinically significant loss of protective sensation ( > 25 V) as measured with a biothesiometer, >1 palpable foot pulse or a transcutaneous oximetry measurement > 40 mm Hg at the dorsum of the fore foot, and a superficial neuropathic plantar diabetic foot ulcer corresponding to grade 1A (University of Texas Diabetic Wound Classification System). Exclus...

Background Diabetic foot ulcers are commonly acknowledged as the most frequent reason for admission into hospital for diabetes-related complications. Clinical training is known to have a beneficial impact on diabetic foot ulcer outcomes. Simulation clinical training has rarely been used in the management of diabetic feet or chronic wounds. The few simulation courses in this area have focused so...

Clinical background In diabetic patients, especially if elderly, skin ulcers of the foot are among the most debilitating complications. The main risk factors for the ulcer development are diabetic neuropathy (sensory, autonomic), lower limb ischemia (diabetic arteriopathy), limited mobility and altered plantar pressure. The aim of the study was to evaluate the different sites of the diabetic ul...