[Peripheral vascular disease and diabetic foot]

Area of Science:

• Vascular Medicine
• Diabetology
• Podiatry

Context:

• Peripheral vascular disease is a key factor in diabetic foot complications.
• Diabetic patients have a high prevalence of lower limb arterial disease.
• Foot wounds in diabetic patients are often linked to inadequate tissue perfusion.

Purpose:

• To emphasize the necessity of assessing diabetic patients for lower limb arterial disease.
• To highlight the importance of vascular testing for diabetic foot wounds.
• To advocate for specialized centers for comprehensive diabetic foot wound management.

Summary:

• Medical management includes addressing vascular risk factors, using anti-thrombotic agents, and implementing walking rehabilitation.
• Vascular testing is crucial when a diabetic foot wound is present, as ischemia and poor perfusion are significant nonhealing factors.
• Effective management of diabetic foot wounds requires a multidisciplinary approach within a dedicated center offering vascular assessment and treatment.

Impact:

• Improved arterial evaluation and treatment, including vascular functional testing and revascularization, can reduce major amputations in diabetic populations.
• Integrated care in specialized centers enhances the effectiveness of managing diabetic foot wounds.
• Timely and accurate vascular assessment is critical for healing diabetic foot ulcers and preventing limb loss.