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Related Concept Videos

Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Pathophysiology of Diabetes01:20

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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Diabetes Mellitus: Type 2 and Gestational01:22

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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Pulse Assessment Sites01:11

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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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[Diabetic foot syndrome].

Lea Slahor1, Lukas Iselin2

  • 1Endokrinologie / Diabetologie, Kantonsspital Luzern.

Therapeutische Umschau. Revue Therapeutique
|September 30, 2020
PubMed
Summary

Diabetic foot syndrome is underdiagnosed, yet preventable through patient education and regular foot examinations. A multidisciplinary approach is crucial for managing this diabetes complication.

Area of Science:

  • Endocrinology
  • Vascular Medicine
  • Podiatry

Background:

  • Diabetic foot syndrome is a prevalent complication of diabetes mellitus, often underdiagnosed.
  • Diabetic peripheral neuropathy and peripheral artery disease are key risk factors.
  • Effective prevention strategies are essential for managing at-risk patients.

Purpose of the Study:

  • To highlight the underdiagnosis of diabetic foot syndrome.
  • To emphasize the importance of prevention and patient education.
  • To advocate for a multidisciplinary approach in managing diabetic foot complications.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Emphasis on screening programs and patient/caregiver education.

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  • Recommendation for a multidisciplinary team approach.

    • Main Results:

    • Diabetic foot syndrome remains underdiagnosed despite its prevalence.
    • Patient and caregiver education on foot inspection is critical for prevention.
    • A multidisciplinary approach is recommended for complex management.

    Conclusions:

    • Enhanced screening and patient education are vital for diabetic foot care.
    • Guidelines should prioritize diabetic foot care alongside retinopathy and nephropathy screening.
    • Multidisciplinary management reduces complications, mortality, and economic burden.