与糖尿病相关的脚的原因,预防和治疗
William Jeffcoate1, Edward J Boyko2, Fran Game3
1Nottingham University Hospitals Trust, Nottingham, UK.
The lancet. Diabetes & endocrinology
|June 2, 2024
概括
本综述补充了糖尿病足 (DFU) 的指导方针,强调了DFU的复杂性和社区之间的管理差异. 了解这些差异是改善患者结果和护理质量的关键.
科学领域:
- 足部医学是一门专业.
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
背景情况:
- 糖尿病相关的足部 (DFU) 是糖尿病的一个重要并发症.
- 现有的指导方针为管理提供了一个框架,但在全球范围内,发病率和结果的差异仍然存在.
- 了解这些变异对于推进DFU护理至关重要.
研究的目的:
- 审查和补充2023年糖尿病脚指南国际工作组.
- 突出DFU复杂的病理及其临床管理影响.
- 分析导致不同社区DFU发病率和结果变化的因素.
主要方法:
- 文献综述和对DFU当前证据的综合.
- 分析影响DFU发生率,管理和结果的因素.
- 对不同医疗机构和社区的DFU护理进行比较.
主要成果:
- DFU病理学是复杂的,影响临床管理和患者的结果.
- 在DFU发生率和结果的变化与研究人群和医疗保健的可访问性有关.
- 社区层面的比较显示了DFU指标与当地临床服务结构之间的关联.
结论:
- 多学科的护理和患者的访问对于DFU的最佳临床结果至关重要.
- 将DFU管理和社区之间的结果进行比较,可以提高对护理质量的理解.
- 解决DFU护理中的差异需要关注服务结构和熟练劳动力的可用性.
相关概念视频
Diabetes: Management and Pharmacotherapy
260
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
260
Diabetes: Symptoms, Diagnosis, and Complications
523
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...
523
Diabetes Mellitus: Overview and Type I Subtype
2.6K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.6K
Diabetes Mellitus: Type 2 and Gestational
2.3K
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...
2.3K
Pathophysiology of Diabetes
920
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.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
920
Peptic Ulcer Disease IV: Management
87
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
87


