Family Med Medical News about Diabetic Foot Ulcer

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Exploring the complex care of the diabetic foot ulcer
JAAPA, 10/27/09

Jones R – Many amputations resulting from diabetic foot ulcers are preventable with a thorough evaluation and aggressive treatment. The most important primary preventive measures are properly fitting socks and shoes and good control of blood glucose and lipid levels and of BP. A comprehensive, multidisciplinary evaluation, including determination of etiology, is essential in treating the diabetic foot ulcer. The primary objective is to heal the ulcer and prevent amputation. Patients with an infected foot ulcer benefit from early, aggressive treatment that encompasses debridement, good wound care, and pressure relief. An infected diabetic foot ulcer requires close supervision whether it is limb threatening or not. A radiograph of the foot is acceptable initially, but a technetium scan or MRI may be warranted to confirm the clinical assessment. Antibiotic coverage should be broad spectrum and tailored to the patient.

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Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review
Journal of Diabetes and its Complications, 10/29/09 Relevance Score: 82%

Treatment of nonhealing diabetic foot ulcers with a platelet-derived growth factor gene-activated matrix: Results of a Phase 12 trial
Wound Repair and Regeneration, 11/13/09 Relevance Score: 81%

Plantar pressures in diabetic patients with foot ulcers which have remained healed
Diabetic Medicine, 11/12/09 Relevance Score: 80%

Lower-Extremity Amputation Risk Following Charcot Arthropathy and Diabetic Foot Ulcer
Diabetes Care, 10/28/09 Relevance Score: 80%

Oxidative Stress Markers Regulating the Healing of Foot Ulcers in Patients With Type 2 Diabetes Diabetes
Wounds, 10/28/09 Relevance Score: 80%