Diabetic Foot Complications

Classification of Diabetic Foot Conditions
Diabetic foot disease is classified according to the severity of foot injury, from 0 (no injury) to 5 (amputation). Doctors at Sante Hospital will determine the stage of the disease based on clinical signs and necessary tests.

Etiology of Diabetic Foot Disease
Prolonged glycemic imbalance triggers systemic microvascular and peripheral neuropathic complications. This diminishes peripheral circulation and tactile sensation in the feet, leaving them vulnerable to mechanical trauma, friction, thermal injury, or foreign bodies. Such lesions may become secondarily infected by bacteria, fungi, or viruses, manifesting as localized edema, warmth, erythema, pain, or ulceration.
Clinical Protocols for Diabetic Foot Management
Depending on the stage and cause of the disease, doctors at Sante Hospital will provide treatment regimens for each patient. The overall goal is to control blood glucose, prevent and treat infections, eliminate damaging factors, and promote wound healing. Treatment measures may include: using antibiotics, anti-inflammatory medications, blood sugar control; cleaning and protecting wounds; debridement of necrotic tissue; using specialized shoes or pads; applying negative pressure or hyperbaric oxygen; surgical removal of infected or necrotic tissue or amputation. Complications of the disease may include: lower limb circulatory failure, osteomyelitis, necrosis, sepsis, or septic shock.

Preventive Guidelines for Diabetic Foot Complications
- Blood glucose control;
- Inspect and care for your feet daily;
- Keep your feet clean and dry;
- Trim toenails properly and care for dermatological concerns;
- Wear appropriate footwear and socks;
- Avoid walking barefoot or exposure to high temperatures;
- Exercise and perform massage to improve blood circulation;
- Attend periodic medical examinations and closely monitor your health status.
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