Diabetic foot. How to achieve control goals?

Abstract

Diabetic foot is a chronic complication that is observed in patients with type 1 and 2 diabetes, mainly related to suboptimal treatment in glycemic control, however, the risk factors that favor the clinical presentation depend on the mechanical, hygienic conditions of the foot, and the decrease in the sensitivity of the foot, which added to the poor control of blood pressure, cholesterol levels and other fats favor an ischemic environment conducive to infection, inadequate healing, which in many patients will end in osteomyelitis and amputation of the foot. affected limb.

Numerous workshops aimed at the prevention and treatment of diabetic foot, recommend skin care, changes in footwear and mainly in education so that the patient recognizes the early signs of these complications, the classic treatment for glycemic control is with insulin in its various treatment modalities and there is no solid evidence to suggest that any scheme is superior to another. This review establishes the need for a comprehensive treatment where the goals of glycemic control, hypertensive control, cholesterol levels and ideal weight are the pillars to improve the comprehensive clinical status of the patient in conjunction with the general recommendations for diabetic foot care.