Can Fam Physician. 1990 Oct;36:1798-802.
The diabetic foot presents a complex interplay of neuropathic, macrovascular, and microvascular disease on an abnormal metabolic background, complicated by an increased susceptibility to mechanical, thermal, and chemical injury and decreased healing ability. The abnormalities of diabetes, once present, are not curable. But most severe foot abnormalities in the diabetic are due to neglect of injury and are mostly preventable. The physician must ensure that the diabetic patient learns the principles of good foot care. If time for teaching is limited, this task must be delegated to a podiatrist or a diabetes nurse educator in a diabetes day centre. It is the physician's responsibility to confirm foot care by personal inspection of the feet of all diabetic patients at every visit.
糖尿病足是一种复杂的神经病变、大血管病变和微血管病变在异常代谢背景下相互作用的结果，同时还伴有对机械、热和化学损伤的易感性增加以及愈合能力下降。糖尿病的这些异常一旦出现，就无法治愈。但是，糖尿病患者足部最严重的异常大多是由于忽视损伤造成的，而且大多是可以预防的。医生必须确保糖尿病患者了解良好足部护理的原则。如果教学时间有限，这项任务必须委托给足病医生或糖尿病日中心的糖尿病护士教育者。医生有责任通过每次就诊时亲自检查所有糖尿病患者的足部来确认足部护理。
