Morey-Vargas Oscar L, Smith Steven A
Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN, USA.
Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN, USA
Prosthet Orthot Int. 2015 Feb;39(1):48-60. doi: 10.1177/0309364614535622.
Diabetic foot ulcers and lower extremity amputations are common complications of diabetes mellitus that are associated with substantial morbidity, loss of quality of life, disability, and a high social and economic burden. The implementation of strategies to prevent these complications is a key aspect of diabetes care.
The objective of this article is to provide an overview of the available evidence on preventive diabetic foot care.
Literature review.
Narrative review based on a thorough search of previous relevant studies, systematic reviews, and clinical guidelines on diabetic foot care published in English.
We describe diabetic foot care strategies that can be categorized within defined domains for the purpose of helping clinicians to remember them. We use the mnemonic "BE SMART" (Be aware of the risk factors, Educate patients and health providers, Structured clinical assessment, Metabolic evaluation and management, Assessment of Risk, and Team care) to organize these domains.
Diabetic foot ulcers and lower extremity amputations are potentially preventable complications. Clinicians taking care of patients with diabetes should know, understand, and remember the multiple aspects of diabetic foot care.
This review can be used as a reference source for those interested in the care of diabetic foot. It highlights the importance of risk factor recognition, education, a structured clinical and metabolic evaluation, and also the importance of assigning patients a risk category that can help guiding multidisciplinary management efforts.
糖尿病足溃疡和下肢截肢是糖尿病常见的并发症，与严重的发病率、生活质量下降、残疾以及高昂的社会和经济负担相关。实施预防这些并发症的策略是糖尿病护理的关键方面。
本文的目的是概述有关预防性糖尿病足护理的现有证据。
文献综述。
基于对先前以英文发表的有关糖尿病足护理的相关研究、系统评价和临床指南进行全面检索的叙述性综述。
我们描述了糖尿病足护理策略，为帮助临床医生记忆，可将其归类于特定领域。我们使用助记符“BE SMART”（了解危险因素、教育患者和医疗服务提供者、结构化临床评估、代谢评估与管理、风险评估以及团队护理）来组织这些领域。
糖尿病足溃疡和下肢截肢是潜在可预防的并发症。照顾糖尿病患者的临床医生应了解、理解并记住糖尿病足护理的多个方面。
本综述可为关注糖尿病足护理的人员提供参考。它强调了识别危险因素、进行教育、开展结构化临床和代谢评估的重要性，以及为患者确定风险类别以帮助指导多学科管理工作的重要性。
