A review of the physiopathology of foot problems in diabetics is presented and the need for all the members of the health care team to take part in educating the diabetic in appropriated foot care is stressed. A quick evaluation of three components (vascular, neuropathic and infectious) is essential. Primary and secondary prevention with proper evaluation of predisposing and precipitating factors are stressed as fundamental to reduce the number of amputations and improve quality of life.
本文对糖尿病患者足部问题的生理病理学进行了综述,并强调了医疗团队所有成员参与对糖尿病患者进行适当足部护理教育的必要性。对三个方面(血管、神经病变和感染)进行快速评估至关重要。强调对诱发因素和促发因素进行适当评估的一级和二级预防是减少截肢数量和提高生活质量的基础。