Bém Robert, Dubský Michal, Fejfarová Vladimíra, Husáková Jitka, Wosková Veronika
Vnitr Lek. 2020 Spring;66(2):92-97.
Diabetic foot (DF) is a serious late complication of diabetes associated with high morbidity and mortality, often leading to lower limb amputation. Risk factors for DF include neuropathy, infection, and ischemia. The prevention of ulceration is essential for reducing amputation rate. Effective follow-up of patients and application of preventive approaches such as using of appropriate shoes and foot care can reduce the incidence of ulcerations by up to 50 %. DF treatment is very expensive and includes offloading of the affected foot, treatment of infection and revascularization. Local treatment and satisfactory diabetes control are also very important. Professional care for these patients should be directed to specialized podiatric clinics due to the need for a multidisciplinary approach.
糖尿病足（DF）是糖尿病严重的晚期并发症，发病率和死亡率高，常导致下肢截肢。糖尿病足的危险因素包括神经病变、感染和缺血。预防溃疡对于降低截肢率至关重要。对患者进行有效的随访并应用预防方法，如穿着合适的鞋子和足部护理，可将溃疡发生率降低多达50%。糖尿病足的治疗费用高昂，包括减轻患足压力、治疗感染和血管重建。局部治疗和良好的血糖控制也非常重要。由于需要多学科方法，应为这些患者提供专业护理，将其转诊至专门的足病诊所。
