Department of Pharmaceutical Chemistry, Sanjivani College of Pharmaceutical Education and Research (Autonomous), Kopargaon 423603, Maharashtra, India.
Department of Pharmaceutical Chemistry, Bharati Vidyapeeth College of Pharmacy, Kolhapur, India.
Diabetes Res Clin Pract. 2024 Nov;217:111845. doi: 10.1016/j.diabres.2024.111845. Epub 2024 Sep 5.
Diabetic foot care has become a critical focus in global healthcare due to the rising prevalence of diabetes and its associated complications. This review aims to consolidate recent advancements and best practices in managing diabetic foot conditions, encompassing foot ulcers, neuropathy, vascular disease, and the risk of amputation. Emphasizing a multidisciplinary approach, the review advocates for collaboration among diabetologists, podiatrists, vascular surgeons, and wound care specialists to enhance patient outcomes. Key advancements highlighted include innovative wound care techniques like advanced dressings and bioengineered skin substitutes, alongside effective offloading devices to prevent pressure-related injuries. Early detection and intervention strategies for neuropathy and vascular disease are underscored, with a particular focus on vascular evaluation as a baseline investigation, including Ankle-Brachial Index (ABI) and Toe-Brachial Index (TBI) assessments by trained podiatrists and the use of arterial color Doppler/duplex scans for suspected Peripheral Artery Disease (PAD). The review also examines the impact of technological innovations such as telemedicine and wearable devices, facilitating enhanced patient monitoring and timely interventions. It stresses the importance of patient education and self-care practices in mitigating complications. Addressing global disparities, the review advocates for accessible and equitable healthcare services across diverse regions. Concluding with recommendations for future research and policy initiatives, this review serves as a vital resource for healthcare professionals, policymakers, and researchers committed to advancing diabetic foot care and improving global patient outcomes.
由于糖尿病及其相关并发症的患病率不断上升，糖尿病足护理已成为全球医疗保健的一个重点关注领域。本综述旨在综合管理糖尿病足病的最新进展和最佳实践，涵盖足部溃疡、神经病变、血管疾病以及截肢风险。强调多学科方法，该综述倡导糖尿病专家、足病医生、血管外科医生和伤口护理专家之间的合作，以改善患者的预后。强调的主要进展包括创新的伤口护理技术，如先进的敷料和生物工程皮肤替代品，以及有效的减压装置，以预防与压力相关的损伤。强调对神经病变和血管疾病的早期检测和干预策略，特别强调将血管评估作为基线检查，包括由经过培训的足病医生进行踝肱指数（ABI）和趾肱指数（TBI）评估，以及对疑似外周动脉疾病（PAD）使用动脉彩色多普勒/双功能超声扫描。该综述还研究了远程医疗和可穿戴设备等技术创新的影响，促进了对患者的增强监测和及时干预。强调了患者教育和自我护理实践在减轻并发症方面的重要性。该综述还主张在全球范围内提供可及且公平的医疗保健服务，以解决全球差异问题。结论提出了未来研究和政策倡议的建议，为致力于改善糖尿病足护理和提高全球患者预后的医疗保健专业人员、政策制定者和研究人员提供了重要资源。
