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Perspectives

Diabetic foot ulcers: is remission a realistic goal?

Peter A. Lazzarini, Malindu E. Fernando, Jaap J. Van Netten

Figures

© BURGER/PHANIE/SPL MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© BURGER/PHANIE/SPL MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY

Abstract

Diabetic foot ulcers are an underappreciated leading cause of the global burden of disease. A key to reducing this burden is not only healing them, but also preventing their recurrence and prolonging remission.

Key Points

  • Diabetic foot ulcers are common, complex and costly and a leading cause of Australia’s morbidity and mortality burdens.
  • Reasons for this include the large number of people affected, sinister risk factors causing the ulcers, the complex management required to heal ulcers and high recurrence rates.
  • Best-practice healing management and prevention of recurrence necessitates a multidisciplinary approach that considers: metabolic control, assessments of feet, debridement, antibiotics, dressings, offloading pressure, referral to multidisciplinary teams and education (MADADORE).
  • Care planning that systematically employs these multidisciplinary management principles minimises time taken for diabetic foot ulcers to heal and maximises time in remission.

Figures

© BURGER/PHANIE/SPL MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© BURGER/PHANIE/SPL MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY