February 2016

Guidelines address diabetic foot ulcer care

The American Podiatric Medical Association and the Society for Vascular Medicine in February published in the Journal of Vascular Surgery new recommendations for five key aspects of diabetic foot ulcer (DFU) care.

These include using custom therapeutic footwear in high-risk patients with diabetes, including those with significant neuropathy, foot deformities, or previous amputation; preventive recommendations, such as adequate glycemic control, periodic foot inspection, and patient and family education; off-loading of plantar DFUs with a total contact cast or irremovable fixed ankle walking boot; probes and plain film images in new DFUs, with magnetic resonance imaging for suspected soft tissue abscess or osteomyelitis; and guidance on comprehensive wound care.

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