European Journal of Biomedical and Pharmaceutical Sciences

A REVIEW ON MANAGEMENT OF DIABETIC FOOT ULCER

Monika Chowdary Vemineni*

ABSTRACT

Ulceration of the foot in diabetes is most common and disabling frequently leads to amputation of the leg. Mortality is high and healed ulcers often reoccur. The pathogenesis of diabetic foot ulceration is complex. Management of diabetic foot ulcer (DFU) requires early expert assessment. Despite treatment, ulcers readily become chronic wounds. There were two kinds of assessment used in diabetic foot ulcer which are risk assessment and wound assessment. The treatments that frequently used in diabetic foot ulcer are systemic treatment and local treatment. Diabetic foot ulcers have been neglected in health care research system, clinical practice is based more on opinion than the scientific fact. Foot problems in diabetic patients remain a major public health issue and are the most common reason for hospitalization of a diabetic patient. A foot complication is severe enough to require hospitalization. Hence, the pathological processes are poorly understood and poorly taught and communication between the many specialties involved is disjointed and insensitive. In this review, the epidemiology, pathogenesis, treatment, management, and assessment of diabetic foot ulcers are described.

Keywords: Amputation, diabetic foot ulcer, management, assessment, hospitalization, treatment.