Diabetic foot syndrome: a comparative analysis of the treatment at the stages of specialized medical care

• Davidenko О.P.
• Yana V. Girsh
• Irina V. Gurieva

Abstract

Management of patients with diabetes mellitus and diabetic foot syndrome represents a certain difficulty for the doctor, considering options general and local treatment, the need for long exposure, high economic component, both for the patient and his family, and for health in general. Our country has seen a long tradition of multi-component therapy using the metabolic, vascular, vitamin preparations, having a rather weak evi­dence base, but significantly increases the cost of treatment, despite the existence of international agreements on diabetic foot syndrome, recommending certain approaches to the treatment of patients.

Analysis of patients treatment in the two compared groups receiving treatment in the diabetic foot room and outpatient techniques, showed a significant difference in time and quality of the effect. Important com­ponents of treatment are: patient adherence to therapy in the diabetic foot room, the achievement of stable compensation of carbohydrate metabolism, the use of modern means of local therapy. Rational use of modern dressings, appropriate offloading of the affected areas, the observation of specialized professionals in a signifi­cant number of cases to determine the effect of healing ulcers. The decrease of comprehensive cost of diabetic foot room is possible due to the early diagnosis of diabetic foot syndrome and withdrawal from drugs with a low evidence base. Identification of risk factors for development of diabetic foot syndrome in patients with diabetes defines the possibility of further ranking the patients in this group to select the ways of prevention

Keywords:diabetes, diabetic foot syndrome, foot ulceration

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