Journal of diabetes and its complications · 2025
Current primary care approaches to diabetic foot prevention and treatment.
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Ibrahim Mahmoud, Ba-Essa Ebtesam M, Ahmed Asma, Armstrong David G, Barmaki Mario, Cahn Avivit, Cassar Kevin, Hamtzany Omer, Lazaro-Martinez José Luis, Manrique Helard, Mobarak Omar, Rastogi Ashu, Rizzo Manfredi, Shaikh Shehla, Umpierrez Guillermo E
Аннотация
Diabetes-related foot disease is a significant source of morbidity and mortality among people with diabetes, affecting approximately 1.8 % of the global population and leading to many hospital admissions and non-traumatic amputations. Structured multidisciplinary care for the management of diabetes-related foot disease has been shown to reduce complication rates. The role of primary care providers is crucial in the education, recognition, management, and referral of people with diabetes-related foot disease. This evidence-based review article combines expert opinion with research-based consensus to offer comprehensive yet actionable guidance for primary care providers. It discusses the different domains of care for diabetes-related foot disease, including prevention, cardiometabolic biomarkers, education, risk stratification, complication detection, disease staging, treatment options, and management considerations for different geographic populations.