The lower limb in people with diabetes - Position statement of the Australian Diabetes Society

被引:32
作者
Campbell, LV [1 ]
Graham, AR [1 ]
Kidd, RM [1 ]
Molloy, HF [1 ]
O'Rourke, SR [1 ]
Colagiuri, S [1 ]
机构
[1] St Vincents Hosp, Diabet Ctr, Sydney, NSW 2010, Australia
关键词
D O I
10.5694/j.1326-5377.2000.tb125690.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetic fewer-limb problems result in significant social, medical and economic consequences and are the most common cause of hospitalisation for people with diabetes. In people with diabetes, amputations are 15 times more common than in people without diabetes, and 50% of all amputations occur in people with diabetes. Peripheral neuropathy, vascular disease, infection and deformity of the feet are the major predisposing factors leading to ulceration or amputation. Ail people with diabetes should receive basic footcare education, and regular foot examinations. The risk for the development of ulceration can be assessed by basic clinical examination of the foot. Management strategies depend on the risk category, and range from basic education and annual review to specialist care by a multidisciplinary team.
引用
收藏
页码:369 / 372
页数:4
相关论文
共 29 条
[1]  
[Anonymous], 1998, NATL DIABETES STRATE
[2]   LONG-TERM PROGNOSIS FOR DIABETIC-PATIENTS WITH FOOT ULCERS [J].
APELQVIST, J ;
LARSSON, J ;
AGARDH, CD .
JOURNAL OF INTERNAL MEDICINE, 1993, 233 (06) :485-491
[3]  
*AUSTR POD COUNC D, 1997, AUSTR POD GUID DIAB
[4]   INTENSIVE EDUCATION IMPROVES KNOWLEDGE, COMPLIANCE, AND FOOT PROBLEMS IN TYPE-2 DIABETES [J].
BARTH, R ;
CAMPBELL, LV ;
ALLEN, S ;
JUPP, JJ ;
CHISHOLM, DJ .
DIABETIC MEDICINE, 1991, 8 (02) :111-117
[5]   ASSESSMENT AND MANAGEMENT OF FOOT DISEASE IN PATIENTS WITH DIABETES [J].
CAPUTO, GM ;
CAVANAGH, PR ;
ULBRECHT, JS ;
GIBBONS, GW ;
KARCHMER, AW .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (13) :854-860
[6]  
Conner H., 1997, PRACTICAL DIABETES I, V14, P152
[7]  
COUZOS S, 1997, ABORIGINAL TORRES ST
[8]  
DAVIDSON JK, 1981, ED DIABETIC PATIENTS, P329
[9]  
Edmonds M, 1996, DIABETIC MED, V13, pS27
[10]  
EDMONDS ME, 1986, Q J MED, V60, P763