Nutritional Treatment of Diabetic Foot Ulcers - A Key to Success

نویسندگان

  • Patrizio Tatti
  • Annabel Barber
چکیده

Diabetic Foot Ulcers (DFUs) represent a frequent occurrence in the diabetic population and up to 15% of these subjects may be expected to develop a foot ulcer at least one time in his/her life1,2. DFUs cause personal, social and economic problems and are a serious risk factor for death3,4. These ulcers can be broadly classified as neuropathic, vascular5 or mixed, although the pathogenesis is much more complex. Biochemical6, hygienic7, structural deformity8,9, dynamic, pressure, skeletal, nutritional, socioeconomic factors, reduced antibacterial activity10,11,12, workplace influences, all concur to cause and maintain the lesion. A multicenter study attributed 63 percent of diabetic foot ulcers to the critical triad of peripheral sensory neuropathy, trauma, and deformity13. Most often healing requires the cooperation of many specialists, including surgeons, podiatrists, wound nurses and endocrinologists. In many cases, the definitive treatment demands minor or major surgery.

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تاریخ انتشار 2012