J Korean Diabetes.  2023 Dec;24(4):214-220. 10.4093/jkd.2023.24.4.214.

Daily Life Management Guidelines for Diabetic Foot Patients

Affiliations
  • 1Diabetic Foot Clinic, Severance Hospital, Seoul, Korea

Abstract

Diabetic foot ulcers are a significant complication of diabetes, often leading to hospitalization and, in severe cases, lower limb amputation, causing substantial medical costs and reduced quality of life. Approximately 15% of diabetic patients develop foot ulcers, with 15% of these cases progressing to amputation, highlighting the critical need for foot care in diabetes management. These ulcers have a high mortality rate and a high likelihood of recurrence, highlighting the need for both blood sugar control and foot care. In South Korea, around 2.9% of diabetic patients over the age of 20 were diagnosed with diabetic foot ulcers in 2011, affecting approximately 100,000 individuals. Globally, about one-third of diabetic patients will experience foot ulcers in their lifetime, with a high recurrence rate. Diabetic foot ulcers are prone to infections, potentially leading to amputation or even death, emphasizing the importance of prevention and proper treatment. Educating patients with diabetic foot ulcer about foot care can significantly enhance their knowledge and performance in caring for their feet, including the use of moisturizers. Providing specific and practical foot care instructions is crucial to improve self-foot care practices and to minimize the risk of complications.

Keyword

Diabetic foot; Foot care education; Foot ulcer; Guideline

Reference

1.Boulton AJ., Kirsner RS., Vileikyte L. Clinical practice. Neuropathic diabetic foot ulcers. N Engl J Med. 2004. 351:48–55.
2.Brown ML., Tang W., Patel A., Baumhauer JF. Partial foot amputation in patients with diabetic foot ulcers. Foot Ankle Int. 2012. 33:707–16.
3.Koh NK., Song M. Foot ulcer risk, foot care knowledge, and foot care practice in patients with type 2 diabetics. J Korean Acad Adult Nurs. 2006. 18:81–91.
4.Bae JI., Won JH., Kim JS., Kim MD., Yoon CJ., Cho YK. Prevalence and current status of treatment of diabetic foot in South Korea. J Korean Soc Radiol. 2016. 74:169–76.
5.Nickinson ATO., Bridgwood B., Houghton JSM., Nduwayo S., Pepper C., Payne T, et al. A systematic review investigating the identification, causes, and outcomes of delays in the management of chronic limb-threatening ischemia and diabetic foot ulceration. J Vasc Surg. 2020. 71:669–81e2.
6.Şen HM., Şen H., Aşık M., Özkan A., Binnetoglu E., Erbağ G, et al. The importance of education in diabetic foot care of patients with diabetic neuropathy. Exp Clin Endocrinol Diabetes. 2015. 123:178–81.
7.Korean Foot & Ankle Society. Textbook of the foot and ankle. Seoul: Panmun Education;2019. p. 392.
8.Quarles BE. Educational methods increasing self-efficacy for the management of foot care in adults with diabetes and implementation of foot care behaviors [doctor's thesis]. Lexington: University of Kentucky;2005.
9.Jeffcoate W., Williams R. World Diabetes Day, Nov 14, 2006: call for papers. Lancet. 2006. 367:1226.
10.Willoughby D., Burroughs D. A CNS-managed diabetes foot-care clinic: a descriptive survey of characteristics and foot-care behaviors of the patient population. Clin Nurse Spec. 2001. 15:52–7.
11.Schaper NC., van Netten JJ., Apelqvist J., Bus SA., Fitridge R., Game F., IWGDF Editorial Board, et al. Practical guide-lines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes Metab Res Rev. 2023. doi: 10.1002/dmrr.3657 [Epub ahead of print].
12.McCulloch DK. Patient education: foot care in diabetes mellitus (beyond the basics). Available from: https://doctorabad.com/UpToDate/d/topic.htm?path=-foot-care-in-diabetes-mellitus-beyond-the-basics (updated 2017 Feb 27).
13.Korea Society for Diabetic Foot. Korean guideline for management of diabetic foot. Seoul: Koonja Publishing;2014.
14.Steed DL., Attinger C., Brem H., Colaizzi T., Crossland M., Franz M, et al. Guidelines for the prevention of diabetic ulcers. Wound Repair Regen. 2008. 16:169–74.
16.Kim HS. Fasting blood sugar and adherence to diabetes control recommendation: impact of education using short messaging service of cellular phone. J Korean Biol Nurs Sci. 2003. 5:13–9.
17.Kim JY., Cheon EY. The effects of a self-care management program for patients with diabetic foot ulcers. J Korean Biol Nurs Sci. 2016. 18:78–86.
18.Peterson JM., Virden MD. Improving diabetic foot care in a nurse-managed safety-net clinic. J Am Assoc Nurse Pract. 2013. 25:263–71.
19.Ren M., Yang C., Lin DZ., Xiao HS., Mai LF., Guo YC, et al. Effect of intensive nursing education on the prevention of diabetic foot ulceration among patients with high-risk diabetic foot: a follow-up analysis. Diabetes Technol Ther. 2014. 16:576–81.
20.Park SJ., Yang T., Lee JY., Kim J. Factors contributing to diabetic foot ulcer among patients with type 2 diabetes mellitus. Korean J Adult Nurs. 2018. 30:106–14.
Full Text Links
  • JKD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr