Managing diabetes in people with foot complications

Abstract

The high prevalence of diabetic foot disease is a concern. Many preventable amputations are performed every week, with high levels of associated morbidity and mortality. This chapter outlines what should happen if a healthcare professional suspects acute foot disease in a patient with diabetes. Relevant aspects of acute care are also discussed, such as the importance of managing hyperglycaemia in these patients, the need to involve a specialist diabetes team and ways to reduce cardiovascular risk. Post-discharge guidance is also outlined to promote better diabetes self-care by patients, with the support of appropriately trained healthcare professionals.