The diabetic foot, according to The Society Spanish of Angiology and Vascular Surgery, is a situation which is reached after suffering for years diabetes and mainly consists of an alteration of the sensitivity of the foot which facilitate appearance of lesions, for its lack of pain control.
The patient can not defend himself for missing that sensitivity to pain, which warn of the damage, as when we hurt by a rash or blister for a new shoe and this insensitivity to pain triggers the appearance of serious foot injuries.
That is the alteration of sensation and motility of the foot in a diabetic patient years of evolution by itself, can be injured tissues foot diabetic without there is vascular injury.
This neurological affectation occurs in 90% of patients with diabetes and must be evaluated to prevent injuries which can lead to an amputation of the limb. In fact, diabetes is the most common cause of non- traumatic lower extremity amputations in Europe and USA.
Causes of diabetic foot
Risk factors to prevent this injury so severe and that can be modified are: peripheral vascular disease, neuropathy ( affectation of sensibility and motility of the foot), foot deformities, elevated plantar pressure, calluses or smoking
In diabetic patients with a low risk of foot disorders recommended an annual evaluation by a vascular surgeon and angiologists in cases of moderate risk every 3-6 months and high-risk patients every month.
The prevention of these injuries is the most appropriate way to prevent further amputation of the limb.
The valuation of the diabetic foot in the query on an outpatient basis and involves a clinical exploration and dö examination; ppler index for determining ankle / brachial.