The 10 commandments of the diabetic foot

admin · Dec 26, 2005

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From the latest British Medical Journal:

The 10 commandments of the diabetic foot
BMJ 2005;331:1497 (24 December)

Every 30 seconds a leg is still lost because of diabetes somewhere in the world. In order to improve diabetic foot care, we need simple rules—the 10 commandments of the diabetic foot:

1. I am thy foot forever. Take good care of me, for thou shalt have no foot other than me
2. Thou shalt regularly debride me, when I develop callosities and ulcers
3. Thou shalt fit me with casts and insoles to offload my high pressure areas
4. Thou shalt carefully look for early signs of infection in me and treat it aggressively
5. Thou shalt diagnose ischaemia without delay and revascularise me
6. Thou shalt educate all patients how to examine me and take care of me
7. Thou shalt carefully inspect the shoes that I have to wear and encourage the use of appropriate footwear
8. Thou shalt continuously aim to achieve tighter blood glucose control for me
9. Thou shalt not commit amputation on me, unless there is a compelling reason
10. Thou shalt not covet thy neighbour's amputation rates, but try to improve yours
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John Spina · Jan 7, 2006

Excellent!Can I add one big one
11.Thou shalt be on constant vigil for neuropathy whether it be sensory,motor,autonomic or mixed.

admin Administrator Staff Member

John Spina Active Member

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