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Review
. 2022 Dec 15;13(12):1014-1034.
doi: 10.4239/wjd.v13.i12.1014.

Diabetic foot ulcer: Challenges and future

Li Yang  1 , Gui-Chuan Rong  2 , Qi-Nan Wu  3
Affiliations
Review

Diabetic foot ulcer: Challenges and future

Li Yang et al. World J Diabetes. .

Abstract

Diabetic foot ulcers (DFUs) have become one of the important causes of mortality and morbidity in patients with diabetes, and they are also a common cause of hospitalization, which places a heavy burden on patients and society. The prevention and treatment of DFUs requires multidisciplinary management. By controlling various risk factors, such as blood glucose levels, blood pressure, lipid levels and smoking cessation, local management of DFUs should be strengthened, such as debridement, dressing, revascularization, stem cell decompression and oxygen therapy. If necessary, systemic anti-infection treatment should be administered. We reviewed the progress in the clinical practice of treating DFUs in recent years, such as revascularization, wound repair, offloading, stem cell transplantation, and anti-infection treatment. We also summarized and prospectively analyzed some new technologies and measurements used in the treatment of DFUs and noted the future challenges and directions for the development of DFU treatments.

Keywords: Diabetic foot ulcer; Diabetic peripheral artery disease; Diabetic peripheral neuropathy.

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Conflict of interest statement

Conflict-of-interest statement: The authors have no conflicts of interest and agreed to publish the study.

Figures

Figure 1
Figure 1
Pathogenesis of diabetic foot ulcer.
See this image and copyright information in PMC

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