Evolving Trends in the Management of Diabetic Foot Ulcers: A Narrative Review
- PMID: 39171040
- PMCID: PMC11338646
- DOI: 10.7759/cureus.65095
Evolving Trends in the Management of Diabetic Foot Ulcers: A Narrative Review
Abstract
The prevalence of diabetic foot ulcers (DFUs) is projected to increase worldwide, which necessitates a review of the current management principles and the development of new approaches to care. The principles of management involve proper glycemic control, infection control, pressure redistribution, wound care debridement, and revascularization. Other modalities of management, such as hyperbaric oxygen therapy and negative wound pressure therapy, are also being explored. While some aspects of DFU care lack high-quality evidence, a multidisciplinary approach incorporating these evolving trends has the potential to improve outcomes and prevent lower extremity amputations in this challenging condition. This review highlights the need for further research to establish definitive treatment protocols for optimal DFU management.
Keywords: dfu (diabetic foot ulcer); diabete mellitus; maggot debridement therapy; negative pressure wound therapy; pad (peripheral artery disease); type 2 diabetes mellitus (dm).
Copyright © 2024, Ogbeide et al.
Conflict of interest statement
Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
References
-
- Diabetic foot ulcer disease in African continent: 'from clinical care to implementation' - review of diabetic foot in last 60 years - 1960 to 2020. Abbas ZG, Boulton AJ. Diabetes Res Clin Pract. 2022;183:109155. - PubMed
-
- National diabetes statistics report. 2024. https://www.cdc.gov/diabetes/php/data-research/index.html https://www.cdc.gov/diabetes/php/data-research/index.html
-
- Guidelines on the diagnosis and treatment of foot infection in persons with diabetes (IWGDF 2019 update) Lipsky BA, Senneville É, Abbas ZG, et al. Diabetes Metab Res Rev. 2020:0. - PubMed
Publication types
LinkOut - more resources
Full Text Sources