MANAGEMENT OF DIABETIC FOOT IN THE UNITED KINGDOM.

Introduction
Diabetic foot disease (DFD) represents a challenging condition with significant burden for the
patients and health systems. DFD is a common complication that may occur in all types of diabetes
mellitus. It is multifactorial and includes various pathologies: diabetic foot ulceration, diabetic
vasculopathy, diabetic neuropathy, diabetic foot infection, Charcot arthropathy.
Aim
This study aims to present the guidelines of the prevention and management of the diabetic foot in
the United Kingdom.
Material & Methods
Retrospective review of the literature and current guidelines for the management of diabetic foot.
Results
Multidisciplinary foot care service should consist of many specialists with skills in the following
areas: Diabetology, Podiatry, Vascular Surgery, Orthopaedic Surgery, Microbiology, Orthotics,
Casting, Interventional Radiology, Diabetes Specialist Nursing, Wound Care/Tissue Viability Nursing,
Plastic Surgery, Psychological Services and Nutritional Services.
Care should be provided within 24 hours of diagnosis/detection of diabetic foot problems in primary
healthcare or hospitals.
Conclusions
The management of diabetic foot is challenging and remains a considerable public health problem
with significant burden on patients and healthcare systems. Prevention programmes and basic foot
care advice should be offered to every diabetic patient. Multidisciplinary team approach is of
paramount importance and it can improve the quality of patients’ care, according to current
guidelines.