Diabetic Foot Complications

Table of Contents
Expert Perspective from Sante: Diabetic foot disease is a dangerous complication of diabetes, putting patients at risk of loss of sensation, infection, and injury to the foot. If not cared for and treated promptly, the disease can lead to lower limb amputation or death.

Sante Hospital - Diabetic Foot Syndrome Management

Classification of Diabetic Foot Conditions

Diabetic foot disease is classified according to the severity of foot injury, from 0 (no injury) to 5 (amputation). Doctors at Sante Hospital will determine the stage of the disease based on clinical signs and necessary tests.

Sante Hospital - Diabetic Foot Syndrome Management (Image 2)

Etiology of Diabetic Foot Disease

Prolonged glycemic imbalance triggers systemic microvascular and peripheral neuropathic complications. This diminishes peripheral circulation and tactile sensation in the feet, leaving them vulnerable to mechanical trauma, friction, thermal injury, or foreign bodies. Such lesions may become secondarily infected by bacteria, fungi, or viruses, manifesting as localized edema, warmth, erythema, pain, or ulceration.

Clinical Protocols for Diabetic Foot Management

Depending on the stage and cause of the disease, doctors at Sante Hospital will provide treatment regimens for each patient. The overall goal is to control blood glucose, prevent and treat infections, eliminate damaging factors, and promote wound healing. Treatment measures may include: using antibiotics, anti-inflammatory medications, blood sugar control; cleaning and protecting wounds; debridement of necrotic tissue; using specialized shoes or pads; applying negative pressure or hyperbaric oxygen; surgical removal of infected or necrotic tissue or amputation. Complications of the disease may include: lower limb circulatory failure, osteomyelitis, necrosis, sepsis, or septic shock.

Sante Hospital - Diabetic Foot Syndrome Management (Image 3)

Preventive Guidelines for Diabetic Foot Complications

  • Blood glucose control;
  • Inspect and care for your feet daily;
  • Keep your feet clean and dry;
  • Trim toenails properly and care for dermatological concerns;
  • Wear appropriate footwear and socks;
  • Avoid walking barefoot or exposure to high temperatures;
  • Exercise and perform massage to improve blood circulation;
  • Attend periodic medical examinations and closely monitor your health status.

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Medical Disclaimer: The medical information provided is for educational and informational purposes only. Patients should not self-medicate or apply treatments without direct consultation with a qualified medical specialist.
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Medically Verified & Approved
CLINICAL REVIEWER CCHN: 006789/HCM-CCHN
Nguyen Tung Long

Nguyen Tung Long

Physician, Department of Internal Medicine & Hemodialysis Unit - Sante Hospital
MD, Spec. I
Dr. Nguyen Tung Long graduated with a Medical Doctor degree from Tra Vinh University (2013–2019) and earned his Specialist Level I degree in Anesthesiology and Resuscitation from Can Tho University of Medicine and Pharmacy (2018–2020). He also completed specialized certification in Extracorporeal Blood Purification at Cho Ray Hospital (2022). Having previously served in the Department of Anesthesiology and Resuscitation at Tra Vinh Provincial General Hospital, he is currently an attending physician in the Department of Internal Medicine and the Hemodialysis Unit at Sante Hospital.
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