Palabras clave:. Also important are optimal treatment of the acute injury, with specific antibiotics and foot care measures that encourage early and effective healing. Diabetic polyneuropathy. Texto completo. Figura 1. Manejo del monofilamento de 10 g. Figura 2. Figura 3. Figura 4. Figura 5. Figura 6. Duran, M. Martinez, J. Rubio, J. Calle Pacual. Amputaciones de miembros inferiores en personas con y sin diabetes en Madrid Av Diabetol, 10 , pp.
Calle-Pascual, M. Redondo, M. Ballesteros, M. Non-traumatic lower extremity amputation in diabetic and non-diabetic subjects in Madrid. Diabet Metab, 23 , pp. Calle-Pascual, E. Gil, M. Benedi, P. Ibarra, F.
Requejo, et al. Calle-Pascual, A. Benedi, M. Calvo, A. Charro, J. A preventive foot care program for people with diabetes with different stages of neuropathy. Diab Res Clin Pract, 57 , pp. El ejemplo de las lesiones en el pie. Av Diabetol, 18 , pp. Calle-Pascual, N. Moraga, J. Epidemiology of nontraumatic lower-extremity amputation in Area 7. Madrid, between and Diabetes Care, 24 , pp.
Garcia de la Torre, A. Calvo, F. Serrano, et al. Endocrinol Nutr, 53 , pp. Boulton, A. Vinik, J. Arezzo, V. Brii, E. Feldman, R. Freeman, et al. Diabetes Care, 28 , pp. The prevalence of clinical diabetic polyneuropathy in Spain: a study in primary care and hospital clinic groups. Tesfaye, L.
Stevens, J. Stephenson, J. Fuller, M. Plater, C. Ionescu-Tirgoviste, et al. Diabetologia, 39 , pp. The effect of intensive treatment and progression of long term complications in the diabetes control in insulin dependent diabetes mellitus. N Engl J Med, , pp. Peripheral arterial disease in people with diabetes. Diabetes Care, 26 , pp. DycK, K. Krat, J. Karnes, W. Litchy, R. Klein, J. Pach, et al. The prevalence by staged severity of various types of diabetic neuropathy, retinopathy, and nephropathy in a population-based cohort: the Rochester Diabetic Neuropathy Study.
Neurology, 43 , pp. Severity and Staging of diabetic polyneuropathy. Textbook of diabetic neuropathy,. American Diabetes Association. Diabetes Care. Clinical manifestations and diagnosis of diabetic polyneuropathy, ,. SS79 Medline. Calle Pascual, I. Runkle, J. Diaz, A. Av Diabetol, 22 , pp. Meijer, A. Smit, J. Lefrandt, J. Van swr Hoeven, K. Hoogrnberg, T. Back to basics in diagnosing diabetic polyneurophaty with the tuning fork!. Gramar AG, ,. Calle Pascual, L. Romero, A. Manrrique, A. Silent peripheral vascular disease is prevalent in people with diabetic neuropathy.
Av Diabetol, 20 , pp. Boulton, D. Amstrong, S. Albert, R. Despite the wide dissemination of preventive measures and foot care, they are frequent complications in patients with diabetes. In fact, in Mexico, the prevalence of ulcers increased from 7. Its risk factors include diabetic neuropathy, peripheral vascular disease, biomechanical disorders, and others.
The diagnosis is established by systematic physical examination with sensitivity tests monofilament, tuning fork, brush , examination of tendon reflexes and, in advanced stages, with electromyography studies. For the treatment of diabetic foot ulcer, cleaning and debridement of the lesion, application of an electrolyzed superoxidation solution with neutral pH, antibiotics and, in more serious cases, surgical intervention according to the case are recommended. As in many cases, preventive measures are vital and must be followed not only by the patient, but also by family members and caregivers.
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