Diabetic foot disease in people with advanced nephropathy and those on renal dialysis.

Abstract:

:Among the spectrum of risk for diabetic foot disease conferred by chronic kidney disease (CKD), end-stage renal disease (ESRD) has emerged as a novel independent risk factor. Apart from the classical triad of neuropathy, infection, and peripheral arterial disease that operate in these individuals, the risk is further compounded by inadequate foot self-care by patients and by dialysis centers not providing onsite foot care, as medical priorities are diverted to the dialysis itself. Consequently, the burden of diabetic foot disease has increased in the CKD and ESRD population as exemplified by high ulceration, amputation, and foot-related mortality rates. Current guidelines on foot care in diabetes should recognize advanced CKD and ESRD/dialysis as a separate risk factor for foot disease to alert professionals and highlight the opportunity for prevention. Recent studies have demonstrated improved foot outcomes when chiropody programs are instituted within dialysis units.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Ndip A,Lavery LA,Boulton AJ

doi

10.1007/s11892-010-0128-0

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

283-90

issue

4

eissn

1534-4827

issn

1539-0829

journal_volume

10

pub_type

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