Diabetic foot ulcers - evidence-based wound management

Abstract

This article aims to summarise the available evidence in the wound management of diabetic foot ulcers to promote cost-effective evidence based practice. Diabetic foot ulcers have a significant impact on the individual patient’s quality of life, potential morbidity and even mortality. Diabetic foot ulcers also consume a gradually increasing portion of our healthcare budget. Whenever possible the focus should be on prevention rather than cure. All diabetic patients must have both their feet examined, with every consultation, by every health care practitioner. When an ulcer has already developed, it should be managed as a medical emergency, requiring an intensive interdisciplinary team approach to avoid potential loss of limb and or life.