Abstract

While there are several clinical practice guidelines for managing diabetic foot problems, none have yet been developed for ASEAN. The ASEAN Plus Expert Group Forum has been formed in November 2012 to address this issue. Its objective is to develop clinical guidelines to raise the standard of health care provided to patients with diabetic foot wounds in ASEAN Plus countries. Such best practices will benefit healthcare professionals treating such individuals.Two experts have been invited from each member country, namely Indonesia, Malaysia, Philippines, Singapore, Sri Lanka and Thailand to serve a term of 2 years. Members include orthopaedic surgeons, vascular surgeons, a general surgeon, a plastic surgeon and endocrinologists. We would like to thank Smith & Nephew Singapore Pte Ltd for their educational support and sponsorship. Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2015; 5: 1-37

Highlights

  • Diabetes currently affects 366 million people worldwide or 8.3% of the world's adult population

  • Foot wounds are very common among diabetic patients, affecting about 15% of all diabetic patients in developed countries

  • Syme Amputation has been advocated for trauma.[8]

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Summary

Section 1: Prevention of Foot Ulcer and Amputation

• Prevent development of diabetic neuropathy. • Prevent ulcer development by promoting good care of feet by patients. • Encourage patients to go for regular foot screening. • Offer early intervention or refer to a specialist when foot problems develop. • Prevent below-knee amputation by good control of diabetes and good care of the feet to prevent early foot complications.

Section 3: Medical Treatment
Section 4: Surgical Treatment
Introduction
If there is LOPS or deformities
NICE Clinical guideline 119
Caputo et al 1994
Procedure for Surgical Debridement
Discussion

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