Severe Complications of Diabetic Foot Syndrome (Ulcer, Gangrene, Amputation) Are Associated with Chronic Kidney Disease

Abstract

Annotation: In this article, the authors presented the results of a review of the literature on one of the terrible complications of type 2 diabetes - diabetic foot syndrome in the stage of severe complications (ulcer, gangrene, amputation) associated with chronic kidney disease. This topic, despite its relevance, is still poorly understood. As a result of the analysis of the literature, the authors come to the conclusion that after the start of renal replacement therapy in patients on hemodialysis, there is an increase in the incidence of the neuro-ischemic form of the diabetic foot syndrome. Along with this, the progression of chronic obliterating diseases of the arteries of the lower extremities during the observation period was noted only among diabetic patients on hemodialysis. Therefore, it is necessary to find ways for early prevention of these complications, early diagnosis and treatment. Keywords: diabetic foot syndrome, diabetic patients, complications, CKD.