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Exp Clin Endocrinol Diabetes 2021; 129(S 01): S82-S90
DOI: 10.1055/a-1284-6412
German Diabetes Association: Clinical Practice Guidelines

Diabetic Foot Syndrome

Stephan Morbach
1   Department of Diabetology and Angiology, Marienkrankenhaus gGmbH, Soest, Germany
,
Ralf Lobmann
2   Department of Endocrinology, Diabetology and Geriatrics, Klinikum Stuttgart, Bad Cannstatt, Germany
,
Michael Eckhard
3   University Diabetes Center and Interdisciplinary Diabetic Foot Center of Central Hesse, University Hospital Giessen and Marburg GmbH, Giessen site and GZW Diabetes Clinic Bad Nauheim, Germany
,
Eckhard Müller
4   Practice for Diabetology and Nephrology, KfH kidney center, Bernkastel-Kues, Germany
,
Heinrich Reike
5   Department of Internal Medicine, Mariannen-Hospital, Werl, Germany
,
Alexander Risse
6   Diabetes Center, Department of Internal Medicine North, Dortmund, Germany
,
Gerhard Rümenapf
7   Upper Rhine Vascular Center, Department of Vascular Surgery, Diakonissen Stiftungs Hospital, Speyer, Germany
,
Maximilian Spraul
8   Diabetes Center Rheine, Department of Internal Medicine III (Mathias Hospital and Jacobi Hospital), Rheine, Germany
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Definition

Diabetic foot syndrome is understood to be all pathological changes in the foot of a person with diabetes mellitus. These include pre-ulcerous lesions such as abnormal corneal callouses. Ulcers or necroses usually develop as a result of repetitive trauma with limited sensation of pressure and pain in the context of diabetic polyneuropathy (e. g. in the form of high pressure and shear stress, especially in foot and toe deformities). In Germany, more than 50% of all cases are characterized by a relevant peripheral arterial occlusive disease (PAOD), whose symptoms (claudication, pain at rest) are often masked by the polyneuropathy.



Publication History

Article published online:
22 December 2020

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