Research progress of blood glucose management in patients with diabetic foot

doi:10.3877/cma.j.issn.1673-9450.2021.05.013

Abstract

Abstract:

Diabetic foot is a major global medical, social and economic problem, it is the most common major end point of diabetic complications. There is a high incidence of hyperglycemia in patients with diabetic foot amputation and death, and its treatment is difficult, so good blood glucose management is particularly important in the process of comprehensive treatment of diabetic foot. By sorting out the existing literature and combining with the clinical situation of blood glucose management in patients with diabetic foot, the author analyzes the research progress in this field as follows: patients with diabetic foot can dynamically evaluate their condition and adjust their strategies in time. Omni-directional nursing for patients with diabetic foot from the aspects of blood glucose management, local nursing and health education can improve the quality of blood glucose management and clinical effect. It is of great significance to improve the prognosis of patients.

Key words: Diabetic foot, Blood glucose control, Research progress

Ying Feng, Hongjuan Zhu, Qian Wang, Wanli Chu. Research progress of blood glucose management in patients with diabetic foot[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2021, 16(05): 445-448.

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References 34

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糖尿病足分级(Wagner分级)	糖尿病病情	血糖管理目标(mmol/L)
0级	有糖尿病足高风险因素，但没有出现溃疡	4.4~6.1
1级	出现足部破损及表浅溃疡，一般没有感染	6.1~7.8
2级	出现足部深部溃疡，出现感染	6.1~7.8
3级	深部组织感染(包括骨骼感染即骨髓炎)，或有深部脓肿形成	7.8~10.0
4级	骨质坏死、骨质缺损，并有其他软组织丢失	7.8~11.1
5级	干性坏疽或者湿性坏疽	7.8~13.9

糖尿病足分级(Wagner分级)	糖尿病病情	血糖管理目标(mmol/L)
0级	有糖尿病足高风险因素，但没有出现溃疡	4.4~6.1
1级	出现足部破损及表浅溃疡，一般没有感染	6.1~7.8
2级	出现足部深部溃疡，出现感染	6.1~7.8
3级	深部组织感染(包括骨骼感染即骨髓炎)，或有深部脓肿形成	7.8~10.0
4级	骨质坏死、骨质缺损，并有其他软组织丢失	7.8~11.1
5级	干性坏疽或者湿性坏疽	7.8~13.9

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