PREVENTION AND TREATMENT OF “DIABETIC FOOT” SYNDROME AND ITS COMPLICATIONS
Keywords:
diabetes mellitus, atherosclerosis, angiopathy, diabetic foot, dexpanthenolAbstract
It is generally accepted that in patients with T2DM, atherosclerosis of the main arteries and their occlusion occur 53 times more often in men and 71 times more often in women than in people of the same age who do not suffer from T2DM. Treatment of diabetic micro- and macroangiopathies and their complications occupies an important place in the daily practical work of an angiologist and endocrinologist. In diabetes, arteries of all organs and sizes are affected. Microangiopathy is observed in 100% of patients with T2DM and in 30% of microangiopathy purulent-necrotic complications are observed. The development of diabetic microangiopathy depends on the duration of T2DM disease. 15-20 years after the manifestation of diabetes, 50% of patients experience occlusion of the main arteries, leading to the development of gangrene and amputation. Mortality in elderly and senile patients with purulent-necrotic complications and gangrene of the extremities with diabetes reaches 20%. To develop a unified approach to the diagnosis and treatment of patients with T2DM with neuropathy, angiopathy and osteoarthropathy characteristic of diabetes, in 1987, according to the decision of the WHO research group, the term “diabetic foot” was proposed and it was recommended to consider it as a potential infectious problem.
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