Time is the nurse and breeder of all good. Hope is a lover's staff; walk hence with that, And manage it against despairing thoughts.

("The Two Gentlemen of Verona, III, i, William Shakespeare)

In this book, the fundamental approach to the diabetic foot is built on a simple staging system which has been developed to provide a framework for diagnosis and management.

There are four main themes in this chapter.

• Practical assessment consisting of history, examination and investigations

• Basic classification of the diabetic foot, into the neuropathic and neuroischaemic foot

• Simple staging system, describing six specific stages in the natural history of the diabetic foot (Table 1.1)

• Multidisciplinary management plan for each stage. This overall approach to the diabetic foot begins with a simple assessment to enable the practitioner to make a basic classification and staging. The practitioner can place the foot into each stage by means of a clinical assessment.

Having then placed the foot in a particular stage, investigations will be needed to assess severity so as to determine treatment. The book contains sufficient easily accessible information to enable the practitioner to make rapid, effective decisions which will detect problems early, organize rapid treatment and prevent deterioration and progression.

Table 1.1 Stages of the diabetic foot

Stage I

Normal foot

Stage 2

High-risk foot

Stage 3

Ulcerated foot

Stage 4

Infected foot

Stage 5

Necrotic foot

Stage 6

Unsalvageable foot

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Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

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