Management of the Diabetic Foot: Preventing Amputation

Marvin E. Levin, MD


South Med J. 2002;95(1) 

In This Article


Foot lesions, especially ulcerations, are common in patients with diabetes. If treatment is delayed or inappropriate treatment is rendered, the lesion can become infected, resulting in gangrene and/or amputation. Physicians, clinics, and wound-healing centers that follow a rigid protocol, including aggressive therapy, revascularizaton when indicated, therapeutic shoes when indicated, a team approach, and repeated education of the patient in foot care, have reduced amputation rates by 50% or more.[70]


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