Although there are no conclusive data on the incidence of the diabetic foot in Spain, it is estimated that it is around 4% of diabetes patients, with a higher incidence in men and population over 65.
This pathology causes a failure in the circulation of blood and in the nervous system and, as a consequence, the patient loses sensitivity in the feet, increasing the risk of an ulcer in the foot and suffering from infections before the presenceof minor injuries such as chafing, calluses or blisters.
To serve these patients, the Ruber Juan Bravo hospital complex and the Quirónsalud Madrid University Hospital have launched a consultation of the diabetic foot framed in the therapeutic education consultation in diabetes by Esperanza Jiménez Castro, nurse educator in diabetes.
Through this consultation, a structured program is designed that allows detecting the risk foot and comprehensively addressing all those preventive activities that reduce the appearance of feet injuries.
The program begins with an initial visit aimed at patients with type 2 diabetes at the time of diagnosis and patients with type 1 diabetes of more than 10 years of evolution, and includes the following actions:
- Foot inspection, footwear and socks.
- Vascular exploration: Coloring and temperature assessment, presence of symptoms, palpation of pulses (manual and/or eco-doppler).
- Neurological exploration: assessment of superficial sensitivity (touch, pain and temperature) and deep (perception of pressure and vibration).
- Foot classification according to risk.
- Hygienic foot advice, footwear and recommended socks.
- Foot self -care.
Likewise, it includes review visits aimed at patients who have already been previously evaluated and know the risk of their feet, with the aim of strengthening self -care skills and techniques, controlling the progression of possible complications and detecting early the appearanceof new symptoms.
The consultations will be carried out with the periodicity advised according to the risk that the foot presents (monthly/quarterly/semi -annual/annual).