Interpretation and application of guidelines on the prevention of foot ulcers in patients with diabetes(IWGDF2023 Updated)

VernacularTitle:《糖尿病患者足溃疡预防指南(IWGDF2023更新)》解读与应用
Author: Lan LIU ¹ ; Jianfang CHE ; Yue CUI ; Jinshan SUN ; Aiping WANG
Author Information

1. 东部战区空军医院糖尿病足中心，南京　210002
Keywords: Diabetes; Foot ulcer; Prevention
From: Chinese Journal of Endocrinology and Metabolism 2024;40(1):1-4
CountryChina
Language:Chinese
Abstract: Foot ulcer prevention plays a crucial role in reducing the amputation rate among diabetic patients. With regard to the prevention of diabetic foot ulcers, the 2023 guidelines of the International Working Group of Diabetic Foot(IWGDF) were different from the 2019 counterpart. The most notable change is the addition of high-level evidence to support recommendations, primarily derived from randomized controlled studies. The 2023 guidelines also advocate for local skin temperature measurement, participation in ankle exercise training, and psychological intervention for foot ulcer prevention. This article conducts a comparative analysis of the two guidelines across six key dimensions: identification of high-risk feet, regular examination of high-risk feet, health education, ensuring appropriate daily footwear, addressing ulcer risk factors, and comprehensive foot care. Drawing from clinical insights, the application and prospective implications of the 2023 guidelines in China are also examined.