Malaysian clinical practice guidelines for management of diabetic foot: A synopsis for the primary care physician

Abstract

Diabetic foot requires careful attention and coordinated management by a dedicated team. Screening, prevention, adequate assessment, and appropriate referral are crucial to prevent complications. Multimodal treatment and rehabilitation are recommended to ensure a better quality of life and reduction of amputation rate in people with diabetic foot.

Early intervention and care for Diabetic Foot Ulcers in Low and Middle Income Countries: Addressing challenges and exploring future strategies: A narrative review

“…However, successful implementation of CPGs requires a strong commitment, including regular training programs and adequate funding. 79 …”

“…Establishing standardized guidelines is a foundation for education and training programs, equipping health care providers with the necessary knowledge and skills for appropriate referrals. However, successful implementation of CPGs requires a strong commitment, including regular training programs and adequate funding 79 …”

“…DFU, Diabetic Foot Ulcer.training programs, equipping health care providers with the necessary knowledge and skills for appropriate referrals. However, successful implementation of CPGs requires a strong commitment, including regular training programs and adequate funding 79. A summary of the future prospects for reducing DFU-related amputations in LMICs is provided in Figure3.…”

Level of Knowledge and Practice of Orthotics in the Diabetic Foot Management in Nigeria

“…Orthotists are trained to have the specialist skill and ability to make prescription as well as fabricate devices to achieve these offloading goals (AOPA 2016; Robinson et al, 2015). The IWGDF has been promoting sound guidelines for efficient management (offloading) of the DF and has been updating these from time to time since 1999 (Monteiro-Soares et al, 2020; Bus et al, 2020a;Bus et al, 2020b) These guidelines contain general principles that can be adopted by different countries based on their peculiarities like culture, economy, pattern of DF deformities and ulcers (Kaminski et al, 2022;Tharumaraja et al, 2021). These guidelines could also be used as a yardstick to measure the level of knowledge and orthotic practice as well as an appraisal tool of same among group or groups of orthotic practitioners who are burdened with the task of offloading the DF/DFU, with the overall aim of ensuring efficient practise (Malone et al, 2021) While some countries have not only adopted the IWGDF guidelines or related guidelines, but have also adopted same to their national peculiarities (Kaminski et al, 2022;Tharumaraja et al, 2021), there seem to be no such intervention in Nigeria.…”