[Assessment of ischaemia of ulcerated diabetic foot and its treatment according to recent international guidelines]. / Verenkierron arviointi ja hoito diabeettisen jalkahaavan yhteydessi kansainvailisten tuoreiden hoitosuositusten valossa.

ABSTRACT

Half of diabetic ulcers are ischaemic, almost all neuropathic and the problem is often worsened by infection. Ischaemia can often be repaired if diagnosed and treated early enough. At present, ischaemia is often diagnosed far too late. International recommendations emphasize an immediate need for a paradigm change. Ischaemia should always be suspected as a cause of diabetic ulcer unless proven otherwise. Every diabetic patient with a foot ulcer should undergo an immediate clinical and noninvasive vascular assessment. Early diagnosis and undelayed treatment with vascular consultation and necessary revascularizations are prerequisites for successful treatment as "time is tissue".