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Prevention and Treatment of Diabetic Foot Ulcers

Risk of foot ulcers in patients with diabetes

A diabetic foot ulcer is a common complication of diabetes mellitus. 19 to 34 percent of people with diabetes will suffer from a diabetic foot ulcer (DFU) at some point in their lives.(1) The risk of developing such an ulcer increases with time.

Patients with diabetes are at risk of foot ulcerations due to both peripheral and autonomic neuropathy as well as macro- and microangiopathy.

Help to prevent the formation of diabetes foot ulcers

Sensitivity tests to detect peripheral neuropathy
Adaption of a holistic approach

Up to


of diabetic foot-related amputations can be prevented with a holistic approach.(4)

Help to maintain the skin integrity of the foot

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Sucess story

Rescue from amputation

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Find out more about how wound management with Prontosan® and Askina® changed the situation.

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of DFU are infected on presentation.(10)

Treatment guide

Depending on the extent of the tissue damage, diabetic foot ulcers are categorized into five grades.(11-15) Every grade requires a specific treatment.

Our product portfolio

Skin prevention and protection

Wound bed preparation and biofilm management

Wound infection and odor management

Exudate management


1) Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018;1411(1):153-165. doi:10.1111/nyas.13569.

2) International Best Pratice Guidelines: Wound Management in Diabetic foot Ulcers. Wound International, 2013.

3) Smieja M, Hunt DL, Edelman D, Etchells E, Cornuz J, Simel DL. Clinical examination for the detection of protective sensation in the feet of diabetic patients. International Cooperative Group for Clinical Examination Research. J Gen Intern Med. 1999;14(7):418-424.

4) Armstrong DG, Fisher TK, Lepow B, et al. Pathophysiology and Principles of Management of the Diabetic Foot. In: Fitridge R, Thompson M, editors. Mechanisms of Vascular Disease: A Reference Book for Vascular Specialists [Internet]. Adelaide (AU): University of Adelaide Press; 2011. 26.

5) Depending on the extent of the tissue damage, diabetic foot ulcers are categorized into different grades, see Refs. 11-15 

6) Otero DP, Domínguez DV, Fernández LH, Magariño AS, González VJ, Klepzing JV, Montesinos JV. Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. J Wound Care. 2017 Mar 2;26(3):128-136. doi: 10.12968/jowc.2017.26.3.128. PMID: 28277990.

7) Instruction for use MDD Linovera®, Instruction for use MDD Linovera® Emulsion

8) Instruction for use: Askina® Heel, Askina® Foam, Askina® Sorb, Askina® Sorb Rope, Askina® DresSil® Border, Prontosan® Wound Irrigation Solution, Prontosan® Gel X, Prontosan® Debridement Pad, Askina® Calgitrol® Paste, Askin Calgitrol® AG, Askina® Calgitrol® THIN.

9) Kim SY, Kim TH, Choi JY, et al. Predictors for Amputation in Patients with Diabetic Foot Wound. Vasc Specialist Int. 2018;34(4):109-116. doi:10.5758/vsi.2018.34.4.109);

10) K Markakis, F. L. Bowling, A. J. M. Boulton. The diabetic foot in 2015: an overview. Diabetes Metab Res Rev 2016; 32(Suppl. 1): 169–178. DOI: 10.1002/dmrr.2740

11) Pecoraro RE, Reiber GE, Burgess EM. Pathways to diabetic limb amputation. Basis for prevention. Diabetes Care 1990; 13(5):513-21

12) Wagner, FW. Foot Ankle, 2: 64-122, 1981

13) International Best Pratice Guidelines: Wound Management in Diabetic foot Ulcers. Wound International, 2013.

14) Wounds UK. Best Pratice Statement : Ankle brachial pressure index (ABPI) in pratice. London : Wounds uk, 2019. Avalaibe to download from :

15) From Complex to Closure : Diabetic Foot Ulcer Assessment and Management Copyright © 2018 WoundSource & Kestrel Health Information, Inc. All rights reserved.

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