n CME : Your SA Journal of CPD - Principles of management of vascular problems in the diabetic foot




Recognising that the symptoms of foot ischaemia in a diabetic patient are caused by macrovascular stenosis or occlusion due to atherosclerosis is the most important principle in the management of lower limb salvage in diabetics. The erroneous concept that microvascular occlusion of arterioles, so-called small-vessel disease, is the cause of gangrene, ulceration and amputations in diabetics still persists, in spite of several studies proving otherwise.


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