As a hospitalist I wind up getting involved in the care of diabetic foot problems much more than I ever anticipated. Internal Medicine World Report has a little blurb based on an interview with John M. Guirini, DPM, of the Joslin Diabetes Center.
According to Dr Giurini, “There is no one person who can take care of diabetic foot problems by him or herself. It involves the cooperation of a foot and ankle surgeon, a visiting nurse, an endocrinologist, and sometimes a vascular surgeon and infectious disease specialist.” Trying to take care of these problems on their own, “from soup to nuts” is “probably one of the worst things that physicians can do,” he warns.
A world of information about the diabetic foot can be found in the newly released guidelines of the American College of Foot and Ankle Surgeons.