The diabetes could give rise to the appearance of cutaneous lesions and ulcerates in the 30% of the patients This is due to the affectation of the diabetic illness on glasses, nerves and fabric epithelial. On the other hand, they are patient that they for their own pathology of base have a high risk of infection, causing important general or local complications.

The diabetic foot is a clinical alteration of base etiopathology neuropáthy and induced by the maintained hyperglucemia, in which with or without coexistence of [isquemia], and previous traumátism, it produce lesion and/ or ulceration of the foot."

The illness arterial oclusive is four times old in the diabetic population that in which they don't suffer this illness. Although the vascular outlying illness in the diabetics is the result of a atherosclerosis accelerated in whose pathogenicity intervenes different factors, it is similar to which they present the people not diabetics.

Being the lesions multi-segmental with preference for the arteries infra-geniculum and it is accustomed to respect the arteries of the foot. The factors of risk associated with the development of vascular outlying illness is: arterial hypertension, micro-albuminuria, hyperglucemia, hyperinsulinism and obesity. These factors of risk should be controlled appropriately.

The maceration of the spaces interdigital between the room and the fifth finger. The bony alterations of the feet, due to bony malformacions and/ or conditioned by the motive neuropathy. Decrease of the cutaneous flexibility and the consequent increment of the risk of deterioration of the same. Loss of the sensibility with this shrink of the painful perception,. it will be fundamental work on the prevention in the appearance of these lesions educating the patient to recognize doesn't sole the risks but what it is important the preventive measures that the same could put into practice in order to avoid the appearance of these lesions that they are difficult to so cure and that they frequently have a great ease in order to develop complications.

To level of the micro-circulation a augmenting of the basal capillary membrane exists. This augmenting is not oclusive and is the structural dominant change in the retinopathy and in the nephropathy. The consequence is an increase from the capillary permeability and a deterioration in the self-regulation of the flow that in the kidney show for micro-albuminuria and in the eye for the formation of exudate (detachment of retina).

In the diabetic foot are speculated that these changes could hinder the migration [leucocitaria] as well as the answer [hiperémica] that takes place after a lesion. This would facilitate the infection as well as the progression of the same, joined to the presence of mushrooms, to the lack of hygiene, constant humidity in the feet, infection etc.
The diabetic foot is an excellent example that the diabetic [neuropatías] are complex and heterogeneous disorders that involve a wide range of abnormalities that they affect so much to the system nervous peripheral like to the nervous autonomous.

The diabetic patients due to the vascular inadequacy and to the neuropathy, they present a greater risk of presenting lesions in the feet that the individuals not diabetics and, that once the infection has settled down, it present an old graveness.

The extremity [isquémica] doesn't respond to the infection with increment of the local perfusion, formation of edema and infiltration [leucocitaria] of the same form that the extremity well vascularization.

Neither the antibiotics arrive to the place of the infection in an appropriate concentration due to the inadequate tissular perfusion.

I under the finish "diabetic foot" affections orb whose common is the ulcerations. In this clinical entity fundamentally vascular and neurological factors intervene.

Typically, the lesions are multi-segmental they have a preference for the arteries infra-geniculum and it is accustomed to respect the arteries of the foot. The factors of risk associated with the development of vascular outlying illness is: tobacco, arterial hypertension, hyperglucemia, hyperinsulinism, obesity and micro-albuminuria. These factors of risk should be controlled of appropriate form, since for example the arterial hypertension associates with an increment in the risk of amputation.

To level of the micro-circulatión a augmenting of the basal capillary membrane exists. This augmenting is not oclusive and is the structural dominant change in the retinopathy and in the nephropathy. The consequence is an increase from the capillary permeability and a deterioration in the self-regulation of the flow that the kidney show for micro-albuminuria and in the eye for the formation of exudate.
In the diabetic foot are speculated that these changes could hinder the migration [leucocitaria] as well as the answer [hiperémica] that takes place after a lesion. This would facilitate the infection as well as the progression of the same.

The treatment of the ulceration in the foot of the diabetic patients should guide initially against their cause, concretely against the pressure. The relief of the pressure plant could get with the rest in bed and avoiding supporting the foot as much as possible.

Besides the relief of the pressure, it ulcerates it owe [desbridarse] regularly, with the elimination of the whole callus and of the fabric not viable formed around her ulcerates. This facilitates the formation of a wound with knitting of healthy granulation that cure starting from the base and not starting from the borders.
In the face of the existence of infection, antibiotics of wide spectrum with covering are required aerobic and anaeroble, including streptococcus and staphylococus.