Diabetes Mellitus Type 2

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Pressure Ulcers

\(\frac{1}{5}\) of individuals have risk of wound on feet w diabetes. Once u have an amputation you are at inc risk of wounds.

Guidelines for treatment of diabetic ulcers

• Offloading
• Infection control
• Wound bed prep
• Dressings
• Surgery
• Adjuvant agents (topical, device, systemic)
• Prevention of recurrence

Exercise Considerations

RCTs have shown that patients with neuropathy can perform WB exercise without increase risk of skin breakdown.

Note

These studies used specific dosing during WB exercise.