Boris Krahulec, Lujza Štrbová
The main causing factors of diabetic foot syndrome are diabetic polyneuropathy (distal symetric sensory-motoric neuropathy and also autonomic neuropathy with mediocalcinosis, oedema, neuroosteoartropathy) and foot ischemia due to atherosclerosis and microangiopathy. Infection is also very important causing factor of diabetic foot syndrome, especially if osteomyelitis is present. The result of severe infection is complicated wound heeling. Next important factor which is contributing to diabetic foot syndrome is cheiroartropathy (limited joint mobility). Most often iniciating factors of wound formation are biomechanic stress (bad shoe inner surface is often resulting to callus formation) and trauma. Prevention of diabetic foot syndrome is the important role of diabetologist. He/she must perform regularly foot examination (pulse palpation, sensory testing). If the risk foot is found, appropriate education must be done. If ulceration is present, referral to foot centre is very important.