Possibilities of fulfilling of the practical guidelines on the management of the diabetic foot in the Czech Republic are limited by lack of experts and specialized place of work in podiatry, inconsiderable are economic problems, too. Foot care is of highest quality when is directed by a multidisciplinary foot team. In the Czech Republic, there is an urgent need for podiatry training programme and foot clinic support. Investing in diabetic foot programme can be one of the most cost-effective forms of healthcare expenditure, provided the programme is goal-focused and properly implemented. Paper deal with key points of the podiatry programme--organization, health care education and effective prevention and risk patients follow-up, rational surgical treatment and foot infection management, extension of up-to-date methods of PAD treatment, and effective economic approach to foot care especially considering DRG system during hospitalization.

Centrum diabetologie IKEM Praha

Hyperbaric oxygen enhances collagen III formation in wound of ZDF rat