Özet:

The number of diabetic patients worldwide is increasing and the incidence of accompanying complications, especially diabetic footsteps (DAUs), is increasing, and the complications associated with diabetes are the most common cause of morbidity. The annual incidence of complications associated with DAU is 2%. Treatment and monitoring of ADHD is important for reasons such as improving the quality of life of the patient, controlling the infection, reducing the risk of amputation and reducing the economic burden in the country. With effective diabetes management, it is possible to delay or prevent DAU complications. The objectives of treatment and prevention are patient education, good metabolic control, identification and treatment of patients with risk factors. The wound is healed. DAU is characterized by the extension of the inflammatory response, the delay in the regeneration of the matrix. The delay in the healing of DAU, the presence of repeated infections, the increase in the frequency of hospitalization is associated with morbidity. Multidisciplinary approach in treatment is important to prevent this failure. In DAU, medical nutritional treatment is required with medical treatments to ensure glycemic control in the healing of the wound. The priority in nutritional treatment and the need for nutritional support is important to evaluate the nutritional status. The insufficient intake of nutrients delays the prolongation of the inflammatory process, reducing the proliferation of fibroblast and the deterioration of the collagen synthesis, causing wound healing. The presence of malnutrition also affects the healing of the wound. In 84.8 percent of patients with ADHD, the nutrition status was deteriorated. The severity of DAU and the related inflammatory response are associated with negative protein metabolism that intensifies the nutrient deficiencies. The goal of optimal nutrition is to ensure the healing of the wound. The completion of the lack of energy, macro and micro nutrients in the correction of the nutritional condition positively affects the recovery process of the wound. The dietary supplement may be a complementary therapeutic measure. There is no evidence-based guidance to treat the DAUs. The risk factors that affect the immune function, which cause poor nutrition and poor glycemic control, can be improved by dietary therapy. As a result, nutritional therapy that provides sufficient energy, protein, vitamins and minerals can help to maximize immunity function. Patients with ADHD should be encouraged to healthy food.

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