Complicated plantar ulcer in diabetic patient with multiple comorbidities

Ulcera plantare complicata in paziente diabetico con plurime comorbilità

  • Luca Monge S.S.D. Gestione Complicanze del Diabete - Piede Diabetico dell’A.O.U. Città della Salute e della Scienza, Torino - Italy
Keywords: Type 2 diabetes, Diabetic foot, DPP-4 inhibitors, Linagliptin

Abstract

Diabetic foot syndrome is characterized by an intrinsic patient fragility and involves complex medical and surgical therapeutic approach. Lesions, often chronic, have a high risk of recurrence and amputation. The patient with diabetic foot is more frequently affected by comorbidities, not only for micro-angiopathic complications of diabetes mellitus but also for the frequent presence of cardiovascular disease. We report the case of a 63-year-old diabetic patient with multiple comorbidities. Treatment with linagliptin allowed to simplify the therapy for glycemic control, switching from a injective therapy four times daily to a therapy with only basal insulin and linagliptin. This therapy has proven to be safe and suitable to maintain good glycemic control even in a fragile patient with diabetic foot and middle-severe renal insufficiency of diabetic origin (Diabetology).

Published
2018-07-31
How to Cite
MongeL. (2018). Complicated plantar ulcer in diabetic patient with multiple comorbidities. AboutOpen, 4(1), 86-88. https://doi.org/10.19156/abtpn.2018.0049