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Abstract
•The treatment of diabetic foot ulcers begins with a comprehensive assessment of both the patient’s general medical condition and the wound. A standardized system for classifying foot ulcers should be used to document initial presentation and plan appropriate treatment. The development of an ulcer should underscore the need to review and intensify preventive measures.
• Extensive debridement, good local wound care, relief of pressure on the ulcer, and control of infection (when present) are believed to be important components of therapy for grade 1 and 2 foot ulcers. There are few data that compare methods of debridement (sharp, enzymatic, autolytic, mechanical, and biological). In the absence of such data, we suggest surgical (sharp) debridement rather than