Management of diabetic foot includes 6 controls: (Dimas, 2014)

1. Mechanic Control
Rest the patient's feet, avoiding pressure on the injured area, and using a pillow
when lying down to avoid blisters on the wound, and using pressure sores when
necessary. Interventions on risk factors also need to be carried out, such as use of
orthotic footwear, callus management, and nail care.
2. Metabolic Control
Aiming to treat infection and support wound healing, adequate regulation of the
patient's blood glucose. Metabolic control can be achieved through medical
nutrition therapy and pharmacological therapy.
3. Vascular Control
Evaluation of foot vascular status, examination of Ankle Brachial Index (ABI),
transcutaneous oxygen pressure, toe pressure, and angiography. Vascular
disorders are found to inhibit wound healing, it needs to be managed adequately.
4. Wound Control
The procedure performed on wound control is necrotomy or debridement.
Performing necrotomy or debridement aims to get rid of necrotic tissue, drainage
of pus, reduce pressure on the wound, reduce swelling, make the environment
aerobic, facilitate swabs, and make wounds that were chronic become acute.
5. Infection Control

To resolve the possibility of infection by administering antibiotics. Administration of antibiotics

must be started empirically before a culture of resistance testing is obtained. Wounds that do not
reach the subcutaneous can be given empirical antibiotics that are effective against gram-positive
bacteria. If the wound has reached the subcutaneous, antibiotics with gram-negative bacteria or
metronidazole class are needed if there is suspicion of anaerobic bacteria. It is common for
patients present with extensive, deep wounds, and accompanied by symptoms of systemic
infection. Patients must be hospitalized and receive broad-spectrum antibiotics that include
gram-positive, negative, and anaerobic bacteria