T/CACM 1115-2018 Guidance for Practitioners of Traditional Chinese Medicine on Preventive Care of Diabetic Foot at High Risk Population

Scope

Main technical content: This guideline is developed based on the advantages of traditional Chinese medicine (TCM) in disease prevention and treatment, targeting the prevention of diseases before they occur, referring to ancient literature, expert experience, and the best modern research evidence, and combining with patients' values and wishes. The overall idea of formulating this guideline is: Diabetic foot high-risk populations belong to the category of "preventing disease from developing into illness" in TCM. At present, modern Western medicine has a single intervention method for the non-ulcerated stage of diabetic foot with generally unsatisfactory efficacy. However, TCM interventions have the characteristics of wide application and unique efficacy, filling the gap of insufficient intervention methods for diabetic foot high-risk populations in Western medicine. However, TCM interventions lack a unified efficacy evaluation, and the quality of evidence has not been systematically evaluated, leading to doubts about the authenticity of clinical efficacy. Therefore, formulating this guideline can address the above issues and guide clinicians and nursing staff to standardize the use of TCM in clinical practice; strengthen the management of diabetic foot high-risk populations; improve the awareness rate of diabetic foot prevention and treatment knowledge among diabetic foot high-risk populations and their families; promote the standardization of TCM interventions to prevent diabetic foot ulceration in high-risk populations in China; provide reliable evidence for TCM interventions to prevent diabetic foot ulceration; and ensure the safety and effectiveness of interventions. The compilation of this guideline embodies the hard work of researchers and managers in vascular departments, endocrinology departments, TCM surgery departments, and peripheral vascular departments across the country, and is the crystallization of the collective wisdom of all parties involved in the

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