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Diabetic Foot Ulcer — Full GuideEndocrinology

Diagnosis and Wound Assessment

Diagnosis of diabetic foot ulcers involves comprehensive wound assessment including size, depth, location, infection status, and tissue characteristics. The Wagner classification system (grades 0–5) or University of Texas classification is used to grade ulcer severity and guide treatment decisions.

Vascular evaluation is critical — this includes Doppler ultrasound, ankle-brachial index (ABI), and possibly angiography to assess blood flow. Neurological assessment determines the presence and extent of peripheral neuropathy. Blood glucose monitoring and HbA1c testing assess glycemic control. Imaging (X-ray, MRI) may be used if osteomyelitis (bone infection) is suspected.

Cuban specialists perform a thorough assessment to determine if Heberprot-P® is appropriate, including wound classification, vascular status, infection status, and glycemic control.

Medically Reviewed

Dr. Luis Hernández

MD, Endocrinology — CIGB Havana

Last reviewed: July 12, 2026

Medical References

  1. [1]Berlanga J et al. Heberprot-P: A novel product for treating diabetic foot ulcers. Biotecnología Aplicada.
  2. [2]Cuba's Center for Genetic Engineering and Biotechnology (CIGB). Heberprot-P® Clinical Documentation.
  3. [3]International Working Group on the Diabetic Foot (IWGDF). Practical Guidelines.

This content has been medically reviewed by qualified physicians and follows SMC Salud's editorial policy for health information. Medical content is for informational purposes and does not replace professional medical advice.

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