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El pie diabético viene determinado por la neuropatía que se produce en el paciente con diabetes y el traumatismo sobre el pie con la microangiopatía propia de la diabetes asociada o no a la macroangiopatía. Presentamos un paciente joven con mal control de la glucemia y de la lesión trófica que pudo conservar la funcionalidad de la extremidad con un tratamiento adecuado. The diabetic foot is determined by the result of a peripheral neuropathy that evolves with high blood sugar levels over a long time, together with macrotraumatisms over the feet in a diabetic foot already affected with microangyopathy. A macroangiopathy might be also involved. We present the case of a young patient with high blood sugar levels and a diabetic ulcer, who was able to preserve the function of his foot after a correct treatment.