People with diabetes are at increased risk of foot ulcers and amputations which are major causes of morbidity and disability.
Both foot ulcers and amputations can be
prevented by education, anticipation, early recognition and prompt management.
The most common predisposing factors for ulcers and amputations are:
- Peripheral neuropathy with loss of sensation
- Poor foot hygiene
- Peripheral vascular disease
- Deformities and abnormal biomechanics
- Unsuitable or no footwear
Cornerstones of management
- Regular inspection and examination of the foot at risk
- Identify the at-risk foot
- Education of healthworkers, people with diabetes and their families
- Appropriate footwear
- Early treatment of non-ulcerative and ulcerative foot problems