Foot ulcers and amputations are a major cause of morbidity, disability, as well as emotional and physical costs for people with diabetes. Early recognition and management of independent risk factors for ulcers and amputations can prevent or delay the onset of adverse outcomes. This position statement provides recommendations for people who currently have no foot ulcers, and outlines the best me...

Diabetic foot ulcers are the source of major suffering and very large costs for both the patient and the health-care system, and every 30 s, a leg is lost somewhere in the world. Investing in a diabetic foot care guideline can therefore be one of the most cost-effective forms of health-care expenditure, provided the guideline is goal focused and properly implemented. The objective of the Intern...

[Purpose] This study evaluated gait parameters and foot pressure in two regions of the feet among older females with different personal care support needs to analyze factors that contribute to higher support requirements. [Subjects and Methods] Thirty-two older females were divided into support-need and care-need level groups. Gait parameters (speed, cadence, step length, step width, gait angle...

Comprehensive Foot Examination and Risk Assessment: a Report of the Task Force of the Foot Care Interest Group of the American Diabetes Association, With Endorsement by the American Association of Clinical Endocrinologists Andrew J.M. Boulton, David G. Armstrong, Stephen F. Albert, Robert G. Frykberg, Richard Hellman, M. Sue Kirkman, Lawrence A. Lavery, Joseph W. LeMaster, Joseph L. Mills, Sr.,...

Sixty inpatients with diabetic foot were studied prospectively at the Orthopaedic wards of Hospital Kuala Lumpur. Data was evaluated to document the patient profile and the factors that were associated with a major amputation (either above knee or below knee) of the lower limb. Factors that were associated with increased risk of amputation were a low education level, manual occupation, poor foo...

Neil Baker is a Principal Diabetes Specialist and Research Podiatrist, Ipswich Hospital NHS Trust, Ipswich. Colin Kenny is a GP, Dromore, County Down. Costs associated with diabetic foot complications place an enormous burden upon the health economy, particularly if amputations occur, with associated prolonged inpatient care. There is a very considerable human cost with amputations, as well as ...

Diabetic foot problems are not very glamorous. Nevertheless, the diabetic foot is the most common complication of diabetes, greater than retinopathy, nephropathy, heart attack and stroke combined. Throughout the world, foot lesions and foot infections are the leading causes of hospitalization and prolonged hospital stays for diabetics. Diabetic foot ulceration is the result of trauma to an inse...

The diabetic foot presents a complex interplay of neuropathic, macrovascular, and microvascular disease on an abnormal metabolic background, complicated by an increased susceptibility to mechanical, thermal, and chemical injury and decreased healing ability. The abnormalities of diabetes, once present, are not curable. But most severe foot abnormalities in the diabetic are due to neglect of inj...