© 2001 by the American Diabetes Association, Inc. Friends of the Oppressed Foot?Department of Medicine, Manchester Royal Infirmary, Manchester, U.K.
The title of this editorial originates from an article in the "Herald Tribune" from 1889 entitled "Think of the Feet," which stated that the human foot is cruelly oppressed in the civilized world. It remarked that shoes were made too tight and "in utter defiance of the shape of the foot," resulting in "the foot being outraged from morning till night." Readers of Diabetes Care in the new millennium may well ask, "what has changed in the last 110 years?" When Ella Fitzgerald was interviewed in 1993 and asked what resulted in her major amputations, she replied, "I liked to wear pointy-toed evening shoes." Today, despite major steps in our understanding of the pathogenesis of diabetic foot disease, there is no evidence of any consistent reduction in amputation rates among diabetic patients in western countries, even in the Veterans FOOTNOTES References
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