Diabetes Care
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Diabetes Care 25:S69-S70, 2002
© 2002 by the American Diabetes Association, Inc.

Position Statement

Preventive Foot Care in People With Diabetes

American Diabetes Association


   INTRODUCTION
 
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 means to identify and manage risk factors before a foot ulcer occurs or an amputation becomes imminent. These recommendations are based on the technical review of care for the nonulcerated foot in diabetes (1). An American Diabetes Association consensus statement covers the management of diabetic foot wounds (2).


   RISK IDENTIFICATION
 
Risk identification is fundamental for effective preventive management of the foot in people with diabetes. The risk of ulcers or amputations is increased in people who have had diabetes >=10 years, are male, have poor glucose control, or have cardiovascular, retinal, or renal complications. The following foot-related risk conditions are associated with an increased risk of amputation:

  • Peripheral neuropathy with loss of protective sensation
  • Evidence of increased pressure (erythema, hemorrhage under a callus) . . . [Full Text of this Article]


   FOOT EXAM
 

   PREVENTION OF HIGH-RISK CONDITIONS
 

   MANAGEMENT OF HIGH-RISK CONDITIONS
 

   PATIENT EDUCATION
 

   PROVIDER EDUCATION
 

   Footnotes
 

   References
 

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Copyright © 2002 by the American Diabetes Association.