Diabetes Care
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Boulton, A. J.M.
Right arrow Articles by Jude, E. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Boulton, A. J.M.
Right arrow Articles by Jude, E. B.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Diabetes Care 27:1832-1833, 2004
© 2004 by the American Diabetes Association, Inc.

Editorials

Therapeutic Footwear in Diabetes

The good, the bad, and the ugly?

Andrew J.M. Boulton, MD, FRCP1,2 and Edward B. Jude, MD, MRCP1

1 Department of Medicine, Manchester Royal Infirmary, Manchester, U.K.
2 Diabetes Research Institute, University of Miami, Miami, Florida

Address correspondence to Andrew J.M. Boulton, MD, FRCP, Department of Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, U.K. E-mail: aboulton@med.miami.edu

The first 20% of the full text of this article appears below.

In recent years, it has generally been accepted by the diabetes community that "good" footwear prevents foot ulceration. Indeed, it is virtually an axiom of diabetes care that a patient with a history of foot ulcer is a footwear patient for life (1). Similarly, most health care professionals believe that "bad" footwear is a major cause of ulceration in diabetes and that in the past, the fact that most therapeutic footwear was perceived as "ugly" resulted in poor compliance when such footwear was prescribed (2). Where is the evidence to support these beliefs? The last two points are easier dealt with than the first.

There are studies that support the belief that bad or inappropriate footwear causes ulceration. Apelqvist et al. (3) identified shoes as the precipitating cause in the majority of toe ulcers and a significant minority of lesions elsewhere on the foot. In another European study (4), footwear was implicated as being contributory to 21% of all ulcers in a . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 2004 by the American Diabetes Association.