Journal List > J Korean Diabetes > v.12(2) > 1054822

Lee: Prevention and Education for Diabetic Foot

Abstract

Diabetic foot ulceration, which can result in amputations of the lower extremities and death, is a major complication for people with diabetes mellitus. Comprehensive foot care programs based on the International Consensus on the Diabetic Foot 2007, including regular inspections and examination of the foot at risk, identification of the foot at risk, education of patient, family and healthcare provider, recommendations of appropriate footwear, and treatment of non-ulcerative pathologies, can reduce the occurrence of foot lesions in up to 50% of patients. The objective of this overview is to discuss how to prevent diabetic foot, and educate patients with diabetic foot.

REFERENCES

1. Education Committee of Korean Diabetes Association. Diabetes education guidebook: diabetic foot management. 2nd ed.Seoul: Korean Diabetes Association;2006. p. 53.
2. Cavanagh PR, Ulbrecht JS. Caputo: the biomechanics of the foot in diabetes mellitus. Bowker JH, Pfeiffer MA, editors. Levin and O'Neal's the diabetic foot. 6th ed.St. Louis: Mosby;2001.
3. Apelqvist J, Bakker K, van Houtum WH, Schaper NC. International Working Group on the Diabetic Foot (IWGDF) Editorial Board. Practical guidelines on the management and prevention of the diabetic foot: based upon the International Consensus on the Diabetic Foot (2007) Prepared by the International Working Group on the Diabetic Foot. Diabetes Metab Res Rev. 2008; 24(Suppl 1):S181–7.
4. Bryant RA, Nix DP. Acute and chronic wounds: current management concept. In: Driver VR, Landowski MA, Madsen JL. Neuropathic wounds: the diabetic wound. 3rd ed.St. Louis: Mosby;2007.
5. Apelqvist J, Bakker K, van Houtum WH, Nabuurs-Franssen MH, Schaper NC. International consensus and practical guidelines on the management and the prevention of the diabetic foot. International Working Group on the Diabetic Foot. Diabetes Metab Res Rev. 2000; 16(Suppl 1):S84–92.
6. Lavery LA, Armstrong DG, Vela SA, Quebedeaux TL, Fleischli JG. Practical criteria for screening patients at high risk for diabetic foot ulceration. Arch Intern Med. 1998; 158:157–62.
crossref
7. Peters EJ, Lavery LA. International Working Group on the Diabetic FOot. Effectiveness of the diabetic foot risk classification system of the International Working Group on the Diabetic Foot. Diabetes Care. 2001; 24:1442–7.
crossref
8. Valk GD, Kriegsman DM, Assendelft WJ. Patient education for preventing diabetic foot ulceration. A systematic review. Endocrinol Metab Clin North Am. 2002; 31:633–58.
9. Kim YJ, Min HK, Choi YG, Lee TH, Hea GB, Sin SH, Gang SG, Kim KW, Lee HC. Diabetes. 3rd ed.Seoul: Korean Diabetes Association;2005. p. 520.

Table 1.
Classification system of risk published by The International Working Group on the Diabetic Foot
Category Risk profile Check-up frequency
Group 0 No other risk factors Once per year
Group 1 Sensory neuropathy Once every 6 mo
Group 2 Neuropathy, vascular disease, and/or foot deformities Once every 3 mo
Group 3 3a History of foot ulcers Once every 1-3 mo
3b History of foot amputations
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