Journal List > J Korean Diabetes > v.19(1) > 1055097

Cha: Foot Care for Diabetic Patients

Abstract

The incidence of diabetes is increasing not only in Korea, but also globally. Diabetes mellitus is a disease with problematic complications. Diabetic foot is a typical complication that reduces the quality of life and is a burden on the economy. Active foot examination and foot care education are methods to prevent diabetic foot at a minimum cost. Early detection, treatment, and education are the primary responsibilities of healthcare providers.

References

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Table 1.
Risk classification based on the comprehensive foot examination
Risk category Definition Treatment recommendations Suggested follow-up
0 No LOPS, no PAD, no deformity 1. Patient education including advice on appropriate footwear Annually (by generalist and/or specialist)
1 LOPS ± deformity 1. Consider prescriptive or accommodative footwear.
2. Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.
Every 3∼6 months (by generalist or specialist)
2 PAD ± LOPS 1. Consider prescriptive or accommodative footwear.
2. Consider vascular consultation for combined followup.
Every 2∼3 months (by specialist)
3 History of ulcer or amputation 1. Same as category 1
2. Consider vascular consultation for combined followup if PAD present.
Every 1∼2 months (by specialist)

Adapted from Treatment guideline for diabetes. Seoul: Gold’ Planning and Development; 2015. p117–9 [8].

LOPS, loss of protective sensation; PAD, peripheral arterial disease.

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