- A series of free-access papers from the International Working Group on the Diabetic Foot provides evidence-based guidance on classification, diagnosis, and management of foot disease in people with diabetes.
Why this matters
- Diabetic foot disease is a major global burden for patients and health care systems.
Key topics addressed
- Prevention of diabetic foot ulcers (DFUs).
- Offloading DFUs.
- Diagnosis, prognosis, and management of peripheral artery disease in patients with DFUs.
- Diagnosis and treatment of foot infection.
- Interventions to enhance DFU healing.
- DFU classification.
- Funding: Unrestricted grants from several industry groups.
Key DFU prevention elements
- Identifying the at-risk foot.
- Regularly inspecting and examining the at-risk foot.
- Educating the patient, family, and health care professionals.
- Ensuring routine wearing of appropriate footwear.
- Treating risk factors for ulceration.
Organization of DFU care elements
- Education of patients, carers, hospital staff, and primary care professionals.
- Systems in place for detecting at-risk individuals.
- Annual foot exams for all with diabetes.
- Access to ulceration risk reduction measures, i.e., podiatric care, appropriate footwear.
- Access to prompt foot ulcer/infection treatment.
- Regular service auditing.