Barrie Foot Clinic

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Diabetic Foot Ulceration – Prevention is Key

Date: February 24, 2011

Diabetic Foot Ulceration – Prevention is Key

According to recent literature, the world’s population with diabetes will increase from 171 million to 366 million by 2025.  Up to 25% of those will develop a foot ulceration.  It was estimated that in 2007, $30 billion was spent for the care of diabetic foot ulcers and amputations.

Prevention of a foot ulcer is the key to maintaining good foot health and starts with early awareness of the complications of diabetes and proper care.  If a foot ulcer already exists then focus will be on timely closing of the wound.  Lengthened wound healing times lead to increased risk of complications such as infection, hospitalization or amputation.

The following are important steps to proactive diabetic footcare:

1.  Regular visits to your Chiropodist/Podiatrist

     An initial examination will consist of a diabetic screening and risk assessment to detect any early or existing complications, and develop a plan for regular visits, based on the level of risk. 

2.  Protective/proper footwear.

This is one of the most important steps in preventative therapy, especially for those diabetics in the high risk group.

3.  Reducing areas of pressure.

Reducing areas of pressure can prevent breakdown of the surrounding tissues, leading to ulceration.  This may require the simplest padding or very complicated custom inserts, depending on the area of risk. 

4.  Management of all risk factors.

A diabetic should try to maintain the best control of the disease as possible, this will help to decrease all the associated complications.  Good control of any vascular disease, and weight issues are very important.

5.  Education

The literature shows that the complications of diabetes are greatly reduced when a patient is educated about the management and risk factors of diabetes.

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