Diabetic foot problems

1st December 2015 by Louise Hudman

Diabetic foot problems

This is a new guideline from NICE on assessing and managing people with diabetic foot problems.

Foot problems are very common in people with diabetes and come with huge morbidity. The following are some surprising statistics:

  • 10% of people with diabetes will get a foot ulcer at some point in their lives.
  • 1 in 3 people with diabetes  over the age of 50 have peripheral arterial disease.
  • 50% of those with an ulcer will die within 5 yrs
  • 70% will die within 5 yrs of an amputation.

Risk Assessment of patients

The following are risk factors for diabetic foot problems:

  • Neuropathy 
  • Limb ischaemia 
  • Ulceration.
  • Callus.
  • Infection and/or inflammation.
  • Deformity.
  • Gangrene.
  • Charcot arthropathy (beware redness, warmth, swelling or deformity – though deformity and pain may not be present)

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