Prevention and Early Intervention for Diabetes Foot Problems
The staggering human and economic costs of diabetes foot
disease may be reduced significantly with increased practice of several simple
preventive care measures designed to prevent foot ulcers and lower extremity
amputations. Routine annual foot screening facilitates early interventions to
reduce the incidence of the most common precipitating events including injury
and footwear-related trauma to the insensitive foot. The key elements of
preventive care include: annual examination of the feet by health care
providers to determine risk factors for ulceration; subsequent exams of high
risk feet at each patient visit; patient education about daily self-care of the
feet; and careful glucose management. The national health objectives for
the year 2000 to decrease the rate of amputation in the population overall, as
well as in specific high risk minority groups, serve as a call to action for
both health care providers and people with diabetes to make routine diabetes
foot care a high priority.
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