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. 2018 Jun;59(6):291-294.
doi: 10.11622/smedj.2018069.

Prevention of Diabetic Foot Complications

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Free PMC article

Prevention of Diabetic Foot Complications

Aziz Nather et al. Singapore Med J. .
Free PMC article

Abstract

This paper discussed the importance of prevention of diabetic foot ulcers and our institution's protocol for prevention, reviewing the existing evidence in the literature regarding the effectiveness of the preventive approach. Diabetes mellitus is the second most significant cause of disease in Singapore after ischaemic heart disease. National University Hospital, Singapore, adopts a two-pronged strategy for the management of diabetic foot ulcers. The most important strategy is prevention, and education is key. Education should mainly be directed at patients and caregivers, but also professionals (general practitioners, allied health professionals and nurses) so that they can effectively educate patients and caregivers. Patient education includes care of diabetes mellitus, care of the foot and use of appropriate footwear. Patients also tend to have poor foot hygiene. Annual foot screening for diagnosed diabetics plays an important role. However, prolonged and sustained government intervention is necessary to provide education and screening on a national scale.

Keywords: annual foot screening; care of diabetes; care of foot and choice of footwear; education; prevention of diabetic foot wounds.

Figures

Fig. 1
Fig. 1
Algorithm for prevention of diabetes mellitus and diabetic foot.
Box 1
Box 1
Materials for professional education.
Box 2
Box 2
Materials for patient education.
Fig. 2
Fig. 2
Foot risk stratification scheme.(30)

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