Patient discussions
Patient education is considered an important part of the prevention and management of diabetes-related foot disease, despite a lack of strong supporting evidence. Studies suggest that education about diabetes-related foot problems improves knowledge and self-care, but it is unclear whether this translates to improved quality of life or reduced incidence of ulcers or amputation incidence.[99] Evidence also suggests that while education for people with diabetes and their families is important, the knowledge is quickly forgotten and needs to be reinforced regularly.[100]
The UK National Institute for Health and Care Excellence (NICE) recommends that people with diabetes and/or their family members or carers be provided with information and clear explanations of the potential for the development of foot disease at initial assessment, at annual assessment, or if problems arise. This should include oral and written advice on:[9]
Basic foot care advice and the importance of footcare
Foot emergencies and who to contact
Footwear advice
The person’s individual risk of developing a foot problem (low, moderate, or high risk)
Information about diabetes and the importance of blood glucose control
It is very important to reiterate to patients the need for adherence to any offloading restrictions. Specifically, the need to wear any protective offloading footwear or removable cast-walkers for any steps taken (even within the home) should be emphasised.
If a diabetic foot problem does develop, NICE recommends providing the patient with oral and written information including:[9]
A clear explanation of the foot problem
Pictures of diabetic foot problems
Advice on care of the other leg
How to recognise a foot emergency and who to contact
Wound care
Footwear advice
Diabetes UK: putting feet first Opens in new window
Diabetes Australia: diabetes and your feet Opens in new window
American Podiatric Medical Association: diabetic wound care Opens in new window
ADA: diabetic foot complications Opens in new window
JAMA Patient Page: what are diabetic foot ulcers? Opens in new window
Use of this content is subject to our disclaimer