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 diabetic foot problems improves knowledge and self-care; however it is unclear whether this translates to improved quality of life or reduced ulcer/amputation incidence.[119] 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.[120]
The ADA recommends that education about the risk of developing foot complications be provided to all newly diagnosed people with diabetes, and to high-risk individuals at every visit.[22]
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 emphasized.
Patients should ally themselves with a primary care provider to prevent progression of diabetes mellitus and/or peripheral artery disease. Such efforts should include monitoring blood pressure and blood glucose, quitting or avoiding tobacco products, and maintaining a heart-healthy diabetic diet.
Unless an autologous skin graft or biologic skin substitute has been recently placed, foot and leg wounds should be left open (uncovered) when showering. Local wound care instructions should be provided verbally and in writing.
APMA: diabetic wound care Opens in new window
ADA: diabetes foot complications Opens in new window
JAMA Patient Page: what are diabetic foot ulcers? Opens in new window
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