Diabetic foot care

Pam’s pigeon toes

Diabetic foot care

Pam’s pigeon toes

Angela Evans, Pat Phillips

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Abstract

Correcting structural and functional foot problems, such as pigeon toes, in patients with diabetes can lead to numerous positive outcomes.

Article Extract

Correction of structural and functional foot problems, such as pigeon toes, can help patients with diabetes to increase their level of activity and fitness, lose weight, and, subsequently, improve their glycaemic control and level of comfort.

Case history

Pam is 63 years old and has had type 2 diabetes for five years. Recently, her blood glucose control has not been ideal, with HbA1c values ranging from 7.9 to the current 8.8% over the last year (an ideal HbA1c is <7%). Pam is overweight (weight 61.2 kg; height 1.5 m; BMI 27.2 kg/m2). She takes metformin 850 mg twice daily and glipizide 10 mg twice daily.