Peer Reviewed
Foot care in diabetes

The ABCS of foot care in diabetes: S is for structure

Pat Phillips, Angela Evans
Abstract
This article on risk factors for foot problems in people with diabetes reviews the more intensive foot care and special footwear that is often necessary in patients who have odd-shaped feet because they have worn ill-fitting shoes, have complications of their diabetes, or have flat feet or high arches.
Key Points

    Sensation and blood flow are rightly focused on when examining the feet of a patient with diabetes because peripheral neuropathy and ischaemia can both (especially in combination) threaten the person’s limb and life. Foot care is well recognised as an important preventive aspect of diabetes complications involving the foot and lower limbs. Foot structure, however, is often overlooked or poorly understood, although it is a major risk factor for foot problems, both in people with diabetes and those without the condition.

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