Diabetic foot

Abstract

#### What you need to know Foot disease affects nearly 6% of people with diabetes1 and includes infection, ulceration, or destruction of tissues of the foot.2 It can impair patients’ quality of life and affect social participation and livelihood.3 Between 0.03% and 1.5% of patients with diabetic foot require an amputation.4 Most amputations start with ulcers and can be prevented with good foot care and screening to assess the risk for foot complications.5 We provide an update on the prevention and initial management of diabetic foot in primary care. #### Sources and selection criteria This clinical update is based on recommendations in the standard treatment guideline, The diabetic foot: prevention and management in India 2016, published by the Indian Ministry of Health and Family Welfare.33 A multidisciplinary guideline development group consisting of surgeons, primary care practitioners, and a patient representative developed these guidelines, with inputs from experts in diabetes, diabetic foot rehabilitation, and vascular surgery. The group included representation from rural and urban India, and public and private sectors. The guideline development group selected recommendations from the National Institute for Health and Care Excellence clinical guideline 19. Diabetic foot problems: prevention and management. Updated 2016, International Working Group on the Diabetic Foot guidance on the prevention of foot ulcers in at-risk patients with diabetes 2015, National Institute for Health and Care Excellence. Peripheral arterial disease: diagnosis and management. Guideline 147, 2012, and …