Contemporary Diabetes, 2006, 523-541, DOI: 10.1007/978-1-59745-075-1_25

The Role of Footwear in the Prevention of Diabetic Foot Problems

Luigi Uccioli

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Abstract

Diabetes represents the primary cause of nontraumatic amputation in the Western World (1). It is estimated that about 25% of subjects with diabetes will experience problems over the course of their lives with their feet and that one-third of these patients will undergo amputation (24). Although these data highlight the extent of this problem in the diabetic population, they do not necessarily predicate inevitability: on the contrary, they serve to demonstrate that simple and relatively inexpensive measures may be able to reduce even up to 85% the number of amputations (59). Some clinical conditions put the patient with diabetes “at risk of ulceration.”; An awareness of these conditions and the identification of subjects at risk may permit the introduction of suitable preventive strategies (1013).

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