amputation

Diabetic foot complications are contributing to both mortality and morbidity among the diabetic population leading to physical, physiological and financial burden for the patients and community. The risk of ulceration and amputation among diabetic patient’s increases by two to four folds with the progression of age and duration of diabetes regardless of the type of diabetes Foot ulceration is a preventable condition, where simple interventions can reduce amputations by up to 70% through programs that could reduce its risk factors. The outcomes of education on foot self-care practices among patients with diabetes depend on the type of education provided. The management of diabetic foot ulcers remains a major therapeutic challenge which implies an urgent need to review strategies and treatments in order to achieve the goals and reduce the burden of care. Prevention of diabetic foot ulceration is critical in order to reduce the associated high morbidity and mortality rates, and the danger of amputation. It is essential to identify the “foot at risk,” through careful inspection and physical examination of the foot followed by neuropathy and vascular tests. Regular foot examination, patient education, simple hygienic practices, provision of appropriate footwear, and prompt treatment of minor injuries can decrease ulcer occurrence by 50% and eliminate the need for major amputation.These key educational elements for diabetes patients at low risk of complications are captured with CARE.