Remote home monitoring to identify and prevent diabetic foot ulceration

The formation of a foot ulceration is an end-stage complication of diabetes. Given that a diabetic foot ulceration has a 50% chance of becoming infected and the subsequent risk of a moderate to severe diabetic foot infection requiring amputation is approximately 15%, the need for aggressive prevention is great (1-3). The current standard of care for diabetic foot prevention includes diabetic foot education, regular diabetic foot evaluation, and therapeutic shoes and bespoke insoles. The current standard of care has been shown to decrease the re-ulceration rate by half (4-11).