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The lower limb in people with diabetes Position statement of the Australian Diabetes Society
Author(s) -
Campbell Lesley V,
Graham Antony R,
Kidd Roullnd M,
Molloy Hugh F,
O'Rourke Sharon R,
Colaglurl Stephen
Publication year - 2000
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2000.tb125690.x
Subject(s) - diabetes mellitus , medicine , amputation , position statement , foot (prosody) , diabetic foot , foot deformity , deformity , physical therapy , peripheral neuropathy , multidisciplinary approach , intensive care medicine , family medicine , surgery , endocrinology , linguistics , philosophy , social science , sociology
Diabetic lower‐limb problems result in significant social, medical and economic consequences and are the most common cause of hospitalisation for people with diabetes. In people with diabetes, amputations are 15 times more common than in people without diabetes, and 50% of all amputations occur in people with diabetes. Peripheral neuropathy, vascular disease, infection and deformity of the feet are the major predisposing factors leading to ulceration or amputation. All people with diabetes should receive basic footcare education, and regular foot examinations. The risk for the development of ulceration can be assessed by basic clinical examination of the foot. Management strategies depend on the risk category, and range from basic education and annual review to specialist care by a multidisciplinary team.