- analysis of relevant literature has produced guidelines on the management of the diabetic foot
- off-loading diabetic foot ulcers
- the society for Vascular Surgery, the American Podiatric Medical Association and the Society for Vascular Medicine collaborated to develop the guidelines
- guidelines built upon systematic literature review of 5 areas; (1) prevention of diabetic foot ulceration, (2) off-loading, (3) diagnosis of osteomyelitis, (4) wound care and (5) peripheral arterial disease,
- recommendations include custom therapeutic footwear for high-risk diabetic patients.
The Diabetic Foot: a multi-disciplinary approach
Due to a lack of information resulting from any analysis of the literature relating to the care of the diabetic foot, the society for Vascular Surgery, the American Podiatric Medical Association and the Society for Vascular Medicine conducted a three year study of the relevant literature resulting in the publication of guidelines on the topic. The committee synthesised the points of view of each professional body by reviewing each others publications to produce what they describe as the ‘first ever’ guidelines of their kind. Diabetes is set to continue to affect more people world-wide. Today it’s estimated 382 million people suffer with the disorder and by 2035 that figure will increase to 592 million. The World Health Organisation predict that by 2030 diabetes will be the 7th leading cause of death. A feature of the prevalence of diabetes is the increase in limb loss. Each year over 1 million people loose a limb due to diabetes. Diabetic foot ulcers (DFU) precede 80% of diabetes related lower extremity amputations. Neuropathy, foot deformities, limited ankle range motion, high plantar foot pressure, minor trauma, previous ulceration or amputation and visual impairment are all common among among DFU sufferers. The published guidelines recommend using custom therapeutic footwear in high risk diabetic patients, including those with significant neuropathy, foot deformities or previous amputation. Firefly Orthoses offer a range of options for the treatment of patients who suffer diabetes. Our Diabetic Tridensity device is designed specifically for the high risk diabetic foot and features a medium durometer EVA arch fill. Diabetic Tridensity Orthotic We also provide orthotic device additions for deformities and amputations such as the Sulcus Crest and the Amputation Accommodation.