Proactive Strategies for Preventing Diabetic Foot Complications

Diabetes is a common chronic condition that can lead to a range of complications, with diabetic foot issues being a major concern. Addressing a variety of concerns such as peripheral neuropathy and foot ulcers requires taking proactive steps to reduce risks and maintain good foot health. Delving into the preventive strategies set forth by the International Working Group on the Diabetic Foot (IWGDF) in 2015 can greatly help in avoiding severe outcomes.

1. Keeping an Eye on Your Feet

It's important to adjust how often you get your feet checked based on your risk level, whether that's once a year, every six months, every three months, or every month. Identifying signs or symptoms of peripheral neuropathy and peripheral artery disease is crucial for detecting diabetic foot problems.

2. Comprehensive Screening

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Individuals with diabetes and peripheral neuropathy need to undergo comprehensive screening to assess various risk factors such as foot deformities, previous ulcers or amputations, and poor foot hygiene. It is crucial to address pre-ulcerative signs promptly by implementing interventions like callus removal and proper wound care.

3. Ensuring Foot Safety

Patients at risk should be informed about the significance of safeguarding their feet. One important way to prevent foot injuries and diabetic foot ulcers is by always wearing appropriate footwear, whether you're inside or outside.

4. Establishing a Daily Foot Care Routine

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It is crucial to incorporate a daily foot care regimen into your routine. It is important for patients to check their feet and shoes every day, making sure they are clean and avoiding harsh chemicals for removing calluses. Using emollients can help keep your skin hydrated, and following the correct nail trimming methods can lower the chances of getting ingrown toenails.

5. Choosing the Right Footwear

It's essential to wear properly fitting shoes to avoid foot ulcers. If you have foot deformities or pre-ulcerative signs, it's important to consider therapeutic shoes, custom-made insoles, or toe orthoses to help alleviate pressure points and provide the necessary support.

6. Monitoring Foot Temperature at Home

Patients at high risk can benefit from monitoring foot skin temperature at home. Recognizing temperature changes early can indicate inflammation, leading to prompt action from both the patient and healthcare provider to avoid ulcers.

7. Education is a crucial factor

Education is a crucial factor in empowering patients to manage their foot health effectively. Enhancing foot care knowledge and behavior through in-depth education programmes promotes following preventive measures, which can lower the risk of foot complications.

8. preventing recurrent diabetic foot ulcers

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When it comes to preventing recurrent foot ulcers, a comprehensive approach is essential. This includes receiving professional foot treatment, wearing suitable footwear, and staying educated on the matter. Consistent assessment and modifications to the care plan are crucial for maximizing its effectiveness in reducing potential risks.


To effectively prevent diabetic foot problems, a proactive and comprehensive approach is necessary, following the IWGDF guidelines. Implementing these strategies can help individuals with diabetes reduce the risk of developing foot complications, ultimately improving their quality of life.

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