A comprehensive approach to prevention of complications must include good glucose control, adherence to diet, an exercise program, proper medication and hygiene, and regular foot care. Those who follow the medical team's advice have a good chance of preventing or delaying the complications of the disease, and living normal lives. Furthermore, with such a regimen as groundwork, it is estimated that more than half of the lower extremity amputations among people with diabetes could be prevented. The American Podiatric Medical Association is a partner in diabetes educational outreach programs of the National Institute of Diabetes and Digestive and Kidney Diseases . For the person with diabetes who has not yet developed foot complications, there are warning signs which should be recognized and called to the attention of the family physician or podiatrist.
Ulceration is a common occurrence of the diabetic foot.
Poorly fitted shoes, or something as seemingly trivial as a stocking seam, can create a wound that cannot be felt and may not immediately be seen by someone whose level of skin sensation has been minimized. Left unattended, such an ulcer can quickly become infected and lead to serious consequences. For the person with diabetes a number of practices and precautions should be employed. Regular visits to a podiatric physician for foot inspections, no less than annually and preferably more often, are recommended. The doctor may conduct specific diagnostic tests to assess the presence or progression of diabetes complications.