Foot care for people with diabetes: prevention of complications and treatment
This article for nurses on foot care for people with diabetes is the second in a series of five evidence reviews being written by Sarah Chapman for the British Journal of Community Nursing through 2017. It was published there in April.
The prevalence of diabetes, one of the most common chronic conditions in the UK, is increasing. In England, the number of people diagnosed with diabetes rose from 1.9 million in 2006 to 2.9 million in 2013 and this is expected to rise to more than 5 million by 2025. The life expectancy of people with diabetes is shortened by up to 15 years, and 75% die of macrovascular complications (NICE, 2016).
Diabetic neuropathy and peripheral arterial disease put people with diabetes at greater risk of foot problems and it is estimated that one in ten will have a foot ulcer due to diabetes during their lives. Diabetes is also the most common cause of limb amputation not associated with trauma, and 80% of these amputations will be preceded by foot ulceration (NICE, 2016).
Foot ulcers have a significant impact on people’s quality of life, while the annual cost to the NHS of foot ulcers or amputations was estimated to be around £650 million in 2012, or £1 in every £150. There is considerable regional variation in services and practice for preventing and treating foot problems in people with diabetes, highlighted by NICE in their latest guideline on Diabetic foot problems: prevention and management (NICE, 2016).
Evidence-based practice in foot care for people with diabetes
Evidence-based practice is the use of current best evidence in making decisions a Continue reading