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The underlying causes of foot ulceration

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Neuropathic ulcers commonly occur on the plantar a Neuropathic ulcers commonly occur on the plantar aspect of the metatarsal heads and toes and require urgent referral

Studies indicate that in patients with diabetes the annual incidence of foot ulcers is around 3%, and the lifetime risk of an individual acquiring a foot ulcer is as high as 25%.1,2

Foot ulceration is the most common diabetic complication resulting in hospital admission and is the leading cause of lower limb amputation in the UK.

Many of these amputations could be avoided by better patient education, improved glycaemic control, early recognition of foot problems and timely referral to a diabetic foot care team.3

Underlying causes
The major aetiological factors for foot ulceration in diabetes are peripheral neuropathy and peripheral vascular disease.

Trauma from unsuitable footwear may initiate the problem, while foot deformity, poor visual acuity and increasing age are further risk factors for ulceration.4


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Comments

Thanks for article by Dr David Morris. This was shared with all the practice nurse team by our diabetic lead nurse

Raising the profile of diabetic foot changes is important for all clinicians in primary care and this article is helpful for that, reminding us non-diabetes specialists of the importance of early recognition and early management.
thanks
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