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The underlying causes of foot ulceration

Understanding the disease processes that lead to foot changes in people with diabetes will help nurses identify those most at risk of ulceration, says David Morris

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.

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