Diabetic foot problems: prevention and management

National Institute for Health and Care Excellence


Diabetes is the most common cause of non‑traumatic limb amputation, with diabetic foot ulcers preceding more than 80% of amputations in people with diabetes. Foot problems in people with diabetes have a significant financial impact on the NHS through primary care, community care, outpatient costs, increased bed occupancy and prolonged hospital stays. It is estimated that around £650 million (or £1 in every £150 the NHS spends) is spent on foot ulcers or amputations each year.

This Guidelines summary includes recommendations on: investigating and managing diabetic foot ulcer, diabetic foot infection, and Charcot arthropathy; and referral for diabetic foot problems.


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