Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes

Mazzuca et al (1986) studies 532 people with diabetes (type not stated) in a primarycare setting. Subjects were randomised to an intervention group who receivedinstruction on footcare, and a control group. Follow up at between 11.8 and 14.3months showed no difference in level of knowledge. Of the original cohort 275 (52%)completed the follow up assessment.Other studies have also examined this question. One hundred people (mean age 65years) with diabetes and high risk feet attended a two-session education programmeconducted by a diabetes educator 3 months apart in this cohort study (Ward et al,1999). The programme included foot self examination, foot washing, proper footwear,and encouragement in enlisting proper physician foot care. Data on 34 people whoattended both sessions showed a significant improvement in knowledge score duringthe first visit (p