Risk Factors for Diabetic Foot Ulcerations

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Risk identification is fundamental for effective preventive management of the foot in people with diabetes. The risk of ulcers or amputations is increased in people who: have had diabetes ≥10 years, are male, have poor glucose control, or have cardiovascular, retinal, or renal complications.

Foot ulcers and amputations are a major cause of morbidity and disability.
but not only they are also creating emotional and physical costs for people with diabetes.

Early recognition and management of risk factors for ulcers and amputations can prevent or delay the onset of adverse outcomes.

The following recommendations are based on the technical review of care for the nonulcerated foot in diabetes from the American Diabetes Association (ADA).

Risk Identification

Risk identification is fundamental for effective preventive management of the foot in people with diabetes.
The risk of ulcers or amputations is increased in people who:
have had diabetes ≥10 years, are male, have poor glucose control, or have cardiovascular, retinal, or renal complications. The following foot-related risk conditions are associated with an increased risk of amputation:

Risk identification is fundamental for effective preventive management of the foot in people with diabetes.

The risk of ulcers or amputations is increased in:

  • Males
  • Have had diabetes ≥10 years
  • Are suffering from at least one of the following::
    • Poor glucose control
    • Cardiovascular, retinal, or renal complications.

The following foot-related risk conditions are associated with an increased risk of amputation:

  • Peripheral neuropathy with loss of protective sensation
  • Altered biomechanics (in the presence of neuropathy)
  • Evidence of increased pressure (erythema, hemorrhage under a callus)
  • Bony deformity
  • Peripheral vascular disease (decreased or absent pedal pulses)
  • A history of ulcers or amputation
  • Severe nail pathology

Foot Exam

All individuals with diabetes should receive an annual foot examination to identify high-risk foot conditions.
People with one or more high-risk foot conditions should be evaluated more frequently for the development of additional risk factors. 

It is important that diabetics seek podiatric care on a regular basis to prevent foot problems that can easily get out of control.

A podiatrist will ensure proper foot care, from maintenance to the treatment of any developing problems.

Dr. Kenya Lazovik

Dr. Kenya Lazovik

Dr. Lazovik strives to provide high-quality care to her patients at Cliffside Park Foot and Ankle Center. She is trained to address a wide range of medical issues such as bunions, arthritis, heel pain, sports medicine, flat foot, diabetic foot care, and wound care. Her office is outfitted with digital x-ray and lasers used in the treatment of fungal nails and various soft tissue injuries as well as an affiliation with a state-of-the-art custom orthotics lab.

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About Dr. Lazovik, DPM

Dr. Kenya Lazovik received her doctoral degree in podiatric medicine from the New York College of Podiatric Medicine and completed a podiatric residency training at St. John’s Episcopal Hospital in Queens. She is a member of the American College of Foot and Ankle Surgeons, the American Podiatric Medical Association, and the New Jersey Podiatry Medical Society. She is double board certified by ABFAS for Foot & Ankle surgery and by ABMSP for Diabetic Foot Care.

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