An overview of foot disease associated with diabetes mellitus

The pathologic mechanisms by which diabetes creates alterations in the neural, vascular, and immunologic systems are complex. Thanks to increased knowledge, clinicians can intercede and prevent disease and disability. Appropriate glycemic control for all patients with diabetes can prevent neuropathy and vascular changes. Early detection and appropriate intervention for patients at risk for ulceration must be a part of every nurse's practice. Education of the patient or significant other must be included as part of instruction provided to those with diabetes. In contrast to the devastating results of the pathology of diabetes, these interventions seem "painfully" simple.