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April 22, 1974

The Diabetic Foot

Author Affiliations

University of Iowa Hospitals Iowa City

JAMA. 1974;228(4):506. doi:10.1001/jama.1974.03230290054038

More than 80% of lower-extremity amputations in civilian life result from vascular disease. Diabetes afflicts one half of these patients. "Minor" problems do not exist in the diabetic foot. Appropriate therapy of any lesion, no matter how small, may well determine the difference between walking and life in a wheelchair or perhaps, between life and death.

The authors of this study coordinate their views in an attempt to provide the practitioner with both a background for understanding pathophysiology and the appropriate clinical approach to diabetics with foot disorders. For the most part, they accomplish this goal. All narrators repeatedly and rightfully stress patient education as the vital component in therapy of limb threatening lesions.

The monograph presents an appropriate balance between research and clinical management of diabetic neurovascular disease. Initial chapters describe signs and symptoms of various vascular and neurologic syndromes in diabetics and stress medical evaluation and diabetic control