Nutritional, Metabolic, Endocrine: Diabetes Nutritional, Metabolic, Endocrine Diabetes
Conditions
Interventions
The participants will be taken from both referrals and the existing caseload of the North and East Cornwall PCT Podiatry Service and Plymouth PCT podiatry service. Each participant will be required to
Sponsors
Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Eligibility
Inclusion criteria
Inclusion criteria: 1. The subject must be diagnosed as type I or II diabetic 2. The subject must be identified as neuropathic and at risk of ulceration 3. The subject must not currently be suffering from any lower limb vascular or neuropathic ulceration identified by scoring Grade 0 on the Wagner classification for foot ulcer 4. The subject must be ambulant. Must be able to walk a minimum of approximately 10 metres unaided 5. The subject must be willing to comply with the requirements of the study
Exclusion criteria
Exclusion criteria: 1. Subjects with current ulceration or recently healed less than 6 months prior to enrolling onto the study (as the focus of the study is preventative ulcer management rather than treatment) 2. Subjects with severe fixed midfoot or rearfoot deformity ie Charcot joint (subjects would be unsuitable for prefabricated insoles and non-bespoke footwear) 3. Subjects with a history of bone and joint surgery of the lower limb including amputation (could lead to alteration in gait kinetics and may not be suitable for non bespoke insoles and footwear) 4. Subjects lacking the ability to comprehend simple instructions and comply with the study protocols and procedures (including those not able to read printed English) 5. Allied Health Professional students as they may be considered to have a dependant relationship with the investigator 6. Subjects diagnosed as neuropathic caused by pathology other than diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Plantar peak pressure for the entire plantar surface during the stance phase of gait. | — |
Secondary
| Measure | Time frame |
|---|---|
| Added 29 July 2008: 1. Forefoot pressure time integral 2. Total contact area 3. Rate of forefoot loading 4. Duration of load as a percentage of stance 5. Perceived foot health 6. Quality of life 7. Cost | — |
Countries
United Kingdom
Outcome results
None listed