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School of Health and Related Research (ScHARR), University of Sheffield. Clinical Guidelines for Type 2 Diabetes: Prevention and Management of Foot Problems [Internet]. Sheffield (UK): University of Sheffield; 2003. (NICE Clinical Guidelines, No. 10.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

11Research issues

The guideline development group identified the following areas which they felt were inadequately addressed by the available literature.

Therapeutic footwear should be evaluated for effectiveness and cost-effectiveness in patients at higher risk of ulceration.

A co-ordinated and comprehensive trial programme is required for all aspects of foot ulcer treatment and care: notably the effectiveness and cost-effectiveness of different antibiotic regimens, wound dressings and other treatments for diabetic ulcer.

Further research is required to identify the appropriate level and combination of risk factors at which patients should be categorised as at high risk for ulceration and be offered attendance on a protection programme.

Research is required to identify strategies for ensuring ongoing care and evaluation for people with diabetes who are elderly or have mobility problems.

The use of standardised measures, including ulcer classification and outcome measures, in research studies would greatly enhance the ability of reviewers to undertake better analysis, including comparison of outcomes of interventions.

The effectiveness of patient education, including patient education that uses graphic visualisations of the sequelae of disease, in relation to foot ulcers, should be investigated.

Different models, approaches and means of delivery of patient education should be investigated.

The use of pressure relieving devices, including pressure relieving shoes, should be evaluated.

The effectiveness of patient self-monitoring of foot problems should be evaluated.

Copyright © 2003, School of Health and Related Research (ScHARR), University of Sheffield.
Cover of Clinical Guidelines for Type 2 Diabetes
Clinical Guidelines for Type 2 Diabetes: Prevention and Management of Foot Problems [Internet].
NICE Clinical Guidelines, No. 10.
School of Health and Related Research (ScHARR), University of Sheffield.
Sheffield (UK): University of Sheffield; 2003.

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