Current Pedorthics | September-October 2020 | Vol. 52, Issue 5 | Page 48

Diabetic Foot Australia guideline Figure 1: Promoting Optimal Diabetes Foot Care - The Foot Examination - Australian Diabetes Society (click to play) https://diabetessociety.com.au/diabetesfoot/the-foot-examination.asp. are provided for people at-risk of foot ulceration; These recommendations apply to people at low-, intermediate- or highrisk. Secondly, additional specific footwear recommendations and their rationale are provided for people at intermediate- or highrisk of foot ulceration. Thirdly, footwear and offloading recommendations for people with a diabetic foot ulcer are summarised. Finally, considerations on footwear provision, on education and adherence, on cultural and geographical differences, and on methodology and terminology are discussed. Results This guideline contains 10 key recommendations to guide health professionals managing people with diabetes choosing the most appropriate footwear for the person’s specific foot risk needs (Table 2). The recommendations and their rationale are described separately in this section. Footwear for people with diabetes at-risk of foot ulceration Recommendation 1: Advise people with diabetes to wear footwear that fits, protects and accommodates the shape of their feet. Ratonale People with diabetes should wear footwear that fits, protects and accommodates the shape of their feet [14] (see Table 3 and Fig. 1). This includes having adequate length, width, 46 Pedorthic Footcare Association | www.pedorthics.org