The IWGDF Guidance on the management and prevention of foot problems in diabetes 2015 consists of 5 Guidance documents concerning: Prevention; Footwear and Offloading; Peripheral Artery Disease; Infection; Wound Healing. Next to these Guidance documents, a Summary Guidance for Daily Practice is available, as are definitions and criteria.
The Guidance documents are based on 7 systematic reviews of the literature, which are available here.
These documents have all been published in a special supplement of Diabetes Metabolism Research and Review. Full bibliographic details and all open access information of this special supplement can be found here.
Some background information regarding foot problems in diabetes, as published in 2007, can be found here.
In December 2012 Professor John M A Embil, BSc (Hon) MD, FRCPC, FACP from the Departments of Internal Medicine, (Section of Infectious Diseases) and Medical Microbiology, Coordinator Diabetic Foot and Complicated Wound Clinic, Health Sciences Centre and Program Director, Infectious Diseases Fellowship Training Program of the University of Manitoba, Winnipeg, Canada, wrote the following:
…..“The Practical Guidelines on the Management and Prevention of the Diabetic Foot” as well as the Specific Guidelines on the different subjects have been used as reference material in the undergraduate medical curriculum at the University of Manitoba for at least the past 7 years. The sessions are always rated highly by the medical students as it provides a practical overview of a very important problem.
As I reflect over the many years that I have been associated with the International Working Group, I note that the effort has been monumental to ensure the guidelines are credible evidence based documents. The result has been up to date dynamic pieces that are of great value to those of us in the field. The guidelines that have been prepared are truly of a quality and quantity that is exceptional particularly as the documents are well researched, well referenced, and evidence based in addition to being short and easy to read.
The guidelines produced by the International Working Group are particularly important as they address all of the key details for assessment and management and most importantly are well written, and short. This means that any health care provider, regardless of their level of training, can appreciate the document and incorporate its content.
I thank the chair and the rest of the IWGDF working group for all of the hard work that has been done in bringing these documents to reality and allowing us to use them and we will continue to promote the principles of the working group”……