Diabetes is a global pandemic, affecting millions worldwide. While modern medicine has made great strides in managing this chronic condition, one of its most debilitating complications is often overlooked – diabetic foot disease. This complication can lead to ulcers, infections, and even amputations, severely impacting an individual’s mobility and independence. Previous research has shed light on the pivotal role assistive devices like orthoses and specialised footwear play in the clinical management of diabetic foot disease. These devices are designed to prevent and treat foot ulcers, enable participation in daily activities, and combat the social exclusion often faced by those with physical disabilities.

Without proper assistive technology, individuals with diabetes-related mobility impairments face a heightened risk of isolation, which can profoundly impact their lives, families, and communities. Assistive devices offer a lifeline, helping these individuals maintain their independence, engage in work, education, and social activities, ultimately improving their overall quality of life. Assistive technologies and devices themselves can be grouped into two categories. The first group includes devices given by specialists as medical interventions, such as custom footwear and orthoses. These are pivotal in managing the disease and its complications. The second group comprises simple, off-the-shelf devices that can enhance quality of life and preserve physical activity. While the first part is crucial for managing the medical condition, the second group not only helps manage the long-term condition but also enhances the overall quality of life.

To ensure equitable access, more structured data collection on the use of assistive devices, research, and the development of culturally competent guidelines are necessary. By accounting for technological advancements and cultural nuances, these guidelines can ensure that individuals with diabetic foot disease receive tailored, evidence-based care, reducing the global burden of disability and improving health outcomes.

As diabetes continues its alarming spread across the globe, projections indicate we’ll see a further rise in its prevalence. Alarmingly, research shows that a staggering one in three people with diabetes will develop a foot ulceration at some point in their lives. However, there is hope – studies suggest that many amputations could be avoided if foot ulcers are detected early, properly assessed, promptly referred for treatment, and given rapid care to optimise healing. This highlights an urgent need to rethink our approach to healthcare for diabetes patients. We must develop innovative models that ensure fair, equitable access to care for all, regardless of background or circumstances. Crucially, these new strategies must be culturally appropriate, and tailored to the unique needs and norms of diverse communities affected by this condition.

By prioritising early intervention and embracing culturally competent care, we can empower diabetes patients to manage their condition more effectively. This paradigm shift could help prevent countless cases of severe foot complications and life-altering amputations, preserving mobility, independence, and quality of life for millions worldwide.

References:

Chockalingam, N., Gatt, A., Formosa, C., Nachiappan, N., Healy, A. and Chockalingam, N., 2019. Provision of assistive devices for people with diabetes at risk of mobility impairment. Global perspectives on assistive technology, p.525.

Healy A, Naemi R, Chockalingam N. The effectiveness of footwear and other removable off-loading devices in the treatment of diabetic foot ulcers: a systematic review. Curr Diabetes Rev. 2014;10(4):215-30. doi: 10.2174/1573399810666140918121438.

Formosa C, Chockalingam N, Gatt A, Papanas N. Diabetic Amputations in 2023 are Still More Frightening Than Death-Act Now Before it is Too Late. Int J Low Extrem Wounds. 2023 Apr 20:15347346231171439. doi: 10.1177/15347346231171439.