Fran Game

Journal of Renal Nursing, Vol. 4, Iss. 5, 26 Sep 2012, pp 236 - 241

Diabetes remains the single most common cause of both end-stage renal disease and non-traumatic amputation of the lower limb. There is a close association between renal disease, peripheral symmetrical neuropathy, peripheral vascular disease, foot ulcers, amputation and survival in patients with diabetes. The risk of foot ulcers or major limb amputation appears to accelerate soon after the start of renal replacement therapy. All professionals involved in the care of patients with diabetes and renal disease should be aware of the extent to which the patients' feet are at risk.

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