ABSTRACT
This chapter presents the case study of a 63-year-old man. A 63-year-old man presents to the dermatology out-patient clinic complaining of a non-healing ulcer on his right foot. He has had poorly controlled type 2 diabetes for 22 years. Four years ago his right big toe was amputated because of ulceration and infection. He attends many different hospital appointments monthly and struggles with his weight because of chronic back pain and impaired vision. His medication includes metformin, glicazide, ramipril, amlodipine, aspirin and simvastatin. The patient is 1.85 m tall, weighs 104 kg and his blood pressure is 154/88 mmHg. He has a painless round ulcer overlying the right third metatarsal head, the base of which is covered with purulent slough. The chapter presents the risk factors for the development of foot ulcers in diabetics: Poor glycaemic control; previous foot ulceration; and prior lower limb amputation.
