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2015 International Working Group on the Diabetic Foot Guidance on the prevention and management of foot problems in diabetes

Diabetic foot ulceration (DFU) is a global health burden that has significant psycho-social and economic ramifications. It has been estimated that the annual incidence of diabetic foot ulceration ranges between 2% and 4% in developed countries and this prevalence may be even higher in developing countries due to socio-economic differences and variations in standards of care. In 1996, the International Working Group on the Diabetic Foot (IWGDF) was founded with a vision to reduce the global impact of diabetic foot complications. They have been publishing and revising international ‘Practical Guidelines’ with a view to improving the delivery of foot care to persons with diabetes ever since. In 2007, three working groups of independent experts in the field produced evidence-based consensus reports on ‘footwear and offloading’, ‘wound management’ and ‘osteomyelitis’. In 2009, the IWGDF invited three working groups to produce new guidelines on peripheral arterial disease (PAD), wound healing and infection based on a series of systematic reviews. These guidelines were revised in 2011 to align with advances in research and clinical practice.