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- Peripheral neuropathy progression – loss of protective sensation that masks injuries. See: understanding neuropathy
- Undetected wounds becoming ulcers, then deep infections requiring hospitalization
- Charcot foot – progressive bone collapse from repeated undetected stress fractures
- Peripheral Artery Disease (PAD) reducing wound-healing capacity. See: understanding PAD
- Lower-extremity amputation – a preventable outcome with proper podiatric monitoring


- Wound Debridement: Careful removal of dead and infected tissue to promote healing from the wound base
- Offloading & Pressure Relief: Total contact casting (TCC), custom orthotics, or therapeutic footwear to protect the wound site during healing
- Advanced Wound Dressings: Evidence-based dressings selected for wound type, depth, and moisture management
- Infection Management: Wound cultures, antibiotic coordination, and multi-disciplinary collaboration with your endocrinologist and infectious disease team
- Surgical Intervention: Abscess drainage, bone debridement for osteomyelitis, or reconstructive procedures when conservative wound care is insufficient


