Patient/caregiver were instructed that the following causes and risk factors strongly influence the development and poor healing of diabetic foot ulcers.

  1. Poorly controlled diabetes
  2. Poorly controlled hypertension
  3. Poorly controlled atherosclerosis
  4. Peripheral vascular disease
  5. Uncontrolled chronic smoking
  6. Poor fitting footwear
  7. Uncontrolled obesity
  8. Chronic severe alcoholism
  9. Chronic kidney disease
  10. Severe vitamin B-complex deficiency