Offloading the diabetic foot in the developing world

Diabetic foot complications are the most common cause of hospital admissions among people with diabetes. Worldwide, more than 1 million amputations are performed each year as a consequence of diabetes, which means that a lower limb is lost to diabetes somewhere in the world every 30 seconds. If a person with diabetes has a lesion on the sole of a foot, offloading bodyweight is of vital importance; all therapeutic efforts are bound to fail if he or she continues to walk on an ulcer. In 2000, the authors of this report designed a system of offloading that was developed specifically for people living in developing countries. The Samadhan System is based on the principles of simplicity and ease of application. Requiring no special training, it is affordable and effective.

Samadhan System, India