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Jan Apelqvist


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Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)


  • Nicolaas C. Schaper
  • Jaap J. van Netten
  • Jan Apelqvist
  • Sicco A. Bus
  • Robert J. Hinchliffe
  • Benjamin A. Lipsky

Summary, in English

Diabetic foot disease results in a major global burden for patients and the health care system. The International Working Group on the Diabetic Foot (IWGDF) has been producing evidence-based guidelines on the prevention and management of diabetic foot disease since 1999. In 2019, all IWGDF Guidelines have been updated based on systematic reviews of the literature and formulation of recommendations by multidisciplinary experts from all over the world. In this document, the IWGDF Practical Guidelines, we describe the basic principles of prevention, classification, and treatment of diabetic foot disease, based on the six IWGDF Guideline chapters. We also describe the organizational levels to successfully prevent and treat diabetic foot disease according to these principles and provide addenda to assist with foot screening. The information in these practical guidelines is aimed at the global community of health care professionals who are involved in the care of persons with diabetes. Many studies around the world support our belief that implementing these prevention and management principles is associated with a decrease in the frequency of diabetes-related lower extremity amputations. We hope that these updated practical guidelines continue to serve as reference document to aid health care providers in reducing the global burden of diabetic foot disease.


  • EXODIAB: Excellence of Diabetes Research in Sweden

Publishing year





Diabetes/Metabolism Research and Reviews





Document type

Journal article


John Wiley & Sons Inc.


  • Health Care Service and Management, Health Policy and Services and Health Economy


  • daily practice
  • diabetic foot
  • education
  • foot ulcer
  • footwear
  • guidance
  • guidelines
  • implementation
  • infection
  • interdisciplinary treatment
  • offloading
  • peripheral artery disease




  • ISSN: 1520-7552