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JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION
Volume 100, Issue 5, Pages 342-348Publisher
AMER PODIATRIC MED ASSOC
DOI: 10.7547/1000342
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At the end of an anatomical peninsula, the foot in diabetes is prone to short- and long-term complications involving neuropathy, vasculopathy, and infection. Effective management requires an interdisciplinary effort focusing on this triad. Herein, we describe the key factors leading to foot complications and the critical skill sets required to assemble a team to care for them. Although specific attention is given to a conjoined model involving podiatric medicine and vascular surgery, the so-called toe and flow model; we further outline three separate programmatic models of care-basic, intermediate, and center of excellence-that can be implemented in the developed and developing world. (J Am Podiatr Med Assoc 100(5): 342-348, 2010)
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