BACKGROUND

 People with diabetes who areat risk of footulceration needeffective self-care education.

The 2023 IWGDF prevention guideline identified limited evidence for structurededucation and uncertainty regarding the most effective approach. 

AIM To assess whether visual plantar-pressure feedback can strengthen annual foot-care education and support ulcer prevention.

METHODS Randomized controlled trial at Steno Diabetes Center Copenhagen. Participants at moderate-to-high risk of foot ulceration were randomized to standard education or standard education plus visual feedback based on Novel® plantar pressure measurements. WHO-5 and behavior questionnaires were completed at baseline; behavior was reassessed at 4 months, with follow-up after 10–18 months. Recruitment: May 2024–September 2025.

RESULTS 325 participants were included (163 intervention; 162 standard care). Baseline data are shown in Tables 1 and 2.

The 4-month behavior questionnaire was completed by 100 participants (Table 3).

LIMITATIONS The study was conducted in routine clinical practice; workflow changes, technical problems with the measurement system, and staffing shortages affected study delivery.

DISCUSSION / CONCLUSION Baseline data describe a predominantly male cohort (79%) with long-standing diabetes (~24 years); 25% had chronic kidney disease and 54% retinopathy. Four-month responses identify indoor footwear as an important target for future education. Questionnaire responses suggest increased awareness. We hypothesize that visual plantar-pressure feedback will strengthen ulcer-prevention behaviors; outcome analyses will follow completion of follow-up.