Prevention of Primary Foot Ulcers in High-risk Diabetes Patients

Inclusion Criteria: * Diagnosis of diabetes (type 1 or 2) * Aged ≥18 * Peripheral sensory neuropathy assessed by 10-gram monofilament With * Signs of abnormal loading as indicated by callus formation or hyperaemia Or * limb ischaemia as evidenced by intermittent claudication /non-palpable pulses / history of vascular intervention Or * on renal replacement therapy Exclusion Criteria: * Patients currently prescribed with or in need of therapeutic footwear * Active or history of foot ulcer * Active Charcot's neuroarthropathy * History of major operation in the foot including amputation, * Local / systemic symptoms of infection, severe illness that would make 12 month survival unlikely * Unable to provide informed consent * Inability to follow the study instructions (as judged by the recruiting clinician).