A simpler method proposed by researchers provides a more detailed risk score based on three pieces of information (insensitivity, foot pulse, previous history of ulcers or amputation). This method is not meant to replace people regularly checking their own feet but complement it. Footwear
Diabetic shoes, insoles and socks are personalised products that relieve pressure on the foot in order to prevent ulcers. The evidence for special footwear to treat foot ulcers is poor but their effectiveness for prevention is well-established. Design features of footwear that are effective in reducing pressure are arch supports, cushioned cut-outs around points at risk of damage, and cushioning at the ball of the foot. Technology for measuring the pressure within the shoes is recommended during designing diabetic footwear.People with loss of feeling in their feet should not walk around barefoot, but use proper footwear at all times. Treatment
Foot ulcers in diabetes require multidisciplinary assessment, usually by diabetes nurse specialist, a tissue viability nurse, podiatrists, diabetes specialists and surgeons. An aim to improve glycaemic  control, if poor, forms part of the management, to slow disease progression. Individuals who have sausage shaped toes, a positive probe to bone test, evidence suggesting osteomyelitis, suspected charcot neuroarthropathy, or those whose ulcers do not improve within 4 weeks of standard care and where there is evidence that exudate is of synovial membrane in origin.
Acroosteolysis is resorption of the distal bony phalanges. Acroosteolysis has two patterns of resorption in adults:  diffuse and bandlike. The diffuse pattern of resorption has a widely diverse differential diagnosis which includes:  pyknodysostosis, collagen vascular disease and vasculitis, Raynauds neuropathy, trauma, epidermolysis bullosa, psoriasis, frostbite, sarcoidosis, hypertrophic osteoarthropathy, acromegaly, and advanced leprosy.The bandlike pattern of resorption may be seen with polyvinyl chloride exposure and Hadju-Cheney syndrome.A mnemonic commonly used for acro-osteolysis is PINCHFO.Pyknodysostosis, Psoriasis,
Injury (thermal burn, frostbite),
Neuropathy (diabetes),
Collagen vascular disease (scleroderma, Raynauds),
Hyperparathyroidism,
Familial (Hadju-Cheney, progeria), 
Occupational (polyvinyl exposure),
Acroosteolysis may be associated with minimal skin changes or with ischemic skin lesions that may result in digital necrosis. : 665

See also
Nail anatomy


== References ==