Therapeutic Stockings to Prevent Foot Ulcers

We will identify a cohort of high-risk diabetic patients and assign them to two treatment
groups. We plan to enroll patients from three sites: Scott and White Hospital in Temple
Texas, Manchester Royal Infirmary, UK , and Trinity College Dublin at St James Hospital..
The two treatment arms will involve a Standard Therapy Group, and a Stocking Therapy Group.
The Stocking Therapy group will use the special padded and friction reducing stockings in
their standard shoes during the course of the study. Patient enrollment will occur over a
one-year period. All patients will be followed for 30 months. The Standard Therapy Group
will receive therapeutic shoes, standard insoles, patient education and regular foot
evaluations by a physician every 10-12 weeks. The Stocking Therapy Group will receive
standard therapy as described above but use the special stockings instead of their usual
hose. The investigator at each site will be blinded regarding the treatment.

Inclusion Criteria:

- Men or women 18 years old or older

- Diagnosis of Diabetes Mellitus*

- History of diabetes related foot ulceration

Spanish-speaking subjects will be eligible to participate.

Exclusion Criteria:

- Active Charcot Arthropathy

- Gangrene, active infection

- Midfoot or higher level amputation

- Alcohol or substance abuse within 6 months

- Unreliable, unwilling or unable to comprehend informed consent