“…People with diabetes reportedly have higher rates of hospitalization and longer IP lengths of stay than the general population (4). Duhon et al (21) reported that DFI-related hospital discharges decreased by .50% from 1996 to 2010, decreasing from 23 per 1,000 diabetes discharges to 11 per 1,000. Ali et al (22) observed that although diabetes preventive practices improved significantly in the U.S. from 1999 to 2010, 30-50% failed to achieve various treatment goals, and numerous investigations have observed poor adherence to guideline-recommended foot care in patients with diabetes, including annual foot examinations.…”