03/02/2026
Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycaemia resulting from insufficient insulin production, impaired insulin action, or both, leading to chronic complications affecting multiple organs. The global prevalence of diabetes has risen dramatically, driven by population growth and ageing. It is a leading cause of non-traumatic lower limb amputation, with one in four individuals developing a foot problem requiring care. People with diabetes face a significantly higher risk of foot ulcers, gangrene, and amputation. This course focuses on preventing and managing diabetic foot complications using evidence-based guidelines and promoting safe physical activity supported by orthotics and individualized interventions.
Outcome
In Tanzania, limited access to specialized foot care services, delayed presentation, inadequate screening, and gaps in multidisciplinary management contribute to preventable complications. Strengthening early identification of at-risk feet, structured risk classification, pressure redistribution strategies, and evidence-based wound care is therefore critical. A short course targeting prosthetic/orthotic clinicians, nurses, podiatrists, rehabilitation professionals, and technicians will build practical competencies in screening, conservative management, footwear and orthotic design, and patient self-management support.
The course integrates evidence-based guidelines with context-appropriate approaches, including the use of plantar pressure assessment, individualized offloading strategies, and monitoring tools that enhance adherence and reduce ulcer risk. This training directly supports limb preservation efforts, reduces avoidable amputations, and strengthens diabetes-related rehabilitation services within the Tanzanian health system By equipping healthcare providers with standardized assessment methods and coordinated multidisciplinary care strategies.
