**7. Conclusion**

Patients may not receive the podiatry follow-up necessary to identify warning signs of recurrence and provide appropriate management. To guide preventive strategies, it is necessary to fully understand the factors that predict the recurrence of *Assessment of Diabetic Foot DOI: http://dx.doi.org/10.5772/intechopen.106731*

ulcers. The strongest predictor of diabetic foot ulcer is the previous foot ulcer. A study of patients with healed foot ulcers has shown that early signs of skin damage such as heavy calluses, blisters, and bleeding are one of the strongest predictors of ulcer recurrence. If these pre-ulcer lesions are recognized early, their treatment can probably prevent the recurrence of many ulcers [21].

Low-risk individuals may progress to medium-risk or high-risk and should continue their foot examinations annually. More frequent follow-up is recommended for medium-risk or high-risk patients. Patients with foot malformations or patients diagnosed with peripheral neuropathy or peripheral arterial disease at baseline. Introducing prophylactic foot care services for basic nail and skin care including, wound resection of callus, for patients with callus and deformed toe nail. Timely referrals to foot protection services to manage risk factors for diabetics prevent infection, gangrene, amputation, or death, reducing hospitalization and costs [22].
