*2.2.2 Secondary prevention*

A past lesion is a very good indicator of future ulceration. To prevent aberrant pressure loading, efforts should be made. These efforts may include cushioning for weak and immobile persons and specifically fitting footwear for mobile people, but such interventions must be correctly targeted. Foot care, individualized examination, routine podiatry, and the availability of emergency contact information should all be emphasized in education. Education reduced recurrent ulceration and amputation by three times in under 13 months for one trial, whilst McCabe and colleagues discovered a decrease in amputees but no change in fresh ulceration. Education also increases knowledge and behavior connected to sickness. These results need to be verified. If education efforts were primarily directed at professionals, they might be more successful [34].
