With costs rising into the double digit billions of dollars every year in the USA alone, wounds on the foot in people with diabetes are among the most costly and common conditions encountered. A recently published study by a team from Baylor College of Medicine, the University of Michigan and the University of Arizona has uncovered some unique and useful findings. “This study was both surprising and heartening”, noted Neal Barshes, Assistant Professor in the DeBakey Department of Surgery at Baylor College of Medicine and the lead author on the study, “We saw that these little changes that are made to practice can really have a significant impact on outcomes and costs and that resources spent on preventing wounds can be much more effective than investing in healing them.” The study, which modeled a sample of 100,000 people with diabetes, found that very low-cost interventions, applied relatively early, can make a difference. David G. Armstrong, Professor of Surgery and Director of the University of Arizona’s Southern Arizona Limb Salvage Alliance (SALSA), the study’s senior author indicated “I think the summary of this study is that little things mean a lot. Simple techniques like manually assessing for loss of feeling on the foot or clever uses of text messaging reminders can mean the difference between having a wound or losing a limb or, hopefully, being able to move through the world having never had to experience that dreaded outcome.” The study, published online ahead of print in the Journal of Diabetes and its Complications, is the most far reaching of its kind to date.