The purpose of the study is to evaluate the feasibility and effectiveness of a physician
directed nurse managed earlier outpatient counselling intervention for patients with diabetic
For the purpose effectiveness is defined in two ways.1) as a reduction in hospital
readmissions for complication for foot ulcers such as amputation or increased severity of the
ulcer and 2) reduction in amputations, readmission rates. Selected covariates
(self-efficacy,self-management, social support and depression) will be included to estimate
predictors for readmission and amputation.