Diabetes complications

Comparison of 4, 8, and 12 week screening and foot care frequencies in persons in remission: The DIATIME comparative efficacy study – A randomized clinical trial

Diabetes Res Clin PractPublished Randomised controlled trial

Authors' conclusion

This trial found superior clinical efficacy in preventing plantar recurrence rates with the 4-weeks screening period compared to 8 and 12 weeks. This trial was

Study context

Population
High-risk patients in remission with a healed plantar foot ulcer
Participants
148 patients
Comparison
Foot screening every 4 vs 8 vs 12 weeks
Primary endpoint
Percentage of participants with plantar DFU recurrence
Follow-up
1 year
Methodological detailsthree-arm, comparative efficacy
  • Three-arm
  • Comparative efficacy

Primary result

As reported in the abstract

Plantar DFU recurrence · 12 months

P < 0.001

Overall recurrence
50 participants (33.8 %)

Further findings

OutcomeP value
Ulcer survival curvesBetween 4-weeks and 8-weeks; 12-weeks · curves significantly differedlog-rank test, P < 0.001

Logistic regression: allocation associated with ulcer recurrence · 1 year

Allocation the only variable associated with recurrence (P < 0.001)
95 % CI 1.509-4.001

Original publication

Comparison of 4, 8, and 12 week screening and foot care frequencies in persons in remission: The DIATIME comparative efficacy study – A randomized clinical trial. Diabetes Res Clin Pract. Published 24 October 2025. doi:10.1016/j.diabres.2025.112962

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