The document discusses the economic burden of diabetic foot disease. It notes that even with access to healthcare and education, 9% of diabetes patients develop foot infections over two years. The prevalence of diabetes has increased substantially in urban areas of South India from 1988 to 2000. A family history of diabetes significantly increases one's risk. Common presenting symptoms include tiredness, increased urination, and thirst. Late complications affect 39% of patients and increase healthcare costs by 1.7 to 3.5 times. Patient education can reduce amputation rates by up to 60%. Hospitalization rates and costs are higher for patients with diabetes complications. Productivity loss is also an issue. The document describes several methods of classifying diabetic foot wounds.