According to the Declaration of St Vincente in 1989 the rate of diabet
ic amputation aspired to be reduced about 50% in five years. Unfortuna
tely this aim was not approximately achieved in the Federal Republik o
f Germany. In the following it is demonstrated in detail how to practi
ce a competent examination and treatment of diabetic fool complication
s. Furthermore new structural models are demonstrated to a better link
ing of general practitioners and specialists.