Forced migration due to armed conflicts, natural disasters, and disease outbreaks often involves walking on terrain that is treacherous. The focus of The Lancet Diabetes & Endocrinology Series on diabetes in humanitarian crises is on health-care needs in catastrophic times,^{,  ,}  but the Series barely touches on the topic of foot care. We believe that foot care should be of primary concern for people with diabetes in emergency situations. We recognise that peripheral neuropathy and insensate feet are a chronic complication of diabetes. However, lower-limb infection due to peripheral neuropathy and unsanitary conditions is common in humanitarian crises. Since foot lesions can originate from a solitary traumatic event and rapidly progress to gangrene and sepsis, loss of life from diabetic foot infections is both certain and uncounted. Moreover, the problem of diabetic foot disease might be magnified in Africa. The International Diabetes Federation estimates that 70% of Africans with diabetes are undiagnosed. Without a diagnosis, practices known to prevent or mitigate diabetic foot complications will not be implemented and people will die before presentation.

中文翻译：

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糖尿病患者的强迫迁移和足部护理。

由于武装冲突，自然灾害和疾病爆发而导致的强迫迁徙通常涉及在险恶的地形上行走。重点柳叶刀糖尿病及内分泌系列在人道主义危机糖尿病是灾难性的次卫生保健需求，^{，  ，} 但是该系列几乎没有涉及足部护理的话题。我们认为，在紧急情况下，足部护理应该是糖尿病患者的首要考虑。我们认识到周围神经病变和脚麻木是糖尿病的慢性并发症。然而，在人道主义危机中，由于周围神经病变和不卫生条件引起的下肢感染很常见。由于足部损伤可能起源于单独的创伤事件，并迅速发展为坏疽和败血症，因此糖尿病足部感染导致的生命损失既是确定的，也没有计算在内。此外，在非洲，糖尿病足病的问题可能会扩大。国际糖尿病联合会估计，非洲70％的非洲糖尿病患者未被诊断。没有诊断，