The purpose of this study is to determine whether using the OWEMR as part of the standard of care for Diabetic Foot Ulcers reduces the rate of lower limb amputations and to quantify the relationship between glycemic control and the rate of amputation secondary to chronic foot ulcers in Type II Diabetes.

The Online Wound Electronic Medical Record (OWEMR) is a medical informatics tool that synthesizes data about complex wound problems from multiple sources and is innovative in its capability to performing these critical tasks: i) identification of the information needed to make treatment decisions at the point of care in real time ii) use intelligent search and report features to identify patients who require emergency interventions, and iii) provide evidence-based clinical decision support to clinicians. Use of the OWEMR includes digital photography as an objective measurement of wound healing rates.

• Signed informed Consent
• Type I or II diabetes*
• A break in the skin on the foot ≥ 0.5cm2
• 18 yrs of age or older
• Hemoglobin A1c value within the last 120 days
• No use of Investigational Agents /Devices on study or within 30 days prior to enrollment
• Subjects who will be locally available for the next 6 months