Which clinical feature, if present, best predicts the development of a foot ulcer in a patient with diabetes?

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A 56-year-old man with a 5-year history of type 2 diabetes mellitus was worried about developing a foot ulcer.

Which clinical feature, if present, best predicts the development of a foot ulcer in a patient with diabetes?
A . absent foot pulses
B . absent sensation to a monofilament
C . history of a previous foot ulcer
D . inability to perform own foot care
E . vibration perception threshold >25v

Answer: C

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