Diabetic foot problem – risk assessment

Diabetic foot risk assessment neuropathy limb ischaemia ulceration callus infection & or inflammation deformity gangrene charcot arthropathyUse ABPI and interpret results with caution as calcified arteries may falsely elevate results

Risk stratification - current risk of developing a diabetic foot problems or needing an amputation

Low risk No risk factors other than callus alone , Continue annual foot assessments & appropriate advice

Moderate risk - deformity OR neuropathy OR non critical limb ischaemia, High risk previous ulceration OR previous amputation PR on renal replacement therapy OR neuropathy & non-critical limb ischaemia together OR neuropathy in combination with callus and / or deformity OR non critical limb ischaemia in combination with callus and / or deformity.

Refer foot protection service high risk -assessment within 2-4 weeks moderate risk - assessment within 6-8 weeks

Active foot problems - ulceration OR spreading infection OR critical limb ischaemia OR gangrene OR suspicion of an acute Charcot arthropathy or an unexplained hot , red , swollen foot with or without infection , Refer immediately to acute servicesNICE gives further guidance on when to refer immediately Limb threatening or life -threatening diabetic foot problem including- ulceration with fever or signs of sepsis- ulceration with limb ischaemia-...