Diabetes Foot Screening

Diabetes and the feet

If you have diabetes, taking care of your feet is essential to prevent complications and maintain mobility. Diabetes can lead to nerve damage (neuropathy) and reduced circulation, increasing the risk of foot problems such as ulcers and infections. Regular foot screening is crucial for early detection and intervention. 

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What is the effect of Diabetes on the feet?

Foot complications are a significant concern for individuals with diabetes. Raised blood sugar levels can damage nerves (neuropathy) and blood vessels (vascular disease) in the feet, reducing sensation and blood flow. This makes individuals with diabetes more prone to foot problems such as:

• Ulcers and sores that heal slowly and can lead to serious infections.

• Charcot foot, a condition characterised by weakened bones and joint deformities.

• Peripheral arterial disease (PAD), which restricts blood flow to the legs and feet.

• Skin changes, calluses, corns, and fungal infections.

• Foot deformities, such as hammertoes and bunions.

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What is the purpose of Diabetes Foot Screening?

Regular foot screening is essential for individuals with diabetes to identify potential problems early and prevent complications. Foot screening involves a comprehensive assessment by a podiatrist, including:

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• Evaluation of foot sensation using monofilament testing and other sensory tests.

• Assessment of blood flow to the feet through pulse checks and vascular studies.

• Examination of skin integrity, presence of ulcers, callouses, and other abnormalities.

• Inspection of foot structure and footwear to identify potential areas of pressure and friction.

• Education on foot care, proper footwear, and strategies for preventing foot problems.

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How can podiatry help?

We offer personalised foot screening services tailored to each patient's unique needs, including:

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• Diabetic foot screening to assess sensation, circulation, and overall foot health.

• Customised foot care plans to address specific risk factors and prevent complications.

• Education on proper foot care techniques, including daily inspection, moisturising, and nail care etc.

• Recommendations for appropriate footwear to reduce pressure and friction on the feet.

• Treatment of foot problems such as ulcers, infections, and wounds to promote healing and prevent further damage.

• Where there is a concern over the level of circulation to the legs and feet, we will carry out an advanced vascular assessment which includes an Ankle Brachial Pressure Index (ABPI), doppler assessment and Toe Pressures.