SENSORY LOSS

Your feet will be assessed for Numbness or other changes in sensation (Neuropathy) this will be tested with a neuro-pen, a simple piece of equipment that detects sensory loss (sensation of touch)

the blood supply to your feet

Your Podiatrist will manually check the pulses in your feet, this may be followed by the use of a special piece of equipment called a Doppler - if the Podiatrist feels it is required. The Doppler gives an audible representation of the pulses in your feet. After this part of your diabetic assessment, the Podiatrist will explain her findings fully and will give her recommendations for any further examinations, investigations or treatment needed.

DIABETIC HEALTH BACKGROUND QUESTIONS

During your Diabetic Foot Assessment, you will be asked about your feet generally and about how you manage your diabetes. Questions such as :

• Do you have any cramp-like pains when walking, resting or at night?
• Have you ever had any wounds to your feet?
• Have you had any pain discomfort?
• Do you check your feet daily?
• How generally well controlled is your diabetes?
• Who looks after your diabetic care - G.P, Practice Nurse, Hospital?
• Your footwear will also be reviewed and advice offered.

DIABETIC FOOT HEALTH RISK STATUS

You will be informed of your diabetic foot health risk status :

• Low risk: No risk, or a callus without any other problems.

• Moderate risk: One sign of a foot problem such as a loss of sensation or a change in foot shape.

• High risk: More than one sign of a foot problem, or a previous ulcer.

After your diabetic foot assessment, you will be given any other relevant advice regarding precautions that you can take to avoid foot health complications that may arise in the future, such as infection, foot ulceration or amputations. A report letter of our findings will be sent to your GP, with recommendations for any changes to the management of your diabetic foot health. All findings will be discussed with you in full and a copy the GP’s report letter will also be sent to you.