Diabetes Foot Screen - Hrsa (Page 4 of 4) in pdf

Diabetes Foot Screen - Hrsa Page 4

Comprehensive Diabetes Lower Extremity Amputation Prevention Program

Risk and Management Categories for the Foot

Risk Category

Description

Diabetes, but no loss of protective sensation in feet

Diabetes, loss of protective sensation in feet

Diabetes, loss of protective sensation in feet with high pressure

(callout/deformity), or poor circulation.

Diabetes, history of plantar ulceration or neuropathic fracture.

Note: “loss of protective sensation” is assessed using a 5.07 monofilament at 10 locations on each foot.

Category

Management Category

Education emphasizing disease control, proper shoe fit/design

Follow-up yearly for foot screen

Follow as needed for skin/callus/nail care or orthoses

Education emphasizing disease control, proper shoe fit/design, daily self-

inspection, skin/nail care, early reporting of foot injuries

Proper fitting/design footwear with soft inserts/soles

Routine follow-up 3 – 6 months for foot/shoe examination &nail care

Education emphasizing disease control, proper shoe fit/design, self-

inspection, skin/nail/callus care, early reporting of foot injuries

Depth-inlay footwear, molded/modified orthoses; modified shoes as needed

Routine follow-up 1 – 3 months for foot/activity/footwear evaluation and

callus/nail care

Education emphasizing disease control, proper fitting footwear, self-

inspection, skin/nail/callus care and early reporting of foot injuries

Depth-inlay footwear, molded/modified orthoses; modified/custom footwear,

ankle-foot orthoses as needed

Routine follow-up 1 – 12 week for foot/activity/footwear evaluation and

callus/nail care

Diabetic Foot Clinic visit frequency may vary based on individual patient needs..

Diabetes Foot Screen - Hrsa Page 4