Diabetic Foot Check
Why Regular Foot Checks Are Important
If you have diabetes, you are at higher risk of developing foot complications due to:
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Poor circulation (peripheral arterial disease).
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Nerve damage (Peripheral neuropathy).
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Increased risk of infection and delayed healing
Regular foot checks help detect problems early, prevent ulcers, infections, and lower the risk of amputations.
What Happens During a Diabetic Foot Assessment?
During your diabetic foot check, a podiatrist will:
Take a Full History
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Diabetes duration & control (HbA1c)
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Previous foot problems (ulcers, infections, amputations)
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Footwear, mobility and lifestyle
Inspect Your Feet
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Skin condition: dryness, cracking, callus or corns.
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Nail health: fungal nails, ingrown nails
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Signs of deformity: bunions, claw toes, charcot changes
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Footwear check
Check Circulation
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Pulse check (dorsalis pedis & posterior tibial arteries)
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Capillary refill time
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Doppler ultrasound if needed
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ABPI test (Ankle Brachial Pressure Index) where indicated
Check Nerve Sensation
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Monofilament test (10g)
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Vibration perception (128Hz tuning fork)
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Temperature and pinprick sensation
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Proprioception and reflexes
According to National Institute for Health and Care Excellence (NICE) guidelines NG 19, risk of developing a diabetic foot problem can be categorised into low, moderate, high or active diabetic foot problem.
Referral/letter is made to your GP if indicated/needed as per assessment with completed Diabetic Foot examination record.