Presentation And Diagnosis

Stage 1 is the normal foot. By definition, it does not have the risk factors for ulceration, namely neuropathy, ischaemia, deformity, callus and swelling. The diagnosis of stage 1 is made by excluding these factors.

A full foot assessment consisting of history, examination and simple investigations is described in the introduction.

Ideally this should be carried out on the first presentation of a patient. The assessment will need to be adapted when it is used for a screening examination as part of the annual review.

Foot screening may be carried out by any suitably trained health-care professional.

The screening assessment consists of four parts:

• Enquiry for past or present ulceration

• Testing for neuropathy with 10-g monofilament

• Palpation of foot pulses to detect ischaemia

• Inspection of the foot to look for the following abnormalities:





Signs of infection


Patients with none of these problems are classified as stage 1. However, the screening of stage 1 patients should be repeated at yearly intervals to ensure that patients who develop risk factors are restaged and offered treatment as appropriate.

Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

Get My Free Ebook

Post a comment