Diabetic foot risk stratification and triage – moderate risk
One risk factor present e.g. loss of sensation or signs of peripheral vascular disease or deformity.
Tell people that they are at moderate risk of foot ulceration and refer to the foot protection service for first assessment (within 6-8 weeks). The foot protection service should; assess the feet every 3-6 months, give advice about and provide skin and nail care of the feet. Assess foot biomechanics, give footwear advice and consider providing insoles and specialist footwear. Assess lower limb vascular status. Liaise with other healthcare professionals about diabetes management and reducing the risk of cardiovascular disease. Provide information about foot emergencies and who to contact. People in hospital should be given a device to offload heel pressure.