Diabetic foot risk stratification and triage
These risk categories relate to the use of the SCI-Diabetes foot risk stratification tool
In remission/high risk
Definition
In remission
Previous ulceration, amputation or consolidated Charcot.
High
More than one risk factor present e.g. a combination of loss of sensation, signs of peripheral arterial disease, significant callus, significant structural deformity, unable to or has no help to self care or an eGFR <30.
Action
- No further foot screening required as risk level will not reduce
- Implementation of a treatment/management plan by a podiatrist experienced in the diabetic foot agreed with the individual focused on preventing primary or recurrent ulceration according to individual needs and recorded on the SCI-Diabetes system
- Review of agreed treatment/management plan annually, as a minimum,
according to individuals needs and recorded on the SCI-Diabetes system - Further review of individual’s own or prescription footwear and insoles by an
orthotist/podiatrist, especially for those ‘In Remission’ - Referral to other relevant specialists as required
- Provide written and verbal education including information on how to
access podiatry (urgent or otherwise) as required - Provide cardiovascular risk reduction information and encourage and signpost all smokers to a smoking cessation programme.
