Active ulceration (pictures below) is defined by The International Working Group on the Diabetic Foot 2005 (IWGDF), as:
‘a full thickness wound, i.e. a wound penetrating through the dermis, below the ankle in a diabetic patient, irrespective of duration’.
In Scotland the TEXAS scale is generally used to classify a diabetic foot ulcer: Texas Scale [.pdf, 1.72 MB].
If during the screening process you discover the individual has a foot ulcer the individual should be referred without delay for treatment/management by an experienced podiatrist who is part of a multidisciplinary foot team/service.