Foot Steps Podiatry Service
Why do i need a diabetic foot assessment
A diabetic foot assessment is an essential element of your diabetic health care and should be carried out at least annually to monitor changes to your protective sensory perception, along with retinopathy check-ups and your HbA1c blood test to monitor blood glucose stability. If you don't know your HbA1c results you should ask your diabetic nurse or GP for them to enable other health care professionals to ascertain your suitability to undergo treatments such as nail surgery.
High blood glucose levels damage the lining of blood vessels and peripheral nerves (particularly those in the lower limb and foot). This damage goes unnoticed for years until the physical symptoms begin to appear. Symptoms can include loss of sensory perception which is important for walking and alerting you to injury to the foot. The principle behind the diabetic foot assessment is to monitor these changes so that the appropriate referrals and treatments can be sought asap. High blood glucose levels also increase your risk of infection and slow your rate of healing.
Why should you have a diabetic foot assessment with us ?
Our diabetic foot assessment is more comprehensive than the NHS assessment and assesses the following areas vital in the early detection of diabetic neuropathy and diabetic foot syndrome:
1) Ability to feel vibration and light touch
2) Distinguish between warm/cold
3) Evaluating blood flow to your feet which is essential for nerve function and healing
4) Analysis of your plantar pressures which is vital in proactively looking for potential areas of ulceration and using a diabetic orthotic (insole) to evenly redistribute plantar pressure and therefore reduce the risk of future problems.
5) Test for sudomotor dysfunction using the neuropad® which is essential for identifying early signs of diabetic foot syndrome and diabetic neuropathy.