LSU Health Sciences Center Diabetes Foot Program. Lower Extremity Amputation Diabetes, loss of protective sensation in feet with either high pressure …
LSU Health Sciences Center Diabetes Foot Program
Lower Extremity Amputation Prevention Program
Risk and Management Categories for the Foot
|Risk Category |Description |
|0 |Diabetes, but no loss of protective sensation in feet |
|1 |Diabetes, loss of protective sensation in feet |
|2 |Diabetes, loss of protective sensation in feet with either |
| |high pressure callout/deformity or poor circulation |
|3 |Diabetes, history of plantar ulceration or neuropathic |
| |fracture |
|Note: loss of protective sensation is assessed using a 507 monofilament at |
|10 locations on each foot |
|Category |Management Category |
| |Education emphasizing disease control, proper shoe fit/design |
|0 |Follow-up yearly for foot screen |
| |Follow as needed for
skin/callus/nail care or orthoses |
| |Education emphasizing disease control, proper shoe fit/design, daily |
|1 |self-inspection, skin/nail care, early reporting of foot injuries |
| |Proper fitting/design footwear with soft inserts/soles |
| |Routine follow-up 3 - 6 months for foot/shoe examination nail care |
| |Education emphasizing disease control, proper shoe fit/design, |
|2 |self-inspection, skin/nail/callus care, early reporting of foot |
| |injuries |
| |Depth-inlay footwear, molded/modified orthoses; modified shoes as |
| |needed |
| |Routine follow-up 1 - 3 months for foot/activity/footwear evaluation |
| |and callus/nail care |
| |Education emphasizing disease control, proper fitting footwear, |
|3 |self-inspection, skin/nail/callus care and early reporting of foot |
| |injuries
|
| |Depth-inlay footwear, molded/modified orthoses; modified/custom |
| |footwear, ankle-foot orthoses as needed |
| |Routine follow-up 1 - 12 week for foot/activity/footwear evaluation |
| |and callus/nail care |
Diabetes Foot Clinic visit frequency may vary based on individual patient
needs
Source:medschool.lsuhsc.edu
