People with diabetes, whether type 1 or type 2, are at an increased risk of developing complications that affect the feet. Diabetes may have consequences on your feet by influencing blood flow and circulation, as well as affecting nerves and sensations.
Regular neurovascular assessments by a podiatrist are vital for early detection of complications, prevention of ulcers and infections and monitoring changes in foot health.
Our range of diabetes services include:
Vascular Assessment:
This assessment aims to identify early signs of vascular complications, such as peripheral arterial disease or other vascular conditions. The ultimate goal is to prevent or manage these complications and ensure better overall health for individuals with diabetes.
Skin and Nail Growth Assessment:
Our initial step involves examining the regularity and presence of dorsalis pedis and posterior tibial pulses. We also assess skin colour and temperature, expecting the skin to exhibit a normal appearance, whether pale or blue, with warmth.
Doppler Ultrasound:
Doppler ultrasound is used to identify how much blood is circulating through the arteries. We examine the rhythm of the blood flow, aiming for a steady and strong pattern. We also look for a biphasic or triphasic pulse in the dorsal pulses.
Neurological Assessment:
Examining for a diminished protective sensation in the feet resulting from the impact of diabetes on the nerves. If a decrease in protective sensation is identified, the risk of ulceration and amputation rises, leading to a diagnosis of peripheral neuropathy.
10-g monofilament:
A tool is used to exert pressure on particular regions of the foot, aiming to identify any decrease in protective sensations.
128-Hz tuning forks:
Assesses vibration sensations by positioning them on specific landmarks, with the individual being tested expected to perceive the vibrations generated by the tuning fork.
Footwear Assessment:
Proper footwear is crucial for individuals with diabetes to prevent pressure points, rubbing, and other issues that could lead to foot problems. A podiatrist can recommend suitable footwear based on an individual's foot structure and any existing conditions.
Wound Management:
Diabetes can slow down the healing process, and even minor wounds can become serious problems. Regular monitoring and proper management of wounds are essential to prevent infections and more severe complications, such as ulcerations.