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Diabetes mellitus
Diabetic limb ischaemia

Low risk
  • Education
  • Annual review

High risk

  • dry skin
  • dystrophic nails
  • API<0.6
 No complications
  • Special education
  • Chiropody
  • Footwear assessment
Complications
  • Claudication interfering with life > refer
  • Ulcer
    • API<0.6: consider USS/angiogram
    • API>0.6 and not healing: consider USS/angiogram
    • Critical ischaemia: refer early
  • Look after the other foot

 

Source: Northumbria NHS Health Care Trust diabetes protocol