Diabetes can be an exceptionally complex condition requiring input and management from a variety of medical professionals. A key member of this team is your Podiatrist. Patients with Diabetes require regular podiatric care as their feet are at higher risk of complications. As with many conditions, early identification and regular treatment leads to better outcomes.
Diabetes is a complex condition that occurs when the body is either unable to produce or doesn’t respond well to the body’s insulin. This leads to an increase in glucose (sugar) levels in the blood.
Individuals with Diabetes are at risk of developing many complications with their lower limbs. Diabetes can damage the nerves in the feet reducing the ability to feel damage to the skin (Peripheral Neuropathy). Diabetes can also damage blood vessels which can reduce blood flow to the feet and toes (Peripheral Vascular Disease). This prolongs healing time subsequently increasing the likelihood of simple cuts and scratches turning into ulcerations. A Neurovascular Assessment conducted in our clinic can easily identify if either or both conditions are present.
A Neurovascular Assessment is a series of non-invasive tests used to assess sensation and circulation. Sensation is assessed via ability to detect light touch and vibration. The blood flow is assessed using a doppler ultrasound, a blood pressure cuff on both the arm and toe, visual inspection of skin condition, and detecting foot temperature and pulses.
It is recommended to have an initial Neurovascular Assessment conducted after a Diabetes or pre-Diabetes diagnosis so your Podiatrist can identify your baseline foot health.
After your initial Neurovascular Assessment, your Podiatrist will advise you on frequency of future assessments. Neurovascular Assessments are typically required every 12 months however for those with other risk factors or more advanced disease progression, more frequent assessments may be required.