Comprehensive foot care for people

living with diabetes

Diabetes can significantly affect the health of your feet due to changes in circulation, nerve function, and skin integrity. A diabetic foot assessment is an essential part of preventing complications such as ulcers, infections, and amputations.

Diabetes doesn’t have to lead to foot problems. With early detection and proper care, you can reduce your risk of complications and stay active without worry. Book your comprehensive diabetic foot assessment today with our experienced podiatrists.

Why diabetic foot assessments are important

Diabetes can cause:

  1. Reduced Sensation (Peripheral Neuropathy)

    High blood glucose levels can damage nerves, leading to:

  • Numbness or tingling

  • Burning or sharp pain

  • Reduced ability to feel pressure, heat, or injury

Loss of sensation increases the risk of unnoticed wounds.

2. Poor Circulation (Peripheral Arterial Disease)

Reduced blood flow to the feet can cause:

  • Delayed healing

  • Cold feet

  • Leg cramps

  • Higher chance of infections

Good circulation is essential for preventing ulcerations.

3. Higher Risk of Infection

Because healing is slower in diabetic patients, even small cuts or blisters can become serious if not treated early.

What’s included in a diabetic foot assessment

Our Podiatrists perform a comprehensive evaluation that covers 4 key areas:

  1. Medical & Diabetes History Review

We assess:

  • Duration & type of diabetes

  • Current blood glucose control (e.g. HbA1c levels if known)

  • Previous foot ulcers or infections

  • Footwear habits

  • Lifestyle factors

  • Other medical conditions (e.g. kidney disease, neuropathy etc)

2. Vascular (Circulation) Assessment

We check blood flow to ensure your feet are receiving enough oxygen and nutrients. This includes:

  • Palpation of pedal pulses (Dorsalis Pedis & Posterior Tibial)

  • Doppler ultrasound to assess arterial flow

  • Capillary refill time

  • Temperature and skin colour changes

  • Checking for swelling or varicose veins

3. Neurological Assessment

We assess nerve health using:

  • 10g monofilament testing for protective sensation

  • 128Hz tuning fork for vibration sense

  • Light touch testing

  • Reflex assessment

  • Checking for burning, tingling or numbness

This helps determine your level of neuropathy.

4. Musculoskeletal & Foot Structure Assessment

We examine:

  • Foot shape (flat feet, high arches, bunions, hammer toes)

  • Deformities that may increase pressure points

  • Joint mobility

  • Muscle strength

  • Gait analysis (how you walk)

This factors can increase the risk of skin breakdown.

5. Dermatological (Skin & Nail) Assessment

We inspect for:

  • Corns, calluses, cracked heels

  • Blisters, wounds, or redness

  • Fungal nail infections

  • Ingrown toenails

  • Dry skin

Early detection prevents complications.

6. Footwear Assessment

Poor footwear is one of the biggest contributors to foot ulcers. We assess:

  • Fit and size

  • Cushioning & support

  • Pressure points

  • Wear patterns

  • Need for diabetic or custom footwear

Your Risk Classification

After the assessment, you will be placed into a risk category:

  • Low Risk: Normal sensation & circulation

  • Moderate Risk: Presence of neuropathy, poor circulation, or foot deformity

  • High Risk: Previous ulceration, amputation, or multiple risk factors

  • Active Risk: Current ulcer, infection, or serious concern requiring urgent care

This risk level determines how often you should return for check-ups (e.g. every 3 - 12 months)

Signs You Should Seek Immediate Podiatric Care

Contact a Podiatrist promptly if you notice:

  • A blister, cut, or crack that is not healing

  • Redness, swelling, or warmth

  • Black or blue discolouration

  • Sudden numbness or severe pain

  • Ingrown toenails with infection

  • Unusual foot shape changes

podiatrist, diabetes, foot ulcer, feet check

Diabetic Foot Assessment