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Foot risk category 2 in diabetes

In diabetic foot ulcer risk category 2, the protective sensation is missing and an arterial disease is affecting lower limbs or either of the above is related to changes in the structure or joint functions of the feet.

Picture of a foot that is reddish-mottled, swollen, and somewhat structurally altered. The foot is classified as risk category two.

If your feet have been diagnosed with

1) a loss of sensation and reduced circulation

or

2) a loss of sensation and changes in the structure of the feet or the function of joints

or

3) reduced circulation and changes in the structure of the feet or the function of joints,

you belong to diabetic foot ulcer risk category 2. Your risk of a long-term diabetic foot ulcer is five time as high compared to a person without the above-mentioned changes in their feet.

Instructions for you, if your risk category is 2:

  • Taking good care of your feet and checking them on a daily basis is now more important than ever, as there is a high risk of foot ulcer.

  • Your feet should be examined during each follow-up appointment.

  • The progress of related complications can be prevented. This can be done by taking good care of your diabetes, keeping your blood sugar, blood pressure and cholesterol at a good level and, if you are a smoker, quitting smoking.

  • Due to the structural or functional issues with your feet, you may need aids and tools, such as orthopaedic inserts and devices or guards to keep your toes in the correct position. It may be necessary to modify your footwear or use special shoes.

You will need to have your feet regularly checked by a podiatrist or foot therapist. The number of appointments depends on the quality of the foot problems and your ability to look after your feet.

Updated 8.11.2023