If you have a loss of protective sensation or circulation in your feet and you have or have previously had a diabetic foot ulcer, you belong to foot ulcer risk category 3. This group also includes people who have had an amputation as a result of diabetes as well as people with severe kidney failure. Your risk of a long-term diabetic foot ulcer is more than ten times as high compared to a person without the above-mentioned changes in their feet.
Instructions for you, if your risk category is 3:
There is a high risk of an ulcer recurring. If you don’t know, find out with the reasons leading to a previous ulcer or amputation together with a professional.
Taking care of your feet, examining your feet on a daily basis and wearing proper footwear is now more important than ever in order to prevent further foot problems.
The progress of damage to your nerves and blood circulation can be prevented. To do this, you need to properly treat diabetes, keep your blood sugar, blood pressure and cholesterol at a good level and, if you are a smoker, quit smoking.
Once the ulcer has closed or you have had an amputation, there may be significant changes to the way you walk or the structure and joint function of your feet. For this reason, you may need different aids and tools, such as orthopaedic inserts or devices or guards to keep your toes in the correct position. It may be necessary to modify your footwear or purchase special shoes.
You will need to have your feet regularly checked by a podiatrist or foot therapist specialising in the treatment of diabetes. The number of appointments depends on the quality of the foot problems and your ability to look after your feet.