BMJ Best Practice Podcast Diabetic foot disease
Aug 28, 2023
Dr. Kieran Walsh talks to Nicole Mottolini, a Podiatrist and Clinical Fellow at NHS Resolution, about the safer management of diabetic foot disease. They discuss challenges in diagnosing the condition, the role of NHS Resolution, principles of managing diabetic foot disease, and the importance of implementing recommendations for prevention.
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Definition Of Diabetes‑Related Foot Disease
- Diabetes related foot disease includes neuropathy, peripheral arterial disease, ulcers, infection, Charcot, gangrene or amputation.
- The formal term is 'diabetes related foot disease' and covers major and minor amputations.
Assessment Gaps And Terminology Problems
- Clinicians often miss assessing lower limb risk in routine diabetes care due to disconnect and inconsistent terminology.
- Calling ulcers 'wounds' or 'sores' prevents consistent diagnosis and delays appropriate management.
Patients Often Never Had Their Feet Examined
- Nicole regularly hears patients who've had diabetes for years say no one ever examined their feet or discussed limb risk.
- She finds this common and regards it as a major missed opportunity for prevention and education.