Download Dr K Hertfordshire Diabetes Conference Foot

Prevention of
Amputation
Caroline Leith
Team Leader
• 1-4% of people with diabetes will develop
an ulcer per year
(Leese at al, 2011; TRIEPodD-UK, 2012).
• Approximately 58% of DFU patients will
become clinically infected.
(Eurodiale study group 3)
• The number of diabetes-related
amputations in England has now reached
an all-time high of 20 a day
(Diabetes UK 2016)
• Individuals with diabetic foot ulcers
have a 50% chance of mortality in 5
years
(Young 2012)
• Early diagnosis and early
intervention by an MDT approach
can achieve good outcomes
(Edmonds2009)
Case Study One
Red Hot swollen Foot
Case Study One
Learning Points
• Any red hot swollen foot to consider Charcot until
proven otherwise.
• Urgent referral to MDT.
• Early diagnosis helps prevent deformity.
• A diagnosis of Charcot is a life changing
event for the patient
Case Study 2
Complex Foot Ulceration
• Early referral to
podiatry and the
MDT is essential.
• Good MDT working
prevents major
amputation.
• Patients with a
history of a foot
ulcer have a 50%
risk of reulceration.
• MDT Foot clinics
• Diabetic Foot Community
clinics
• Clinics
The Multidisciplinary
Diabetes Team
Diabetologist
Practice
Nurse
Diabetes
Specialist
Nurse
District Nurse
The Patient
G.P.
Tissue Viability Nurses
Podiatrists
Orthopaedic Surgeon
Radiologist
Paediatric
Consultant
Microbiologist
Dieticians
Orthotist
Pharmacist
Vascular Surgeon
Increased Diabetic Feet
Your feet have been assessed as
being at increased risk of developing
diabetic foot complications.
Podiatry Head Office: 01582 711544
(Mon – Fri 08.30 – 16.30)
Diabetic Foot Emergencies:
New pain or throbbing
Foot hotter than usual
New redness or swelling
New / increased discharge or smell
Unexplained increase in blood glucose
Flu like symptoms (hot / shivery)
If you notice any of the above, contact your GP
straight away. Explain that you have a diabetic
emergency. Outside of normal hours, call the
Out of Hours GP or go to A&E.
Urgent referrals to NHS Podiatry
• Ulceration +/- infection
Have we answered your burning questions
• Red Hot Foot
Evaluation
• Fax to HCT Podiatry
Tel 01582 711544
Fax 01582 765537
www.hct.nhs.uk/our-services/podiatry-service/
Non urgent referrals to NHS Podiatry
• On going specialist foot care
• Callus and corns in people at risk
• Nail care for those at risk
Tel 01582 711544
Fax 01582 765537
www.hct.nhs.uk/our-services/podiatry-service/
Complete application form from HCT website and send to
podiatry