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Piede diabetico 360°

Diabetic Foot Prevention & Care

The pathway that protects the diabetic foot, before and after a lesion appears.

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Over time diabetes can alter sensation, circulation, skin and the way the foot bears weight, increasing the risk of developing lesions.

This is why Diabetic foot 360° starts with prevention.

A structured clinical pathway that assesses individual risk, identifies any changes early and accompanies the patient from prevention through to treatment and follow-up.

The Diabetic foot 360° pathway

01First consultation
02Risk screening
03Risk profile
04Further assessment
05Prevention or care
06Follow-up

/ 01 /

It all starts with a complete assessment.

The first consultation is devoted to the health of the foot and to identifying the main risk factors.

There is no need to wait for a wound to appear before starting to look after your feet.

/ 02 /

We look for what often goes unseen.

Four fundamental dimensions are examined during the consultation.

Skin

Skin changes, callus, fissures, nails, signs of infection, lesions.

Circulation

Assessment of blood supply to the lower limbs and search for any signs of vascular compromise.

Sensation

Assessment of lost or reduced sensation, tingling, burning, numbness and other possible signs of peripheral neuropathy.

Weight bearing

Foot structure, load distribution, deformities, areas under pressure, footwear.

/ 03 /

Not every patient with diabetes carries the same risk.

At the end of the assessment the patient is placed in a risk profile, which determines which checks, further investigations and preventive measures are most appropriate.

Low riskPrevention, education and periodic checks.
Intermediate riskIntensified prevention, further investigation where needed and closer follow-up.
High riskSpecialist care, diagnostic investigation and targeted preventive measures.
Lesion presentA dedicated diagnostic and treatment pathway.

/ 04 /

Where a risk emerges, we investigate further.

Depending on what the first consultation reveals, further investigation may be indicated. The pathway can draw on vascular, neurological, diabetological, dermatological, orthotic and biomechanical expertise.

Where necessary, weight bearing, posture, insoles, orthoses and the most appropriate footwear are also assessed.

/ 05 /

Two routes, one objective.

At this point the pathway adapts to the patient’s clinical situation.

A

If there are no lesions, we work so that none appear.

  • Guidance on daily foot care
  • Care of skin and nails
  • Prevention of callus, fissures and minor injuries
  • Management of pressure areas
  • Guidance on footwear
  • Assessment of insoles and orthoses where indicated
  • Education in self-monitoring
  • Scheduling of checks
B

If a lesion is present, we treat it.

  • Clinical assessment of the lesion
  • Identification of the possible causes
  • Dressings
  • Debridement where clinically indicated
  • Assessment of infection risk
  • Offloading of pressure areas
  • Vascular investigation where necessary
  • Orthotic support
  • Monitoring of progress and healing

/ 06 /

It does not end with the first consultation.

Diabetic foot risk can change over time. This is why the pathway includes a personalised surveillance programme, with checks scheduled according to the risk profile.

If the risk changes, the pathway changes with it.

Prevent→Assess→Classify→Protect→Treat→Monitor

One pathway to look after the foot health of a person with diabetes over time.

Do you have diabetes?

The best moment to have your feet checked is before a lesion appears.

Book your first assessment