The Maine Podiatric Medical Association recommends that diabetic patients be seen by a podiatric physician (podiatrist) for a "diabetic foot evaluation" every 6-12 months.

What is your risk for foot ulceration?

Answer the following questions to find out and discover how often you should see a podiatrist in order to avoid such complications.

Diabetic Risk Assessment: 

  1. I am able to feel a light touch against my feet/ toes:  Yes / No

  2. I have foot deformity (curling toes, bunions, calluses, high arch, flat foot, bone spurs ): Yes / No

  3. I have had a foot ulcer in the past: Yes / No

  4. I have been told that I have "Charcot" foot ( note - this is not the same as "Charcot Marie Tooth Disease") : Yes / No

  • If you answered Yes to question 1 and yes or no to question 2, you are at a lower risk for ulceration.  You should obtain diabetic foot education, shoe accommodations (appropriate fitting shoes and / or shoe liners), and see a podiatrist every 6-12 months.
  •  If you answered No to questions 1,2,3 and 4, you have a 1.7 x risk of ulceration and should wear prescribed diabetic shoes as well as follow up with a podiatrist every 3-4 months.
  •  If you answered No to question 1, but yes to question 2, and no to questions 3 and 4, you have a 12.1x risk of ulceration, and should wear custom molded diabetic shoes, as well as have any deformities addressed and potentially surgically corrected, and see a podiatrist every 2-3 months.
  • If you answered No to question 1, and Yes to questions 3 or 4, and yes or no to question 2, you have a 36.4x risk of ulceration, should wear prescribed diabetic shoegear, and follow up with a podiatrist every 1-2 months.

The above recommendations are based on "The University of Texas Diabetic Foot Risk Classification" (Lavery LA, Armstrong DG, Vela SA, Quebedeaux TL, Fleischli JG.  Arch Intern Med 1998;158:157-62   225 Patients enrolled)

Note : The above risk classification results do not take peripheral vascular status into account.   Patients who have poor circulation, are poorly controlled diabetics, or who also have a history of tobacco use also have greatly increased risks of ulceration and amputation.

 Diabetes & Cardiovascular Disease

  • Diabetes - Today's podiatrist plays a key role in helping patients manage diabetes successfully and avoid foot-related complications.
  • Diabetic Wound CareA diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot.
  • High Blood Pressure High blood pressure is also known as hypertension. Your podiatrist is vitally concerned about hypertension and vascular disease (heart and circulatory problems).
  • Peripheral Arterial Disease PAD is caused by a blockage or narrowing of the arteries in the legs when fatty deposits (plaque) build up. The buildup of plaque causes the arteries to harden and narrow.
  • Peripheral NeuropathyPeripheral neuropathy is damage of the peripheral nerves—the nerves in your toes and fingertips. In the United States, the most common cause of peripheral neuropathy is diabetes.