Understanding Your Diabetic Foot Risk
If you are living with diabetes, regular foot assessments are one of the most important steps you can take to prevent complications and maintain long-term mobility. Diabetes can affect both the nerves and blood vessels in your feet. Over time, this can reduce sensation, slow healing, and increase the risk of foot ulcers or infection. Because these changes often occur gradually, many people are unaware of the risk until a problem develops. A diabetic foot assessment allows your podiatrist to identify early warning signs, classify your risk level, and create a personalised treatment plan to help prevent complications. At OnePointHealth, we provide comprehensive diabetic foot assessments for patients across Western Sydney, the Blue Mountains, Ryde and Lindfield.Why Diabetic Foot Assessments Are Important
People living with diabetes are at higher risk of developing:- Foot ulcers
- Delayed wound healing
- Infections
- Nerve damage (neuropathy)
- Poor circulation (peripheral arterial disease)
- Serious complications in advanced cases
What Your Podiatrist Is Assessing
A diabetic foot assessment is not just a quick check of your feet. It is a structured clinical evaluation of two key systems:- Neurological (nerve function)
- Vascular (blood flow and circulation)
Neurological Assessment: Checking Your Nerve Function
One of the most common complications of diabetes is peripheral neuropathy, which is nerve damage in the feet and lower limbs. This can reduce your ability to feel pain, temperature, or injury. To assess this, your podiatrist will test your protective sensation, which is your ability to feel potentially harmful stimuli.Common tests include:
10g Monofilament Test
A small nylon fibre is gently pressed against different areas of your foot to check if you can feel light pressure. This helps identify reduced sensation.128Hz Tuning Fork Test
A vibrating tuning fork is used to assess your ability to feel vibration. Reduced vibration sense can indicate early nerve changes.Why this matters
If protective sensation is reduced, you may not notice:- Cuts or wounds
- Blisters from footwear
- Pressure injuries
- Foreign objects in shoes
Vascular Assessment: Checking Your Circulation
Diabetes can also affect blood flow to the feet by damaging blood vessels over time. Reduced circulation means wounds may heal more slowly and are more prone to infection. Your podiatrist will assess blood flow using both physical and diagnostic tools.Common assessments include:
Pulse Palpation
Your podiatrist will feel for pulses in your feet (pedal pulses) to assess blood flow to the lower limbs.Doppler Ultrasound Assessment
A handheld Doppler device is used to listen to blood flow through the arteries in your feet. The sound and waveform provide information about circulation quality.Why circulation matters
Reduced blood flow can lead to:- Delayed wound healing
- Higher infection risk
- Increased risk of ulcer formation
- In severe cases, tissue damage
How Your Risk Level Is Determined
Once both neurological and vascular assessments are completed, your podiatrist will determine your diabetic foot risk category. This helps guide your ongoing care plan, including:- How often you need podiatry reviews
- Whether preventative treatments are required
- Footwear and skin care recommendations
- Whether additional testing or referral is needed
How Often Should You Have a Diabetic Foot Assessment?
As a general guideline, people living with diabetes should have a comprehensive foot assessment at least once per year. However, depending on your risk level, your podiatrist may recommend:- Every 3 months for high-risk feet
- Every 6 months for moderate risk
- Yearly for low-risk patients
What Happens After Your Assessment?
After your assessment, your podiatrist will explain your results in a clear and practical way. This may include:- Your current risk status
- Any changes in nerve or circulation function
- Footwear recommendations
- Skin and nail care advice
- A personalised treatment schedule
Early Detection Prevents Serious Complications
The most important goal of diabetic foot assessments is prevention. Many serious foot complications begin with small, often painless changes. Because diabetes can reduce sensation, these changes may go unnoticed without regular professional checks. Early assessment and intervention significantly reduce the risk of:- Foot ulcers
- Infection
- Hospitalisation
- Long-term complications
When Should You Book a Diabetic Foot Assessment?
You should book an appointment if you notice:- Numbness or tingling in your feet
- Cuts or wounds that are slow to heal
- Changes in skin colour or temperature
- Swelling or redness
- Pain when walking
- Thickened or damaged nails
- A history of foot ulcers or infections
- Night pain in the lower limbs