| Perform a comprehensive foot evaluation at least annually to identify risk factors for ulcers and amputations. | |
| Patients with evidence of sensory loss or prior ulceration or amputation should have their feet inspected at every visit. | |
| Obtain a prior history of ulceration, amputation, Charcot foot, angioplasty or vascular surgery, cigarette smoking, retinopathy, and renal diseases | |
| Assess current symptoms of neuropathy that is pain, burning, numbness and vascular diseases presentation like leg fatigue, claudication. | |
| The examination should include inspection of skin, assessment of foot deformities, neurological assessment by a 10 g monofilament test, pin prick, temperature, vibration, and vascular assessment included including pulses in the legs and feet. | |
| Patients with symptoms of claudication or decreased or absent pedal pulses should be referred for ankle brachial index and for further vascular assessment. | |