Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes

Section 6: Diabetes Foot ProblemsIssueHow should peripheral vascular disease be assessed clinically?RecommendationPeople with diabetes should be assessed for peripheral vascular disease by:− enquiring about symptoms of intermittent claudication− palpation of pedal pulsesEvidence Statements• Intermittent claudication is indicative of peripheral vascular diseaseEvidence Level III-2• The absence of intermittent claudication does not exclude peripheral vascular diseaseEvidence Level III-2• Palpable foot pulses in people with diabetes make significant peripheral vasculardisease unlikelyEvidence Level III-2• The absence of foot pulses increases the likelihood of amputationEvidence Level III-247