American Diabetes Association

Table 4—

Risk classification based on the comprehensive foot examination

Risk category	Definition	Treatment recommendations	Suggested follow-up
0	No LOPS, no PAD, no deformity	Patient education including advice on appropriate footwear.	Annually (by generalist and/or specialist)
1	LOPS ± deformity	Consider prescriptive or accommodative footwear. Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.	Every 3–6 months (by generalist or specialist)
2	PAD ± LOPS	Consider prescriptive or accommodative footwear. Consider vascular consultation for combined follow-up.	Every 2–3 months (by specialist)
3	History of ulcer or amputation	Same as category 1. Consider vascular consultation for combined follow-up if PAD present.	Every 1–2 months (by specialist)

Risk category	Definition	Treatment recommendations	Suggested follow-up
0	No LOPS, no PAD, no deformity	Patient education including advice on appropriate footwear.	Annually (by generalist and/or specialist)
1	LOPS ± deformity	Consider prescriptive or accommodative footwear. Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.	Every 3–6 months (by generalist or specialist)
2	PAD ± LOPS	Consider prescriptive or accommodative footwear. Consider vascular consultation for combined follow-up.	Every 2–3 months (by specialist)
3	History of ulcer or amputation	Same as category 1. Consider vascular consultation for combined follow-up if PAD present.	Every 1–2 months (by specialist)