Diabetes · For patients, families and doctors

Diabetic foot risk check

Most foot wounds in diabetes start in a foot that has quietly lost feeling or blood flow. This check grades how much risk your feet carry, flags anything that needs care today, tells you when your next foot check is due, and sets out how to protect your feet.

Built by Dr. Khizer Hussain Junaidy · Diabetologist & Bariatric Physician · Telangana State Medical Council 04937 · Reviewed September 2026

A guide for you and your doctor, not a diagnosis. The touch test can be done at home by a family member. The other tests need a doctor or foot care nurse. Answer what you can: the check tells you what is still missing. For adults with diabetes. Nothing you enter leaves this device.

1. Is anything wrong with your feet right now?

An open wound or sore, including a burst blister A toe or part of the foot has turned black or blue The foot has suddenly become cold, pale or numb, and painful The foot is hot, red or swollen (even without pain or a wound) Pain in the foot at rest or at night that eases when you hang the leg down

2. About you

Age years

Diabetes

Years with diabetes

Latest HbA1c %, optional

Smoke cigarettes or bidis, or chew tobacco On dialysis, or told the kidneys have failed Cannot see the soles of the feet clearly (poor eyesight) Cannot easily reach the feet (back, hip or weight) Live alone

3. Past foot problems and symptoms

Had a foot ulcer (a wound that took weeks to heal) before Had a toe, or part of the foot, removed Had a leg amputation, below or above the knee Had an angioplasty, stent or bypass in a leg Pain in the calf, thigh or buttock on walking that goes away with rest Numbness, tingling, burning or pins and needles in the feet

4. The toe touch test (anyone can do this)

This is the Ipswich touch test. It takes one minute and needs no equipment. The feet below are drawn as you look down at your own feet.

The person lies or sits with shoes and socks off, and closes their eyes.
With the tip of your index finger, touch the tip of each marked toe very lightly for 1 to 2 seconds. Do not push, poke or tap.
Ask them to say "yes" each time they feel it. Touch the 6 toes in any order.
Record each answer in the list below the picture. You can also tap a toe in the picture: once for felt, twice for not felt.

Toe	Result
Left big toe	Not tested Felt Not felt
Left middle toe	Not tested Felt Not felt
Left little toe	Not tested Felt Not felt
Right big toe	Not tested Felt Not felt
Right middle toe	Not tested Felt Not felt
Right little toe	Not tested Felt Not felt

No toes tested yet.

If 2 or more of the 6 toes are not felt, protective feeling is probably lost (IWGDF 2023). A normal result does not replace the doctor's monofilament test.

6. Your result

Book a foot check

Caspian Healthcare reception: 89193 41154.

IWGDF 2023 risk stratification

Category	Findings	Screen
0, very low	No LOPS and no PAD	Once a year
1, low	LOPS or PAD	Every 6 to 12 months
2, moderate	LOPS with PAD, or LOPS with deformity, or PAD with deformity	Every 3 to 6 months
3, high	LOPS or PAD, with a past ulcer, a past amputation (minor or major), or end-stage renal disease	Every 1 to 3 months

NICE NG19

Risk	Findings	Review
Low	No risk factors except callus alone	Every year
Moderate	Deformity, or neuropathy, or non-critical PAD	Every 3 to 6 months
High	Past ulcer or amputation, renal replacement therapy, neuropathy with PAD, or neuropathy or PAD with callus or deformity	Every 1 to 2 months (1 to 2 weeks if there is immediate concern)
Active	Ulcer, infection, chronic limb-threatening ischaemia, gangrene, suspected acute Charcot	Refer within 1 working day; immediately if limb- or life-threatening

This check uses the more frequent of the two review intervals. Bedside PAD thresholds (IWGDF/ESVS/SVS 2023): ABI below 0.9 or above 1.3, TBI below 0.7, or a monophasic waveform. Palpable pulses alone do not exclude PAD.

Sources

Schaper NC, et al. Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes Metab Res Rev 2024;40:e3657. IWGDF
Bus SA, et al. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2023 update). Diabetes Metab Res Rev 2024;40:e3651. Wiley
Fitridge R, et al. The intersocietal IWGDF, ESVS, SVS guidelines on peripheral artery disease in people with diabetes and a foot ulcer. Diabetes Metab Res Rev 2024;40:e3686. Wiley
National Institute for Health and Care Excellence. Diabetic foot problems: prevention and management (NG19). NICE
American Diabetes Association. Standards of Care in Diabetes 2026, section 12: Retinopathy, neuropathy, and foot care. Diabetes Care
Is walking barefoot a risk factor for diabetic foot disease in developing countries? Rural Remote Health 2007 (Sri Lanka). PubMed

The advice on hot floors, foot soaks, roadside pedicures and home remedies comes from clinical experience; there is no published Indian data on these habits. Found an error? Write to info@caspianhealthcare.in.

Diabetic foot risk check

1. Is anything wrong with your feet right now?

2. About you

3. Past foot problems and symptoms

4. The toe touch test (anyone can do this)

5. The doctor's foot examination (fill in what was done)

Foot shape

Skin and nails

Footwear and habits

6. Your result

IWGDF 2023 risk stratification

NICE NG19

Sources