Clinical Case Database / Category: Patient Management

Dealing with diabetes foot problems in the acute setting: assessment & management

Publication details

Dr Ahmad Abou-Saleh, Dr Masud Haq, Dr Dennis Barnes
Foundation Years Journal, volume 8, issue 5, p.24 (123Doc Education, London, May 2014)


Diabetic foot disease is common and is often poorly managed leading to adverse complications. Every diabetes patient admitted to hospital should have both feet inspected and carefully examined. Any features of inflammation, ulceration or deformity should lead to a prompt referral to a member of the multidisciplinary diabetes foot care team. This will help ensure patients receive the best possible treatment early, leading to a shorter length of stay and a reduction in possible amputation.

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Dr Ahmad Abou-Saleh

Specialist Registrar, Diabetes & Endocrinology Department, Maidstone & Tunbridge Wells Hospital, Tonbridge Road, Pembury, Kent, TN2 4QJ.

Dr Masud Haq

Consultant Physician, Diabetes/Endocrine Department, The Tunbridge Wells Hospital, Tonbridge Road, Pembury, Kent, TN2 4QJ.

Dr Dennis Barnes

Consultant Physician, Diabetes/Endocrine Department, The Tunbridge Wells Hospital, Tonbridge Road, Pembury, Kent, TN2 4QJ.


1) Ramsey SD, Newton K, Blough D, McCulloch DK, Sandhu N, Reiber GE, Wagner EH. Incidence,
outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care 1999; 22:382-87.
2) National Institute for Clinical Excellence. Diabetic Foot Problems: inpatient management of diabetic foot problems. Clinical guideline 119. London: NICE, 2013. Available from
3) Edmonds ME Foster AVM, Managing the Diabetic Foot, 3rd Edition. Wiley Blackwell 2014.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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