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We are a specialist service providing advanced care for active diabetic foot problems.

Services provided:

  • Wound care. This includes debriding (removing) dead tissue to promote wound
  • healing, specialist dressings and pressure relieving techniques. Advanced treatments such as larvae therapy and negative pressure therapy are also available.
  • The management and treatment of diabetic fractures (Charcot Neuroarthropathy).
  • Casting for wounds and Charcot foot including total contact casts, heel casts and soft slipper casts.
  • Working as part of an integrated multidisciplinary team with Diabetes, Orthopaedic and Vascular consultants.
  • Work closely with specialist Orthotists to provide bespoke insoles and footwear to patients who have had diabetic foot problems.
  • Referral access to imaging such as X-Ray, MRI and vascular scans.
    Access to microbiology and radiology teams for quick advice and guidance.
  • St Georges team also provide an inpatient service to all patients with active diabetic foot issues on St George’s wards and to A&E / AAA.

What to expect on a first appointment with the Diabetic Foot Clinic

Each patient will have their medical history, and foot vascular and neurological status checked. Both feet will be checked at each appointment and a plan will be made between the patient and the podiatrist dependent on the consultation’s findings.

The following items are useful to bring to your first appointment:

  • Ideally the Diabetic foot clinic would have received medical history and medications for each patient in the referral. As this is not always the case, it is ideal that a patient brings with them a list/ blister pack of their medications with them.
  • Blood sugar control is very important in the process of wound healing. If home blood sugar testing is done, a blood glucose diary would be very helpful to bring along.
  • It is helpful when the patient brings their normal footwear with them to the clinic. Inappropriate footwear is a major cause of diabetic foot ulcers. By letting the podiatrist know what the patient’s normal footwear is, footwear issues can be ruled out early on in the treatment plan.
  • Since the clinic specialises in wound care certain dressings and treatments such as casting may make tight trousers and tights difficult to remove later that day. If wearing Tights bring a spare pair of socks and try and wear trousers that can easily slip over something bulky on your feet just in case.

Each patient should receive education how to look after the feet, dressings and taught what to do in an emergency or infection in the foot.

MDT Days

We have specialist multidisciplinary (MDT) sessions every Thursday morning. Only MDT members can refer into the MDT sessions from current outpatient and inpatient patients.

We also have a Tuesday afternoon clinic with the Endocrinologist consultant and two sessions on a Monday and Thursday afternoon with the Orthotist department.