Main objective:

To identify the best available evidence on effective interventions in the exploration and diagnosis of DF.

Methodology:

Review of the Clinical Practice Guidelines with recommendations on the exploration and stratification of DF.

Main results:

We compiled the interventions that are most effective for early diagnosis of DF in P.C collected in 10 CPG. They include visual assessment of their feet, assessment of diabetic peripheral neuropathy using a 10-g Semmes-Weinstein monofilament, 128-Hz tuning fork, and Achilles reflex testing, assessment of peripheral arterial disease by palpation of peripheral pulses, and determination of the ankle arm index Subsequently, risk stratification of developing DF.

Main conclusion:

Monitoring of the lower extremities should be part of the care plans for diabetic patients. Specialized units should be established for DF care and these patients should be able to be referred from PC.

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