Diabetic foot
A yearly foot check, often covered by basic insurance.
often covered by basic insurance
What it is about
With diabetes, you sometimes feel less in your feet. You may then notice a small wound only late. That is why we check your feet every year: sensation, circulation, skin and position. This gives you your care profile. From care profile 2, the care is covered by basic insurance, through your GP.
- Sensation test with monofilament and tuning fork
- Check of circulation and skin
- Care profile and advice for home
- Pressure-relieving insoles and shoe advice
The yearly foot check
- 1SensationA thin 10-gram nylon filament at three points under each foot. Can you feel it?
- 2VibrationA tuning fork on the big toe and the ankle.
- 3CirculationWe feel the pulse in your foot and look at colour and warmth.
- 4Skin and nailsCalluses, cracks, pressure spots, ingrown nails.
- 5Position and shoesWhere is the pressure? Do your shoes still fit?
felt not felt
Your care profile
The check gives you your care profile. That determines how often you come and who gets the bill. Your GP or practice nurse sets it; we provide the foot care.
- 1Sims 0No increased risk1× a yearsupplementary insurance
- 2Sims 1Reduced sensation or reduced circulation1 – 2× a yearbasic insurance
- 3Sims 2Reduced sensation, plus pressure spots or an abnormal position2 – 4× a yearbasic insurance
- 4Sims 3Previous wound, rheumatism or kidney damageup to 4× a yearbasic insurance
With care profiles 2 to 4, the material for insoles is not covered by basic insurance.
Take a quick look every evening
Put a mirror on the floor, or ask someone to look with you. See one of these six things? Call the same day.
- WoundEven a small blister or crack.
- ColourRed, blue or very white.
- WarmthIs one foot warmer than the other?
- SwellingDoes your shoe feel tighter than usual?
- PainNew pain, even if it is slight.
- MoistureWet in your sock, or a smell.
Costs
Start with the assessment.
Forty-five minutes, with the pressure measurement and a video of how you walk. After that, the cause of your complaint is clear, and so is the price.