Medium Risk - Instructions for Building your Team


Persons with diabetes who are deemed “Moderate Risk” present as follows:
  • IWGDF risk category 1, 2a, 2b
  • Loss of protective sensation, absence of a bony/structural foot deformity, absence of peripheral arterial disease (PAD) and intact skin, OR
  • Loss of protective sensation PLUS a bony/structural foot deformity, absence of PAD and intact skin, OR
  • Presence of PAD and intact skin
Such people require:
  • Bi-tri annual foot screening and risk stratification by a trained healthcare profession, i.e. you
  • Written and verbal education regarding foot care, foot wear and emergency contacts.You may print the educational materials below and provide/discuss them with your patient.You may also consider referring your patient to a diabetes self-management class, hosted by the South West Self-Management Program.
PDF Diabetic Foot Ulcer pamphlet
PDF Drop Your Socks pamphlet

Persons at “Moderate Risk” also may benefit from a referral to a “Moderate Risk Service”.  Such services provide access to an advanced health care professional (AHCP) who specializes in diabetes, an AHCP who specializes in wound prevention, assessment and management, and an AHCP who specializes in systems navigation, all under one-roof. Unfortunately in the South West LHIN such consolidated services do not exist outside of London at this time. If you are willing and able to travel to a “Moderate Risk Service” location in London for regular assessment and follow up, click on the Wounds link below and select from the “Moderate Risk Services” listed.


If you are either not willing or able to travel to such a consolidated service in London, assemble a “Moderate Risk Dream Team’ for your patient by choosing from the following community resources keeping in mind the essential components of:

  • An AHCP who specializes in diabetes
  • An AHCP who specializes in wound prevention, assessment and management
  • An AHCP who specializes in systems navigation

Build Your Diabetic Foot Referral Team

  • Chiropody Clinics
  • Diabetes Education Programs
  • Diet, Nutrition and Weight Control
  • Foot Care
  • Home and Community Care - LHIN
  • Prosthetics and Orthotics
  • Wounds

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