Diabetes mellitus, high-risk foot neuropathy, peripheral vascular disease, nontraumatic lower limb amputation, diabetic foot ulcer, 60-second tool



  1. Sibbald, R. Gary BSc, MD, Med, FRCPC (Med Derm), MACP, FAAD, MAPWCA
  2. Ayello, Elizabeth A. PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN
  3. Alavi, Afsaneh MD, FRCPC(Derm)
  4. Ostrow, Brian MD, FRCSC, IIWCC (Toronto)
  5. Lowe, Julia MBChB, MMedSci
  6. Botros, Mariam CDE, DCh
  7. Goodman, Laurie MHScN, BA, RN, IIWCC (Toronto)
  8. Woo, Kevin PhD, RN, FAPWCA
  9. Smart, Hiske MA, RN, PG Dip(UK), IIWCC (Toronto)


PURPOSE: To enhance the learner's competence with knowledge of screening for the high-risk diabetic foot.


TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.


OBJECTIVES: After participating in this educational activity, the participant should be better able to:


1. Demonstrate use of the 60-second tool and other foot assessment strategies to identify risk in the diabetic foot.


2. Apply the 60-second tool positive screen recommendations and accepted evidence-based treatment guidelines in patient care situations.


ABSTRACT: People with diabetes mellitus will develop lower-limb complications, such as neuropathy, peripheral vascular disease, foot ulcers, and lower-leg amputations. Resources to control elevated hemoglobin A1c and blood pressure, along with the standardized approach using the 60-second tool (2012)(C), can detect the high-risk diabetic foot and help prevent complications.