Diabetic foot

Which of these readings is suggestive of Diabetes?

• HbA1c 47mmol/mol

• Random glucose 12.5

• Fasting glucose 5.9

• OGTT 2-hr 8.1

Match the following diabetic levels:

• 2-hr OGTT 7.8 - 11.1 mmol/L

• Pre-diabetic HbA1c

• 42-47mmol/mol

• Impaired fasting glucose

• 48mmol/mol

• Target HbA1c (metformin)

• 53mmol/mol

• Impaired glucose tolerance

• 6.1-7 mmol/L

• Target HbA1c (hypoglycaemic)

Match the clinical features of diabetic foot

a

b

c

d

e

Skin changes over lower leg

Loss of foot arch

Gangrenous toes

Ulcer on heel

Ulcer on metatarsal head

Match the Wagner's classification of diabetic foot lesions

• Locallised gangrene

• Grade 5

• Extensive gangrene

• Grade 1

• Deep ulcer + bone involvement OR abscess

• Grade 3

• Deeper ulcer, no bone involvement

• Grade 4

• Superficial ulcer, no infection

• Grade 2

How do we diagnose osteomyelitis? (Tick all correct)

• X-ray

• MRI scan

• Bone cultures

• Skin tissue sample

What is the minimum number of weeks we give antibiotics for osteomyelitis (for most cases)?

• 1 week

• 2 weeks

• 4 weeks

• 6 weeks

What is Charcot's arthropathy? (Open-ended)