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Table 5 The IWGDF Risk Stratification System*

From: Australian guideline on prevention of foot ulceration: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

Risk Category

Ulcer Risk

Characteristics

0

Very low

No LOPS + No PAD

1

Low

LOPS OR PAD

2

Moderate

LOPS + PAD OR

LOPS + Foot deformity OR

PAD + Foot deformity

3

High

LOPS OR PAD AND one or more of the following:

• history of a foot ulcer

• a lower-extremity amputation (minor or major)

• end-stage renal disease

  1. Note: IWGDF International Working Group on the Diabetic Foot, LOPS Loss of protective sensation, PAD Peripheral artery disease
  2. *Adapted from: Bus SA, Lavery LA, Monteiro-Soares M, Rasmussen A, Raspovic A, Sacco ICN, et al. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(Suppl 1):e3269. Pp 3