Guildelines Header V2.0
All guidelines mobile grey v1.0

Just released

Following on from the release of the 2021 Australian guidelines for diabetes-related foot disease, we are excited to release the Diabetes and Feet companion toolkit that has been designed to help busy multidisciplinary health professionals use guideline recommended diabetes-related foot care at any time and place and with the person with diabetes-related foot ulcer right there in front of them. This resource was funded by the National Diabetes Services Scheme (NDSS), an initiative of the Australian Government and administered by Diabetes Australia, in partnership with Diabetes Feet Australia and the Australian Diabetes Society.

The Diabetes and Feet toolkit includes:
• an overview of each guideline from the 2021 Australian guidelines for diabetes-related foot disease
• recommendations for each guideline
• implementation and monitoring considerations
• considerations for the Australian context
• practical pathways for each guideline to help optimise the implementation of the recommendations.

The toolkit and pathways should assist health professionals to decide on the recommended evidence-based assessment, diagnosis, management and follow-up care needed for people living with diabetes-related foot disease and diabetes-related foot ulcers. When more detailed information on a clinical question or a recommendation is required, we suggest you then refer to the full guidelines below. 

You can do this by quickly browsing the contents of each guideline, identifying the question you are most interested in and then read the recommendations made, the reasons why those recommendations were made and considerations on how to implement the recommendation in practice.

Diabetes and Feet cover
All covers for web

Diabetes-related foot disease (DFD) is a leading cause of morbidity, mortality and healthcare cost burdens in Australia. Studies show these burdens can be considerably reduced when implementing guideline-based DFD care. However, the most recent Australian DFD guideline was published in 2010 and outdated.

In 2020, an expert multi-disciplinary guideline working group was appointed by Diabetes Feet Australia to develop a best practice plan to adapt suitable international guidelines into the Australian context to become the new Australian DFD guidelines.

The following 2021 Australian evidence-based DFD guidelines have now been systematically developed and released for the first time in a decade. Covering six guidelines, they should serve as multidisciplinary best practice standards of care for the provision of DFD care within Australia.

To help digest the new guidelines, we developed a free 6-part webinar series to officially launch and walk you through the 2021 Australian guidelines for diabetes-related foot disease. The webinars are now available to watch on demand for those who had registered.

Each guideline can be downloaded individually or the full guideline is also available to download. Any additional supplementary documentation is also located under each guideline section.

Prevention web section

PREVENTION GUIDELINE

In Australia, it is estimated that 50,000 people are living with diabetes-related foot ulcers (DFU), while 300,000 people are considered at-risk of DFU. Implementing strategies for the prevention of DFU is critical to all Australians and will likely contribute to lowering the national health care burden.

The new evidence-based 2021 Australian guideline on prevention of foot ulceration has been developed to guide optimal care for people at risk of DFU and is designed for all health professionals and disciplines caring for Australians with diabetes-related foot disease and DFU in secondary and tertiary health care settings in Australia.

PREVENTION GUIDELINE LAUNCH WEBINAR

WEBINAR IS NOW AVAILABLE FOR 'ON DEMAND' VIEWING FOR THOSE WHO HAVE REGISTERED 

MEET THE PREVENTION GUIDELINE GROUP

Anita-Raspovic
M Kaminski Profile
Jon About Us
J Lasschuit profile
karl Schott Profile
James Charles Profile
Wound classification web section copy

WOUND CLASSIFICATION GUIDELINE

The annual burden of DFD in Australia is high with an estimated 27,600 public hospitalisations, 4,400 lower limb amputations, 1,700 deaths, and health system costs of $1.6 billion each year. Effective assessment, documentation and communication of clinical information and audit of patient outcomes is central to achieving optimal outcomes for patients living with DFD.

The new evidence-based 2021 Australian guideline on wound classification of diabetes-related foot ulcers has been developed to guide optimal care for people at risk of DFU and is designed for all health professionals and disciplines caring for Australians with diabetes-related foot disease and DFU in secondary and tertiary health care settings in Australia.

WOUND CLASSIFICATION GUIDELINE LAUNCH WEBINAR

WEBINAR IS NOW AVAILABLE FOR 'ON DEMAND' VIEWING FOR THOSE WHO HAVE REGISTERED 

MEET THE WOUND CLASSIFICATION GUIDELINE GROUP

Stephen Twigg About Us
Emma Hamilton
Jo
Jo
byron perrin
James Charles Profile
pad web section

pAD GUIDELINE

Diabetes-related peripheral artery disease (PAD) is implicated in up to 50% of diabetes-related foot ulcers and significantly contributes to morbidity and mortality in this population. Despite the severity of the outcomes of PAD in people with diabetes, and particularly in those with DFU, there is limited data to determine best practice treatments.

The new evidence-based 2021 Australian guideline on diagnosis and management of peripheral artery disease includes substantial new evidence relating to diagnosis, prognosis and management in patients with PAD and DFU. It’s designed for all health professionals and disciplines caring for Australians with diabetes-related foot disease and DFU in secondary and tertiary health care settings in Australia.

PAD GUIDELINE LAUNCH WEBINAR

WEBINAR IS NOW AVAILABLE FOR 'ON DEMAND' VIEWING FOR THOSE WHO HAVE REGISTERED 

MEET THE PAD GUIDELINE GROUP

Rob Fitridge About Us
V Chuter
C Ritter
Patrik
Frank Quigley
James Charles Profile
infection web section

INFECTION GUIDELINE LAUNCH

Diabetes-related foot ulcers (DFU) currently affect around 50,000 Australians, and up to 40% of these individuals can expect to have an associated infection in the first year after presentation.

Evidence-based guidelines are vital to ensure optimal multi-disciplinary management and outcomes of patients with diabetes-related foot infections. The new evidence-based 2021 Australian guideline on management of diabetes-related foot infection is designed for all health professionals and disciplines caring for Australians with diabetes-related foot disease and infection in secondary and tertiary health care settings in Australia.

INFECTION GUIDELINE LAUNCH WEBINAR

WEBINAR IS NOW AVAILABLE FOR 'ON DEMAND' VIEWING FOR THOSE WHO HAVE REGISTERED 

MEET THE INFECTION GUIDELINE GROUP

RobCommons
Sarah Lynar Profile
Matt Malone About Us
Ed Raby Profile
James Charles Profile
offloading web section

OFFLOADING GUIDELINE LAUNCH

When combined with other best practice DFU care, pressure offloading is a critical DFU treatment with the strongest evidence available to more effectively heal foot ulcers and reduce the national burden of DFU.

The new evidence-based 2021 Australian guideline on offloading of foot ulcers guides best practice offloading treatment in Australia and have been developed to suit the unique geography, diversity and needs of the Australian healthcare professionals, sectors and patients. It’s designed for all health professionals and disciplines caring for Australians with diabetes-related foot disease and DFU in secondary and tertiary health care settings in Australia.

 

OFFLOADING GUIDELINE LAUNCH WEBINAR

WEBINAR IS NOW AVAILABLE FOR 'ON DEMAND' VIEWING FOR THOSE WHO HAVE REGISTERED 

MEET THE OFFLOADING GUIDELINE GROUP

Pete Lazzarini About Us
Mal Fernando Profile
VNube Profile
Brian Martin Profile
Sara Jones profile
M Horsley Profile
James Charles Profile
place holder profile image
wound healing web section

wOUND HEALING INTERVENTIONS GUIDELINE LAUNCH

The last national DFD evidence-based guideline in Australia was published in 2011. Experts suggest there is a ‘renaissance in DFU wound healing intervention studies’ that have provided considerable new robust evidence to support different wound healing interventions that have significantly improved outcomes for people with DFU since 2011. The new evidence-based 2021 Australian guideline on wound healing interventions to enhance healing of foot ulcers focuses on providing better care for patients and subsequently improved healing outcomes, reducing the national burden and inequalities amongst all Australians with or at risk of DFU. It’s designed for all health professionals and disciplines caring for Australians with diabetes-related foot disease and DFU in secondary and tertiary health care settings in Australia.

GUIDELINE LAUNCH WEBINAR

WEBINAR NOW AVAILABLE FOR 'ON DEMAND' VIEWING FOR THOSE WHO HAVE REGISTERED

MEET THE WOUND HEALING INTERVENTIONS GUIDELINE GROUP

Jenny Prentice About Us
Pam Chen
K Carville
Terry Swanson
Pete Lazzarini About Us
James Charles Profile

PARTNERSHIPS

Mikaela

Diabetes Feet Australia would like to thank and acknowledge Mikaela Cameron who has developed the stunning artwork used throughout the guidelines.

Mikaela Cameron (M. J. Badagarang) is a proud Dharug saltwater woman from the Hawkesbury River in New South Wales, Australia. She's worked the past 4 years as a cultural educator delivering cultural workshops and creating murals. "Worimi, I am a proud Dharug woman. My totem is the Badagarang (Eastern Grey Kangaroo), and Waroo (the brown-eyes crow). I pay my respects to all Elders past, present and emerging, and extend this acknowledgment to you and your people. Welcome, let's walk together."

urgo-logo-updated_480x262

Diabetes Feet Australia would like to thank and acknowledge the support of Urgo Medical who have partnered with DFA to deliver the 6-part educational webinar series to launch the 2021 Australian Guidelines for diabetes-related foot disease.  The webinar series is supported by an unrestricted grant and URGO Medical have had no involvement in the development of the guidelines.

 

ENDORSEMENTS

Diabetes Feet Australia would like to thank and acknowledge the national peak bodies involved with diabetes-related foot disease who have endorsed the 2021 Australian Guidelines for diabetes-related foot disease. Endorsement details are listed in each guideline.

MEET THE GUIDELINES WORKING GROUP

Pete Lazzarini About Us
Stephen Twigg About Us
Anita-Raspovic
Jenny Prentice About Us
Rob Fitridge About Us
RobCommons
James Charles Profile
place holder profile image
NP Headshot