What to expect from a GP consultation for a diabetic foot ulcer

Your GP may ask when the ulcer appeared, how it started, whether it is painful, and whether you have noticed discharge, smell, swelling, redness or fever. They may measure and inspect the wound, examine nearby skin, check foot pulses and test sensation. Your diabetes control, footwear, walking pattern, previous ulcers and other conditions can affect the plan. A swab or other test may be considered when infection is suspected, and referral to a specialist foot team may be needed.

Do not walk barefoot or put pressure on the ulcer unless a clinician has advised it. Keep the dressing clean and follow wound-care instructions; do not cut the wound or apply home remedies. Bring your medicines, diabetes readings, footwear and details of any previous foot problems. Check your feet daily, follow the agreed dressing and off-loading plan, and attend reviews even if the wound looks smaller.

Seek urgent care for spreading redness, rapidly increasing swelling, severe or new pain, pus, a strong odour, black or grey skin, fever, chills, confusion, or feeling suddenly very unwell. Diabetes-related nerve damage can reduce pain, so a painless change still needs attention. Contact your GP or foot service promptly if the dressing becomes soaked, the wound deepens, or you cannot keep weight off the area.

Ask how deep the ulcer is, whether infection or reduced circulation is present, how to dress it, which footwear or off-loading method to use, how often it needs review, and who to contact if its appearance changes.