We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.
Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
Moderate Risk*
One risk factor present e.g. loss of sensation, signs of peripheral arterial disease, unable to or has no help to self care or an eGFR ≤15.
High Risk*
More than one risk factor present e.g. a combination of loss of sensation, signs of peripheral arterial disease, callus or deformity, unable to or has no help to self care or an eGFR ≤ 15.
In Remission*
Previous ulceration, amputation or consolidated Charcot.
(*Categories per the Scottish Foot Action Group, relating to the use of the SCI-Diabetes foot risk stratification tool)
Ino, K., Tajiri, Y., Migita, H., Morinaga, K., Rikimaru, H. and Kiyokawa, K., 2024. Factors associated with the recurrence of foot ulcers in Japanese patients with diabetes. Diabetology International, pp.1-7.
Click here for Article
Collings, R., Freeman, J., Latour, J.M. and Paton, J., 2021. Footwear and insole design features for offloading the diabetic at risk foot—A systematic review and meta‐analyses. Endocrinology, diabetes & metabolism, 4(1), p.e00132.
Click here for Article
Crawford, F., Nicolson, D.J., Amanna, A.E., Martin, A., Gupta, S., Leese, G.P., Heggie, R., Chappell, F.M. and McIntosh, H.H., 2020. Preventing foot ulceration in diabetes: systematic review and meta-analyses of RCT data. Diabetologia, 63(1), p.49.
Click here for Article
Da Ros, R., Volpe, A., Bordieri, C., Tramonta, R., Bernetti, A., Scatena, A., Monge, L., Ragghianti, B., Silverii, A., Uccioli, L. and Vermigli, C., 2024. Prevention of foot ulcers recurrence in patients with diabetes: a systematic review and meta-analysis of randomized controlled trials for the development of the italian guidelines for the treatment of diabetic foot syndrome. Acta Diabetologica, pp.1-11.
Click here for Article
Elraiyah, T., Prutsky, G., Domecq, J.P., Tsapas, A., Nabhan, M., Frykberg, R.G., Firwana, B., Hasan, R., Prokop, L.J. and Murad, M.H., 2016. A systematic review and meta-analysis of off-loading methods for diabetic foot ulcers. Journal of vascular surgery, 63(2), pp.59S-68S.
Click here for Article
van Netten, J.J., Raspovic, A., Lavery, L.A., Monteiro‐Soares, M., Paton, J., Rasmussen, A., Sacco, I.C. and Bus, S.A., 2024. Prevention of foot ulcers in persons with diabetes at risk of ulceration: a systematic review and meta‐analysis. Diabetes/metabolism research and reviews, 40(3), p.e3652.
Click here for Article
Chatwin, K.E., Abbott, C.A., Boulton, A.J., Bowling, F.L. and Reeves, N.D., 2019. The role of foot pressure measurement in the prediction and prevention of diabetic foot ulceration—A comprehensive review. Diabetes/Metabolism Research and Reviews, p.e3258.
Click here for Article
Collings, R., Freeman, J., Latour, J.M., Glasser, S. and Paton, J., 2017. Footwear and insole design features to prevent foot ulceration in people with diabetes: a systematic review protocol. JBI database of systematic reviews and implementation reports, 15(7), pp.1824-1834.
Click here for Article
Healy, A., Farmer, S., Pandyan, A. and Chockalingam, N., 2018. A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions. PloS one, 13(3), p.e0192094.
Click here for Article
Heuch, L. and Gomersall, J.S., 2016. Effectiveness of offloading methods in preventing primary diabetic foot ulcers in adults with diabetes: a systematic review. JBI database of systematic reviews and implementation reports, 14(7), pp.236-265.
Click here for Article
Jones, A.W., Makanjuola, A., Bray, N., Prior, Y., Parker, D., Nester, C., Tang, J. and Jiang, L., 2024. The efficacy of custom-made offloading devices for diabetic foot ulcer prevention: a systematic review. Diabetology & Metabolic Syndrome, 16(1), p.172.
Click here for Article
Nilsen, F., Molund, M., Lium, E.M. and Hvaal, K.H., 2022. Material Selection for Diabetic Custom Insoles: A Systematic Review of Insole Materials and Their Properties. JPO: Journal of Prosthetics and Orthotics.
Click here for Article
Paton, J., Bruce, G., Jones, R. and Stenhouse, E., 2011. Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review. Journal of Diabetes and its Complications, 25(1), pp.52-62.
Click here for Article
Paton, J., Hatton, A.L., Rome, K. and Kent, B., 2016. Effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss: a systematic review. JBI database of systematic reviews and implementation reports, 14(12), p.127.
Click here for Article
Searle, A., Spink, M.J., Ho, A. and Chuter, V.H., 2017. Association between ankle equinus and plantar pressures in people with diabetes. A systematic review and meta-analysis. Clinical Biomechanics, 43, pp.8-14.
Click here for Article
Burns, J., Wegener, C., Begg, L., Vicaretti, M. and Fletcher, J., 2009. Randomized trial of custom orthoses and footwear on foot pain and plantar pressure in diabetic peripheral arterial disease. Diabetic medicine, 26(9), pp.893-899.
Click here for Article
Lavery, L.A., Higgins, K.R., La Fontaine, J., Zamorano, R.G., Constantinides, G.P. and Kim, P.J., 2015. Randomised clinical trial to compare total contact casts, healing sandals and a shear‐reducing removable boot to heal diabetic foot ulcers. International wound journal, 12(6), pp.710-715.
Click here for Article
Parker, D.J., Nuttall, G.H., Bray, N., Hugill, T., Martinez-Santos, A., Edwards, R.T. and Nester, C., 2019. A randomised controlled trial and cost-consequence analysis of traditional and digital foot orthoses supply chains in a National Health Service setting: application to feet at risk of diabetic plantar ulceration. Journal of foot and ankle research, 12(1), p.2.
Click here for Article
Paton, J.S., Stenhouse, E.A., Bruce, G., Zahra, D. and Jones, R.B., 2012. A comparison of customised and prefabricated insoles to reduce risk factors for neuropathic diabetic foot ulceration: a participant-blinded randomised controlled trial. Journal of foot and ankle research, 5(1), p.31.
Click here for Article
Reiber, G.E., Smith, D.G., Wallace, C., Sullivan, K., Hayes, S., Vath, C., Maciejewski, M.L., Yu, O., Heagerty, P.J. and LeMaster, J., 2002. Effect of therapeutic footwear on foot reulceration in patients with diabetes: a randomized controlled trial. Jama, 287(19), pp.2552-2558.
Click here for Article
Rizzo, L., Tedeschi, A., Fallani, E., Coppelli, A., Vallini, V., Iacopi, E. and Piaggesi, A., 2012. Custom-made orthesis and shoes in a structured follow-up program reduces the incidence of neuropathic ulcers in high-risk diabetic foot patients. The international journal of lower extremity wounds, 11(1), pp.59-64.
Click here for Article
Scire, V., Leporati, E., Teobaldi, I., Nobili, L.A., Rizzo, L. and Piaggesi, A., 2009. Effectiveness and safety of using Podikon digital silicone padding in the primary prevention of neuropathic lesions in the forefoot of diabetic patients. Journal of the American Podiatric Medical Association, 99(1), pp.28-34.
Click here for Article
Ulbrecht, J.S., Hurley, T., Mauger, D.T. and Cavanagh, P.R., 2014. Prevention of recurrent foot ulcers with plantar pressure–based in-shoe orthoses: the CareFUL prevention multicenter randomized controlled trial. Diabetes care, p.DC_132956.
Click here for Article
Chatzistergos, P.E., Gatt, A., Formosa, C., Sinclair, J.K. and Chockalingam, N., 2023. Effective and clinically relevant optimisation of cushioning stiffness to maximise the offloading capacity of diabetic footwear. Diabetes Research and Clinical Practice, 204, p.110914.
Click here for Article
Ino, K., Tajiri, Y., Migita, H., Morinaga, K., Rikimaru, H. and Kiyokawa, K., 2024. Factors associated with the recurrence of foot ulcers in Japanese patients with diabetes. Diabetology International, pp.1-7.
Click here for Article
Malki, A., Badaya, M.B., Dekker, R., Verkerke, G.J. and Hijmans, J., 2024. Effects of individually optimized rocker midsoles and self-adjusting insoles on the margins of stability in individuals with diabetic peripheral neuropathy. Gait & Posture, 113, pp.92-93.
Click here for Article
Collings, R., Freeman, J., Latour, J.M. and Paton, J., 2021. Footwear and insole design features for offloading the diabetic at risk foot—A systematic review and meta‐analyses. Endocrinology, diabetes & metabolism, 4(1), p.e00132.
Click here for Article
Crawford, F., Nicolson, D.J., Amanna, A.E., Martin, A., Gupta, S., Leese, G.P., Heggie, R., Chappell, F.M. and McIntosh, H.H., 2020. Preventing foot ulceration in diabetes: systematic review and meta-analyses of RCT data. Diabetologia, 63(1), p.49.
Click here for Article
Da Ros, R., Volpe, A., Bordieri, C., Tramonta, R., Bernetti, A., Scatena, A., Monge, L., Ragghianti, B., Silverii, A., Uccioli, L. and Vermigli, C., 2024. Prevention of foot ulcers recurrence in patients with diabetes: a systematic review and meta-analysis of randomized controlled trials for the development of the italian guidelines for the treatment of diabetic foot syndrome. Acta Diabetologica, pp.1-11.
Click here for Article
Elraiyah, T., Prutsky, G., Domecq, J.P., Tsapas, A., Nabhan, M., Frykberg, R.G., Firwana, B., Hasan, R., Prokop, L.J. and Murad, M.H., 2016. A systematic review and meta-analysis of off-loading methods for diabetic foot ulcers. Journal of vascular surgery, 63(2), pp.59S-68S.
Click here for Article
van Netten, J.J., Raspovic, A., Lavery, L.A., Monteiro‐Soares, M., Paton, J., Rasmussen, A., Sacco, I.C. and Bus, S.A., 2024. Prevention of foot ulcers in persons with diabetes at risk of ulceration: a systematic review and meta‐analysis. Diabetes/metabolism research and reviews, 40(3), p.e3652.
Click here for Article
Chatwin, K.E., Abbott, C.A., Boulton, A.J., Bowling, F.L. and Reeves, N.D., 2019. The role of foot pressure measurement in the prediction and prevention of diabetic foot ulceration—A comprehensive review. Diabetes/Metabolism Research and Reviews, p.e3258.
Click here for Article
Collings, R., Freeman, J., Latour, J.M., Glasser, S. and Paton, J., 2017. Footwear and insole design features to prevent foot ulceration in people with diabetes: a systematic review protocol. JBI database of systematic reviews and implementation reports, 15(7), pp.1824-1834.
Click here for Article
Healy, A., Farmer, S., Pandyan, A. and Chockalingam, N., 2018. A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions. PloS one, 13(3), p.e0192094.
Click here for Article
Healy, A., Naemi, R. and Chockalingam, N., 2014. The effectiveness of footwear and other removable off-loading devices in the treatment of diabetic foot ulcers: a systematic review. Current diabetes reviews, 10(4), pp.215-230.
Click here for Article
Heuch, L. and Gomersall, J.S., 2016. Effectiveness of offloading methods in preventing primary diabetic foot ulcers in adults with diabetes: a systematic review. JBI database of systematic reviews and implementation reports, 14(7), pp.236-265.
Click here for Article
Jones, A.W., Makanjuola, A., Bray, N., Prior, Y., Parker, D., Nester, C., Tang, J. and Jiang, L., 2024. The efficacy of custom-made offloading devices for diabetic foot ulcer prevention: a systematic review. Diabetology & Metabolic Syndrome, 16(1), p.172.
Click here for Article
Pérez-Panero, A.J., Ruiz-Muñoz, M., Cuesta-Vargas, A.I. and Gónzalez-Sánchez, M., 2019. Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review. Medicine, 98(35).
Click here for Article
Van Netten, J.J., Price, P.E., Lavery, L.A., Monteiro‐Soares, M., Rasmussen, A., Jubiz, Y., Bus, S.A. and International Working Group on the Diabetic Foot (IWGDF), 2016. Prevention of foot ulcers in the at‐risk patient with diabetes: a systematic review. Diabetes/metabolism research and reviews, 32, pp.84-98.
Click here for Article
van Netten, J.J., Sacco, I.C., Lavery, L.A., Monteiro‐Soares, M., Rasmussen, A., Raspovic, A. and Bus, S.A., 2020. Treatment of modifiable risk factors for foot ulceration in persons with diabetes: a systematic review. Diabetes/Metabolism Research and Reviews, p.e3271.
Click here for Article
Burns, J., Wegener, C., Begg, L., Vicaretti, M. and Fletcher, J., 2009. Randomized trial of custom orthoses and footwear on foot pain and plantar pressure in diabetic peripheral arterial disease. Diabetic medicine, 26(9), pp.893-899.
Click here for Article
Bus, S.A., Waaijman, R., Arts, M., De Haart, M., Busch-Westbroek, T., Van Baal, J. and Nollet, F., 2013. Effect of custom-made footwear on foot ulcer recurrence in diabetes: a multicenter randomized controlled trial. Diabetes care, p.DC_130996.
Click here for Article
Cisneros, L.L., 2010. Evaluation of a neuropathic ulcers prevention program for patients with diabetes. Brazilian Journal of Physical Therapy, 14(1), pp.31-37.
Click here for Article
López-Moral, M., Lázaro-Martínez, J.L., García-Morales, E., Garcia-Alvarez, Y., Álvaro-Afonso, F.J. and Molines-Barroso, R.J., 2019. Clinical efficacy of therapeutic footwear with a rigid rocker sole in the prevention of recurrence in patients with diabetes mellitus and diabetic polineuropathy: A randomized clinical trial. PloS one, 14(7).
Click here for Article
Reiber, G.E., Smith, D.G., Wallace, C., Sullivan, K., Hayes, S., Vath, C., Maciejewski, M.L., Yu, O., Heagerty, P.J. and LeMaster, J., 2002. Effect of therapeutic footwear on foot reulceration in patients with diabetes: a randomized controlled trial. Jama, 287(19), pp.2552-2558.
Click here for Article
Rizzo, L., Tedeschi, A., Fallani, E., Coppelli, A., Vallini, V., Iacopi, E. and Piaggesi, A., 2012. Custom-made orthesis and shoes in a structured follow-up program reduces the incidence of neuropathic ulcers in high-risk diabetic foot patients. The international journal of lower extremity wounds, 11(1), pp.59-64.
Click here for Article
Uccioli, L., Faglia, E., Monticone, G., Favales, F., Durola, L., Aldeghi, A., Quarantiello, A., Calia, P. and Menzinger, G., 1995. Manufactured shoes in the prevention of diabetic foot ulcers. Diabetes care, 18(10), pp.1376-1378.
Click here for Article
Malki, A., Badaya, M.B., Dekker, R., Verkerke, G.J. and Hijmans, J., 2024. Effects of individually optimized rocker midsoles and self-adjusting insoles on the margins of stability in individuals with diabetic peripheral neuropathy. Gait & Posture, 113, pp.92-93.
Click here for Article
Paton, J., Hatton, A.L., Rome, K. and Kent, B., 2016. Effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss: a systematic review. JBI database of systematic reviews and implementation reports, 14(12), p.127.
Click here for Article
Aruin, A.S. and Rao, N., 2010. Ankle-foot orthoses: proprioceptive inputs and balance implications. Journal of prosthetics and orthotics: JPO, 22(4 Suppl), p.34.
Click here for Article
Chakraborty, P.P., Ray, S., Biswas, D., Baidya, A., Bhattacharjee, R., Mukhopadhyay, P., Ghosh, S., Mukhopadhyay, S. and Chowdhury, S., 2015. A Comparative Study Between Total Contact Cast and Pressure-Relieving Ankle Foot Orthosis in Diabetic Neuropathic Foot Ulcers. Journal of Diabetes Science and Technology, 9(2), p.302.
Click here for Article
Renner, N., Wirth, S.H., Osterhoff, G., Böni, T. and Berli, M., 2016. Outcome after protected full weightbearing treatment in an orthopedic device in diabetic neuropathic arthropathy (Charcot arthropathy): a comparison of unilaterally and bilaterally affected patients. BMC musculoskeletal disorders, 17(1), p.504.
Click here for Article
Jani, M.M., Ricci, W.M., Borrelli, J., Barrett, S.E. and Johnson, J.E., 2003. A protocol for treatment of unstable ankle fractures using transarticular fixation in patients with diabetes mellitus and loss of protective sensibility. Foot & ankle international, 24(11), pp.838-844.
Click here for Article
Koller, A., Meissner, S.A., Podella, M. and Fiedler, R., 2007. Orthotic management of Charcot feet after external fixation surgery. Clinics in podiatric medicine and surgery, 24(3), pp.583-599.
Click here for Article
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