Diabetic Foot Ulcers

Diabetic Foot Ulcers

On-Demand Webcast

Lawrence Lavery, DPM, MPH
Professor, Department of Plastic Surgery
University of Texas Southwestern Medical Center
Dallas, Texas

Kathy Farley, MS, RN
Vice President of Clinical Education
Align Technology
Santa Clara, California

Intended Learners

This activity is designed for physicians, pharmacists, podiatrists, and nurses who are involved in the management of patients with wounds.

Learning Objectives

After completing this activity, participants should be able to:

  • Describe the changes in insulin/glucose regulation in diabetic patients
  • Explain the neuropathic and vascular changes that may contribute to the formation of foot ulcers in the diabetic patient
  • Discuss important physical, neurological, and vascular assessment tests commonly used in the assessment of diabetic foot ulcers
  • Identify and describe distinguishing characteristics of foot ulcers in the diabetic patient
  • Compare and contrast several systems used to classify diabetic foot ulcers
Activity Overview

This on-demand webcast is available with synchronized slides and audio.

To be eligible for documentation of credit, participants must complete the educational activity, read the article, complete the 10 question post-test with a score of 70% or better, and complete the evaluation form.

ACPE Credit Policy

Your official record of ACPE credit will be generated through the CPE Monitor System. The certificate printed from this website after completing the evaluation for this activity is for personal tracking purposes only.

Eligibility for pharmacy credit is contingent upon the successful completion of a post-test and/or evaluation for each activity or session attended. Please note that you must complete the activity evaluation within 60 days of a live activity or within 60 days of beginning the evaluation for an enduring activity. Under ACPE Policy, NACCME will not be able to report your activity completion to CPE Monitor after this 60-day period.

After successful completion of the post-test and evaluation form online at www.naccme.com, participants may immediately print their documentation of credit.

Participants who have successfully completed the live version of this activity are not eligible to receive credit for this enduring material.

Release date: December 31, 2010
Expiration date: December 31, 2021

Date of last review: January 31, 2020
Estimated time to complete: 2 hours

There is no fee associated with this activity.

This is educational activity is a knowledge-based activity.

For questions regarding this educational activity, please call 609-371-1137.


Hardware/Software Requirements

All educational activities are accessible via a PC (Windows 2000/XP/Vista/7) or Mac (Mac OS 10.x or later) computer with current versions of the following browsers: Internet Explorer, Mozilla Firefox, Google Chrome, or Safari. Windows Media Player or compatible alternative, sound card, and speakers are required for streamed audio. The latest version of the Adobe Flash Player is suggested for video programs. A PDF reader is required for print publications. Please direct technical questions to webmaster@naccme.com.



  In support of improving patient care, North American Center for Continuing Medical Education (NACCME) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.


NACCME designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


This activity is approved for 2 contact hours (0.2 CEUs) of continuing pharmacy education (UAN JA0006201-0000-20-067-H01-P).

Any participant wanting to file a grievance with respect to any aspect of a continuing pharmacy education activity accredited by NACCME may contact the Senior Manager, Accreditation & Compliance, NACCME, in writing at 104 Windsor Center Drive, Suite 200, East Windsor, NJ 08520. The Senior Manager, Accreditation & Compliance will review the grievance and respond within 30 days of receiving the written statement. If the participant is unsatisfied with the response, an appeal to the Senior Director, Accreditation and Compliance, NACCME, may be made for a second level of review.


This continuing nursing education activity awards 2.0 contact hours.

Provider approved by the California Board of Registered Nursing, Provider #13255 for 2.0 contact hours.

Continuing Podiatric Education

North American Center for Continuing Medical Education, LLC (NACCME) is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. NACCME has approved this activity for a maximum of 2.0 continuing education contact hours.

Independent Clinical Reviewer: Alan Dardik, MD, PhD, Associate Professor of Surgery (Vascular), Chief, Peripheral Vascular Surgery, VA Connecticut Healthcare Systems, West Haven, Connecticut; Daniel Federman, MD, FACP, Yale University School of Medicine, Newton, Connecticut

Planning Committee

The planning committee comprises Lawrence Lavery, DPM, MPH, Kathy Farley, MS, RN, John Macdonald, MD, FACS; Alan Dardik, MD, PhD;  Daniel Federman, MD, FACP, Trish Levy, Tiffney Oliver, Randy Robbin, and John Savage, NACCME.

Financial Disclosure and Conflicts of Interest

According to the disclosure policy of NACCME, faculty, editors, managers, and other individuals who are in a position to control content are required to disclose any relevant financial relationships with relevant commercial companies related to this activity. All relevant conflicts of interest that are identified are reviewed for potential conflicts of interest. If a conflict is identified, it is the responsibility of NACCME to initiate a mechanism to resolve the conflict(s). The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation.

All educational materials are reviewed for fair balance, scientific objectivity of studies reported, and levels of evidence.

The faculty has reported the following:

Dr. Lavery: Grant/Research Support— Advanced Biohealing, Inc., Kinetic Concepts, Inc., Smith & Nephew; Scientific Advisor—Diabetica Solutions Inc., National Healing Corporation, Cytomedica; Promotional Speakers’ Bureau—Advanced Biohealing, Inc., Kinetic Concepts, Inc., National Healing Corporation; Shareholder/Stock Options—Diabetica Solutions Inc.; Employee/Officer/Board Member—Diabetica Solutions Inc.
Ms. Farley: has disclosed that she has an employment affiliation with Healthpoint Biotherapeutics
Dr. Macdonald: Promotional Speakers Bureau—3M and Drawtex
Dr. Dardik and Dr. Federman have disclosed no relevant financial relationships with any commercial interests.

Ms. Levy, Ms. Oliver, Mr. Robbin and Mr. Savage have disclosed no relevant financial relationships with any commercial interests.

NACCME requires faculty to inform participants whenever off-label/unapproved uses of drugs and/or devices are discussed in their presentations.

The faculty has disclosed that no off-label/unapproved use(s) of drugs and/or devices will be discussed.

Privacy Policy

NACCME protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. NACCME and our joint sponsors will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting purposes to the appropriate accrediting agency.

NACCME maintains physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Copyright © 2017 by North American Center for Continuing Medical Education, LLC. All rights reserved. No part of this accredited continuing education activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from North American Center for Continuing Medical Education. The opinions expressed in this educational activity are those of the faculty and are not attributable to NACCME. Clinical judgment must guide each professional in weighing the benefits of treatment against the risk of toxicity. Dosages, indications, and methods of use for products referred to in this activity are not necessarily the same as indicated in the package insert for each product, may reflect the clinical experience of the presenters, and may be derived from the professional literature or other clinical sources. Consult complete prescribing information before administering.


Grant Support

Supported by an educational grant from Smith & Nephew and The Wound Institute