Simple foot tests could prevent thousands of Diabetes-Related amputations

NCT ID NCT05009602

First seen Oct 31, 2025

Summary

This study tested several simple bedside exams—like blood pressure cuffs on the ankle and toe—to see which best detects poor leg circulation (peripheral arterial disease) in people with diabetes. Over 600 participants underwent these tests along with advanced imaging (CTA or MRA) to confirm results. The goal is to find the most accurate and cost-effective way to diagnose circulation problems early, potentially preventing many of the 7,000 diabetes-related leg amputations that occur each year in the UK.

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Contacts and locations

Locations

  • Cardiff and Vale UHB

    Cardiff, CF14 4XW, United Kingdom

  • Central London Community Healthcare NHS Trust sites

    London, NW1 5JD, United Kingdom

  • Chelsea and Westminster Hospital NHS Foundation Trust

    London, SW10 9NH, United Kingdom

  • Hammersmith and Fulham Partnership

    London, United Kingdom

  • Hull University Teaching Hospitals NHS Trust

    Hull, HU3 2JZ, United Kingdom

  • Imperial College Healthcare NHS Trust

    London, W6 8RF, United Kingdom

  • Mid and South Essex NHS Foundation Trust

    Basildon, SS16 5NL, United Kingdom

  • NHS Greater Glasgow and Clyde

    Glasgow, G12 0XH, United Kingdom

  • Nottingham University Hospitals (NUH) NHS Trust

    Nottingham, NG5 1PB, United Kingdom

  • Oxford University Hospitals NHS Foundation Trust

    Oxford, OX4 2PG, United Kingdom

  • South Tees Hospitals NHS Foundation Trust

    Middlesbrough, TS4 3BW, United Kingdom

  • St George's University Hospitals NHS Foundation Trust

    London, SW17 0QT, United Kingdom

  • University Hospitals Plymouth NHS Trust

    Plymouth, PL6 8DH, United Kingdom

  • University Hospitals Southampton NHS Foundation Trust

    Southampton, SO16 6YD, United Kingdom

  • University Hospitals of Derby and Burton NHS Foundation Trust

    Derby, DE22 3NE, United Kingdom

  • University Hospitals of Leicester NHS Trust

    Leicester, LE1 5WW, United Kingdom

  • Worcestershire Acute Hospitals NHS Trust

    Worcester, WR5 1DD, United Kingdom

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to

If successful, this could identify the most accurate and cost-effective bedside test for detecting poor leg circulation in people with diabetes, potentially reducing amputations.

What could go wrong

This is a completed diagnostic study, not a treatment trial. The results may show that no single test is clearly superior, or that the best test is not practical in all clinics.

Conditions

The condition(s) this trial relates to.

Chronic Limb-Threatening Ischemia diabetes mellitus Diabetic Foot limb ischemia peripheral arterial disease peripheral vascular disease

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.