Diabetic foot complications remain a leading cause of morbidity, hospitalisation, and lower extremity amputation (LEA) among individuals with diabetes mellitus. The Diabetic Foot Programme (DFP) is a newly established, multidisciplinary initiative aimed at optimising medical care, improving limb salvage, and reducing LEA through coordinated care. This study presents the 1-year evaluation of clinical outcomes among patients enrolled in our DFP.

A total of 355 patients were enrolled in the DFP between 2 May 2024 to 1 May 2025. A descriptive statistical analysis was performed to evaluate clinical characteristics and outcomes at 1 year. Baseline demographics, glycaemic control, surgical interventions and outcomes were analysed. Risk stratification was performed using the Wound, Ischaemia and Foot Infection (WIfI) classification.

The mean age was 63.7 years, with a male predominance (65.0%). The majority of patients were Malay (41%), followed by Chinese (33%), and Indian (22%). At enrolment, 71.0% of patients had poor glycaemic control (mean HbA1c 8.9%), which improved significantly to 8.1% at the last follow-up. 58.0% required inpatient management, 35.2% underwent revascularisation, and 37.7% required foot-related surgeries. Among patients requiring surgery, 29.6% underwent minor LEA and 5.6% required major LEA. Among those with WIfI risk stratification (68%), 39% of patients were classified as medium-to-high risk for major LEA. These patients had higher LEA rates (minor 43.6% and 61.3%; major 6.5% and 19.4%, respectively). The mean time from admission to revascularisation and foot surgery was 4.4 and 4.2 days, respectively. The mean length of stay was 12.1 days. Wound healing was achieved in 51.6% of patients at 1 year, with a mean follow-up duration was 215.2 days. The 30-day mortality rate was 3.9%. 36.3% of patients required readmission, and re-ulceration occurred in 23.9%.

The first-year evaluation of our Diabetic Foot Program demonstrated favourable limb salvage outcomes despite high predicted amputation risks, and measurable improvements in glycaemic control. These findings underscore the importance of a structured, multidisciplinary diabetic limb salvage program in improving clinical outcomes and reducing the burden of diabetic foot disease.