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Lower Extremity Amputation Prevention Program (LEAPP) – Patients with Diabetic Foot Ulcers

​What is LEAPP?

LEAPP is a one-stop specialised clinic that aims to:

  • Avoid lower limb amputation

  • Lower associated death rates

  • Reduce need for hospital stays

The multidisciplinary team in LEAPP will help patients with Diabetic Foot Ulcer (DFU) to reduce DFU-related complications, infections and amputation rates.

LEAPP 01.jpg

The LEAPP programme strives to provide you with the best care plan to help reduce your treatment cost and improve your quality of life.

The LEAPP Team

The LEAPP team consist of:

  • Vascular Surgeon

  • Orthopaedic Surgeon

  • Endocrine Specialist

  • Podiatrist

  • Wound Care Nurse

  • Diabetic Nurse Clinician

The LEAPP team will:

  • Discuss your foot-related health concerns

  • Ensure you receive the necessary tests early (e.g. X-Rays, blood tests, etc.)

  • Provide prompt treatment for your foot wounds

  • Advise you on what you can do at home to care for your current condition and prevent new problems from emerging

Why are People with Diabetes at Risk?

Patients with diabetes may have:

  • Reduced sensation over their feet
  • Problems with blood flow to their legs

Signs and injuries that put you at risk of an acute foot attack:

1. Ingrown Toenail

LEAPP Ingrown Toenail.png

2. Foot Ulcers

LEAPP Foot Ulcers.png

  • Open wound may become infected, leading to tissue death which requires amputation

  • Foot ulcers and amputations will affect activities of daily living (ADLs) such as walking

Signs of Acute Foot Attack

  • Red and Swollen Foot
  • Increased Warmth
  • Black Discolouration
  • Pus Discharge
  • Fever/Unwell

Self-Care for Diabetic Foot Patients


  • Maintain a healthy lifestyle and diet

  • Do not smoke

  • Avoid activities that requires you to be barefooted as this increases the chance
    of you getting injured

  • Thoroughly dry your skin, especially between your toes

  • Inspect your feet daily and check the entire surface for signs that puts you at risk of an acute foot attack

Wound Care Tips

  • Keep pressure off affected areas as much as possible

  • Change your dressings as advised or when dressing is soaked/dirty

  • Keep your dressing clean and dry

Your Journey With Us

You will be seen by different specialist(s) and allied health professionals (podiatrist, wound care nurse, diabetic nurse clinician) on the same day.

Lower Extremity Amputation Prevention Program (LEAPP) For Diabetic Foot Patients 3.png

What Can You Expect After Joining LEAPP?

Patients may visit their primary care providers (GPs or Polyclinics) for subsidised care or consult a specialist at the hospital for follow-up care and wound dressing.


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