Abstract: Diabetic foot is a major cause of diabetes-related disability and mortality，which imposes a tremendous social and economic burden on individuals and society due to high recurrence rate and healthcare expenditure. Diabetic foot ulcer is the most common manifestation of diabetic foot，and the main reason of limb amputation. Complicated disease state，poor general physical conditions，severe infection，and poor outcomes are the features of Chinese patients with diabetic foot ulcer．Moreover，inadequate screening and evaluation，as well as nonstandard diagnosis and treatment still exist clinically. This commentary highlights the value of active screening and early intervention for patients with a high risk of diabetic foot，comprehensive evaluation for diabetic foot patients，using a multidisciplinary approach for tiered diagnosis and treatment，and new model for the management of diabetic foot under regular containment of COVID-19.

Key words: Diabetic foot, Screening, Risk assessment, Universal precautions, Progressive patient care

摘要： 糖尿病足是导致糖尿病患者残疾、病死的主要原因之一，其复发率和医疗费用均较高，对患者和社会造成了沉重的负担。糖尿病足溃疡是糖尿病足患者最常见的临床表现，也是导致糖尿病患者截肢的重要原因之一。在我国，糖尿病足溃疡患者具有病情复杂、一般情况差、感染严重、预后不良等特点，临床诊治中存在筛查评估不到位、治疗不规范的问题。本文强调针对糖尿病足高危患者进行积极筛查，及早预防；对糖尿病足患者应全面评估，多学科分级诊治；同时探索疫情常态化下糖尿病足管理的新模式。

关键词: 糖尿病足, 筛查, 危险性评估, 综合预防, 患者分级医疗