Table 4:

MALE risk score

Age Range	Score	Sex & Race	Score	Medical History	Score	HbA1c Range	Score
<20	0			Prior Amputation	6	<5	0
20–24	1	Male	4	History of PAD	14	5–6.99	4
25–29	3			History of CAD	4	7–8.99	8
30–34	4	White	15	Prior Foot Ulcer	7	9–10.99	12
35–39	6	Black	13	History of CBV Disease	3	≥11	16
40–44	7	Asian	6	Neuropathy	2
45–49	9	Other	11	Medicated with Insulin	6
50–54	10
55–59	12			Current Smoker	6
≥60	13			or Former Smoker	3
	____	+	____	+	___	+	____

Total score is obtained by summing the category scores, with a score range from 6 to 96.