Feet Can Last a Life time

A Health Care Provider's Guide to
Preventing Diabetes Foot Problems

Print Version (PDF* 388k)

Contents of the Kit

• Acknowledgements
• Introduction
• TOOLS FOR DIABETES FOOT EXAMS
  • Tools for Diabetes Foot Exams
  • Flow Chart for Diabetes Foot Exams
  • Diabetes Foot Exam Procedures
  • Quality of Care Measures
  • Foot Exam Instructions
    • Visual Foot Inspection
    • Annual Comprehensive Diabetes Foot Exam
  • Annual Comprehensive Diabetes Foot Exam Form
• MEDICARE INFORMATION
  • Medicare Coverage of Therapeutic Footware for People with Diabetes
  • Statement of Certifying Physician for Therapeutic Footwear
  • Prescription Form for Therapeutic Footwear
• REFERENCE AND RESOURCE MATERIALS
  • Prevention and Early Intervention for Diabetes Foot Problems: A Research Review
  • Resource List
• PATIENT EDUCATION MATERIALS
  • "Take Care of Your Feet For A Lifetime"—Foot Care Tips for People with Diabetes
  • "To Do" List—for People with Diabetes
• ADDITIONAL TOOLS
  • Flyers for Exam Room—In English and Spanish

Materials and Form for People with Diabetes

• Take Care of Your Feet for a Lifetime, an illustrated, easy-to-read booklet
• "Take Care of Your Feet For A Lifetime"—Foot Care Tips for People with Diabetes*
• "To Do" List—for People with Diabetes*
• Annual Comprehensive Diabetes Foot Exam Form*
• Statement of Certifying Physician for Therapeutic Footwear and Prescription Form for Therapeutic Footwear*
• High Risk Feet Stickers for Medical Record*

*PDF files require the free Adobe Acrobat Reader application for viewing.

National Diabetes Education Program (NDEP)    http://ndep.nih.gov
NIDDK, National Institutes of Health, Bethesda, MD

A Joint Initiative of the National Institutes of Health and the
Centers for Disease Control and Prevention