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Flow Chart for Diabetes Foot Exams*
* Adapted from Population-Based Guidelines for Diabetes Mellitus. Health Promotion and Chronic Disease
Prevention Program, Oregon Health Division and Oregon Department of Human Resources, 1997.
Diabetes Foot Exam Procedures
| Category of Patient |
Recommended Procedure |
Frequency |
Persons with:
- Type 1 diabetes
- Type 2 diabetes
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Comprehensive foot exam to identify high risk foot conditions. A physician or other trained health care provider should:
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Assess skin, hair and nails, musculoskeletal structure, vascular status, and protective sensation.
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Inspect footwear for blood or other discharge, abnormal wear patterns, foreign objects, proper fit, appropriate material, and foot protection.
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Educate about self-care of the feet.
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Educate about the importance of blood glucose monitoring including the use of the Hemoglobin A1c test.
- Reassess metabolic control.
Management plan.
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The subsequent foot care management plan depends on risk category, foot status, and metabolic control.
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High risk patients should be referred to a health care provider with training in foot care.
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Annually or when a new abnormality is noted |
Persons at: |
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Visual foot inspection to identify foot problems. A physician or other trained staff should perform the foot inspection. |
At every visit |
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(Refer to chart for definitions of risk) |
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As warranted |
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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 |
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Includes information about managing the ABCs of Diabetes. Also features information for people with diabetes who are eligible for Medicare benefits.
Learn how to prevent or delay type 2 diabetes through small steps.
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