Resource List

1. Monofilaments for Sensory Testing

To order monofilaments, contact the following companies:

Center for Specialized Diabetes Foot Care

PO Box 373 - 405 Hayden St.
Belzoni, MS 39038
Phone: (800) 543-9055
www.middelta.com/filamentsinfo.htm
Single 5.07 (10 gm): $10.00

Diabetic Care Services

Phone: 1-800-633-7167
www.diabeticcareservices.com
(Click on “Testing Supplies” tab, then choose “Neuropathy Testing”)
Neuropen Monofilaments 15g (5x15g replacement monofilaments): $21.95
10g (5x10g): $21.95

Diabetic Express

Phone: 1-800-338-4656
www.diabeticexpress.com
(Click on “Testing Supplies” tab, then choose “Neuropathy Testing”)
Neuropen Monofilaments 10g (5 x 10g replacement monofilaments): $21.95

J & B Medical Supply

Phone: 1-800-980-0047
www.jandbmedical.com/shop/diabetes/neuropathytesting/index.asp
Owen Muford Neuropen 10g monofilament: $19.65

North Coast Medical, Inc.

187 Stauffer Boulevard
San Jose, CA 95125-1042
Phone: 408-283-1900
www.ncmedical.com
Set of six, assorted sizes: $124.95
Single 5.07 (10gm): $24.95

Sammons Preston

P.O. Box 5071
Bolingbrook, IL 60440-5071
Phone: 1-800-323-5547
www.sammonspreston.com/Supply/product-list.asp?subsection=1406
Single 5.07 (10gm): $26.95

Sensory Testing Systems

1815 Dallas Drive, Suite 11A
Baton Rouge, LA 70806
Phone: 225- 923-1297
www.thetrophyhousebr.com
(Click on STS Products button for online catalog)
Single 5.07 (10gm): $10.00
 

2. National Diabetes Education Program (NDEP) – a partnership among the National Institutes of Health, the Centers for Disease Control and Prevention, and over 200 organizations

Internet: ndep.nih.gov
To order materials, call: (800) 438-5383

Feet Can Last a Lifetime – A Health Care Provider’s Guide to Preventing Diabetes Foot Problems

Copies of this kit are available through the National Diabetes Information Clearinghouse by calling (800) 438-5383. In addition, the entire text of the kit may be downloaded from the NDEP website at ndep.nih.gov on the Internet.

Take Care of Your Feet for A Lifetime

This 12-page, easy-to read, illustrated patient booklet provides step-by-step instructions for proper foot care. It includes a tear-off reminder sheet of foot care tips and a patient “To Do” list. Available in English and Spanish on the NDEP website at ndep.nih.gov on the Internet.
 

3. National Diabetes Information Clearinghouse (NDIC) of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

1 Information Way
Bethesda, MD 20892-3560
Internet: www.niddk.nih.gov/health/diabetes/ndic
(301) 654-3327

Foot Care and Diabetes 1993 - Present.

The database from the diabetes subfile of the Combined Health Information Database (CHID) can be searched for foot care and diabetes information. Each citation includes the author, title, source, a summary, where to obtain the item, and its price. Formats of audiovisuals are provided. CHID is available at chid.nih.gov on the Internet.

Diabetic Neuropathy: The Nerve Damage of Diabetes

This 12-page fact sheet for patients describes the causes, symptoms, and major types of neuropathy, provides information about diagnosis and treatment, as well as the findings of the Diabetes Control and Complications Trial as they relate to neuropathy.
 

4. American Association of Diabetes Educators

100 West Monroe St., Suite 400
Chicago, IL 60603
Internet: www.aadenet.org
Phone: (800) TEAM-UP4
(312) 424-2426 for main location
Use the toll-free number to receive the names and phone numbers of three certified diabetes educators in the location you specify.

Diabetes Foot and Skin Care

This is one of a series of informative videotapes for patient education. To order or for a free preview, call (800) 432-8433.
 

5. American Diabetes Association

1701 N. Beauregard St.
Alexandria, VA 22311
Internet: www.diabetes.org
Phone: (800) 232-6733 for publications
(800) 342-2383 for general diabetes information
(703) 549-1500 – National Office
Information about local activities including materials also is available by calling your local American Diabetes Association at 1-888-DIABETES.

Clinical Practice Recommendations

• The American Diabetes Association: Standards of Medical Care for Patients With Diabetes Mellitus. Diabetes Care 23 (suppl.1):S32-S42, 2000.
• The American Diabetes Association: Preventive Foot Care in Patients With Diabetes Mellitus. Diabetes Care 23 (suppl.1):S55-S56, 2000.

Diabetes, What to Know Head to Toe

This patient brochure briefly covers self-care of the heart, eyes and feet and is available in English and Spanish.

First Thing First Series: Foot Care (5093-10)

This patient brochure briefly describes the importance of and methods for proper foot care.

101 Foot Care Tips for People with Diabetes (4834-01)

This book for people with diabetes provides information about keeping the feet healthy and preventing foot complications.
 

6. American Orthopaedic Foot & Ankle Society

1216 Pine Street, Suite 201
Seattle, WA 98101
Phone: (206) 223-1120
Fax: (206) 223-1178
E-mail: aofas@aofas.org
Internet: www.aofas.org
You may order a copy of any brochure by sending a self-addressed, stamped envelope to the address above or download a copy from the internet.

Guidelines for Referral

This journal reprint outlines five criteria for patient referral to an orthopedist to prevent deterioration or complications of a diabetic ulcer.

The Diabetic Foot

This patient brochure answers basic questions about diabetic foot problems and offers information on day-to-day-care to help prevent them.

Patient Brochures

These are short brochures to help patients prevent injury and care for their feet:

• How to Care for Your Diabetic Feet
• The Diabetic Foot and Risk: How to Prevent Losing Your Leg
• Shoes and Orthotics for Diabetics
• Charcot Joints, or Neuropathic Arthropathy
• Foot Ulcers and the Total Contact Cast

Newsletter

“FootCare” is a quarterly newsletter offering advice on foot care topics for people with diabetes.
 

7. American Podiatric Medical Association

9312 Old Georgetown Road
Bethesda, MD 20814-1698
Internet: www.apma.org
To order materials, call (301) 581-9200

Your Podiatric Physician Talks about Diabetes

This patient brochure covers preventive foot care, warning signs, and the role of the podiatric physician in foot care.

Don’t Let Diabetes Get a Foothold on Your Life

This patient brochure presents an overview of potential foot problems affecting people with diabetes. It discusses diabetes warning signs, preventive foot care, and the role of the podiatric physician in the management of diabetes foot problems.
 

8. Centers For Disease Control and Prevention– Division of Diabetes Translation Clearinghouse

P.O. Box 8728
Silver Spring, MD 20910
Internet: www.cdc.gov/diabetes
To order, call toll free (877) CDC-DIAB (232-3422)

Take Charge of Your Diabetes

This 76-page spiral-bound book for adults with diabetes focuses on the value of glucose control, team work, community and family support, and simple preventive steps for helping to promote health and prevent complications (Chapter 9 covers foot care). Yellow record sheets are provided for recording tests that should be done once a year and at every visit.

The Prevention and Treatment of Complications of Diabetes: A Guide for Primary Care Practitioners

This 93-page book describes ways to help the primary care provider prevent, detect, and treat major diabetes complications. An office guide in the appendix offers a brief synopsis of the recommendations contained in the body of the text. The guide may be photocopied and placed in the medical record. This book is available only on the Internet.

The Economics of Diabetes Mellitus: An Annotated Bibliography

This bibliography contains most of the important economic studies currently available regarding the direct health care costs related to diabetes and interventions to reduce the burden of diabetes.

Diabetes Surveillance, 1997

This report documents the number of diabetes-related hospital discharges with lower extremity amputations as a reported procedure between 1990 and 1994.
 

9. Health Care Financing Administration

To order materials, call the Texas Medical Foundation at (888) 691-9167.

Foot Exam Materials for Academic Detailing

A tool kit for implementing an academic detailing intervention for increasing foot exams. The kit includes: an implementation plan for the Peer Review Organization, guidelines for the detailer, principles of academic detailing, podiatry consult request and report forms, exam documentation sheet, chart stickers, references and resources, and a 10-minute video of a foot exam.

MedQuest Data Abstraction and Analysis System, User’s Guide for DQIP

This toolkit includes an introductory video, detailed DQIP specifications and appendix, instructions for installing and using the MedQuest software, instructions for medical record abstraction and running a preprogrammed analysis report, and ten medical records for practice abstraction.

Compendium of Diabetes Best Practices

This compendium includes peer reviewed studies and quality improvement projects that document successful interventions in screening, monitoring and treatment of diabetic patients for improved outcomes. Tables address barriers to high quality diabetes care and effective interventions. Many of the studies and quality improvement projects relate specifically to foot care improvements. Also available at www.hcfa.gov/quality/3r.htm on the Internet.

Diabetes Interventions Toolkit

This kit provides examples of resources and tools that have been used successfully by clinicians, diabetes educators, peer review organizations, managed care organizations and others to improve care. It includes flowsheets, algorithms, patient education materials, practitioner toolkits and abstraction tools. Many of the tools specifically address foot care. Also available at www.takingondiabetes.org/bestpractices/index on the Internet.
 

10. Indian Health Service

5300 Homestead Road, NE
Albuquerque, NM 87110
Internet: www.ihs.gov/medicalprograms/diabetes
To order, call (505) 248-4182.

Standards of Diabetic Foot Care

This 43-page manual for providers includes minimum standards for diabetes foot care within the scope of each IHS facility.

The Basic Approach to the Diabetic Foot

This 41-page booklet for community health representatives covers foot problems, foot examinations, and how to care for the diabetic foot and patients with a foot ulcer.

A Basic Approach to Caring for the Feet of People with Diabetes

This three-part, 75-slide set teaches providers about foot care. Part 1: Injury can lead to amputation; Part 2: Examining the feet of a person with diabetes; Part 3: Foot care for all people with diabetes. (Slides are a companion piece to “The Basic Approach to the Diabetic
Foot” listed above.)

Booklets

These illustrated patient booklets, each 10-13 pages, are written at or below 6th grade level.

• Taking Care of Your Feet
• Footwear for People with Diabetes

Brochures

These are short patient information brochures.

• Take Care of Your Feet
• Numbness to Legs, Hands, and Foot/Pain
• Pain Related to Nerve Damage

Practice Guidelines

Practice guidelines in the form of a decision tree that addresses criteria for diagnosis, risk-factor assessment, treatment options, therapeutic targets, monitoring, and follow-up. To request a copy contact:
Stephen J. Rith-Najarian M.D.
Bemidji Area Indian Health Service
Diabetes Program
522 Minnesota Avenue
111 Federal Building, Bemidji, MN 56601
E-mail: Srithnajarian@nchs.com.
 

11. Juvenile Diabetes Foundation

International
120 Wall Street
New York, NY 10005
Internet: www.jdf.org
To order call: (800) JDF-CURE

Diabetes and Foot Care

This brochure provides general information about the effects of diabetes on feet, special self-care, the prevention, detection, and proper treatment of foot care problems, and the physician’s role in foot examination and treatment.
 

12. Lower Extremity Amputation Prevention (LEAP) Program

HRSA/BPHC/DPSP
4350 East-West Highway, 9th Floor
Bethesda, MD 20814
Internet: www.bphc.hrsa.gov/leap
To order the LEAP materials listed below, call the BPHC Information Clearinghouse at (888)275-4772 or preview and download them from the LEAP website.

Free Brochure and Monofilament

Each LEAP monofilament comes with a brochure on how to perform a sensory foot exam. Single copies are available free to individuals. Clinicians and other health care organizations may obtain up to 50 monofilaments free of charge. Multiple requests from the same organization
will not be honored.
Several versions of the LEAP brochure are available on the website—in normal and large print and in English and in Spanish. Other languages will be added. These brochures have no copyright restrictions and may be downloaded and reproduced.

Diabetes Foot Screen Forms

Both an abbreviated and a comprehensive foot screen form have no copyright and may be downloaded from the website and reproduced.

Video on Foot Assessment of the Adult Patient with Diabetes

This 5-minute video, produced in collaboration with Kaiser Permanente of the Mid-Atlantic States, shows a clinician discussing the importance of foot screening for patients with diabetes, explains the components of the LEAP Program, and demonstrates how to perform a simple foot screen using the LEAP monofilament.
This video can be viewed directly on the website. Call (888) 275-4772 to order a free VHS copy.

Patient Education Booklet

Designed to go with the patient video, this simple, easy-to-read booklet reinforces the importance of proper foot care for a patient with diabetes who has lost protective sensation. It is illustrated with simple pictures and can be adapted to include the clinician’s telephone number. Several translations of this booklet are available on the website.

Video for Clinicians

This 10-minute video, produced by the Texas peer review organization, is a tool for clinicians and demonstrates how to perform a comprehensive foot examination for patients with diabetes. This video can be viewed directly on the website. Free single VHS copies are available.
 

13. Pedorthic Footwear Association

7150 Columbia Gateway Dr., Suite G
Columbia, MD 21046-1151
Internet: www.pedorthics.org
Phone: (800) 673-8447

Diabetes and Pedorthics: Conservative Foot Care

This patient brochure provides information on pedorthics and footwear, including the role that a certified pedorthist plays in preventing and alleviating diabetes foot complications.

Pedorthics: Foot Care Through Proper Footwear

This brochure briefly explains the field of pedorthics and its practice of designing footwear to accommodate serious foot problems.

The Pedorthic Dispenser

Properly fitting therapeutic footwear requires special skills and care. The pedorthic profession focuses on the design, fit, and modification of shoes and related foot appliances. In addition to pedorthists, other dispensers include podiatrists, orthotists, and prosthetists.
For a listing of pedorthists, send a self-addressed stamped envelope to the Board for Certification in Pedorthics, 7150 Columbia Gateway Drive, Suite G, Columbia, MD 21046, or contact the website www.cpeds.org on the Internet.
 

14. Veterans Health Administration

Jeffrey M. Robbins, DPM
Director, VHA Headquarters, Podiatry Service
Louis Stokes Cleveland DVAMC
10701 East Boulevard
Cleveland, Ohio 44106
To order, call (216) 231-3286 or
fax (216) 231-3446
E-mail: jeffrey.robbins@med.va.gov

Free Filaments

Monofilaments are available free of charge to the entire Veterans Health Administration.

Foot Screening Tool

This one-page screening tool documents a foot examination and risk status using monofilament sensory testing.

National Diabetes Education Program (NDEP)    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