Diabetes Foot Exam Form – Fill Out and Use This PDF

Diabetes Foot Exam Form PDF Details

For individuals managing diabetes, maintaining foot health is a critical component of their overall care plan. The Annual Comprehensive Diabetes Foot Exam Form is designed to provide healthcare professionals with a structured tool for evaluating the status of a patient's feet, an area often affected by complications of the disease. This form encompasses various diagnostic tools and criteria for assessment, including the use of a 128-Hz tuning fork to evaluate vibration perception. This particular test helps in identifying any abnormalities in the sensory response of the feet, which can be indicative of underlying issues requiring further medical attention. With options to mark responses as either normal or abnormal, the form also encourages regular monitoring and quick identification of potential problems. It aligns with recommendations outlined in the Wisconsin Diabetes Mellitus Essential Care Guidelines of 2012, emphasizing its importance within an integrated diabetes management plan.