U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Friday, September 19, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


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Why is this important?

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NOTE: Access to this information is not restricted; however, the information found here is intended for use by medical providers. Some videos contain graphic images. Patients should talk with their medical providers about any specific concerns.

  • Foot ulcers and amputations are often a major cause of complications and disability.
  • >75% of amputations are prevented with primary care interventions.
  • A simple foot exam will identify those patients at high risk.
  • Provide foot care education, podiatry care and appropriate footwear.

Action Steps

  • Each visit: remove shoes and socks, inspect feet for acute problems.
  • Annually, complete foot exam:
    • Obtain Hx: Any previous foot ulcers/amputations?
    • Inspect feet: Deformities, skin, vascular problems?
    • Palpate foot pulses; measure ABI (Ankle Brachial Index) as needed.
    • Conduct sensory testing: 10 gm monofilament & 128 Hz tuning fork.
    • Educate patient on home foot care.
    • Refer as needed: footwear, wound care, podiatry and vascular.

Training Available

  • Diabetes Foot Care - This training will give you a review of foot care.
    • Provides in-depth information on foot care treatment and prevention of injuries.
    • Description of a Best Practice is also included.
    • CE Credits available.
Overview How To Other Resources

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov