Journal List > J Korean Diabetes > v.17(4) > 1055031

Cho: Outpatient Testing for Diabetic Complications

Abstract

Diagnosis and management of chronic complications is very important in diabetes mellitus. In asymptomatic patients, routine screening for chronic diabetic complications is recommended. If not recognized and if preventive care is not implemented, patients are at risk of damage to major organ systems. Tests for diabetic complications vary depending on the type of complications. Some tests require skilled workers and advanced facilities. Many simple screening tests for complications can also be carried out in outpatient clinics. Performing screening tests for complications in outpatient clinics could contribute to timely diagnosis and management of diabetic complications.

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Table 1.
Foot examination in diabetic patients
Appearance Neurologic exam Vascular exam
•Past/current ulcer •10 g monofilament •Foot pulse
•Foot deformity plus one of next exam •Ankle-brachial index (if needed)
Metatarsal head/claw foot Vibration perception (128 Hz tuning fork)  
Hallux valgus Pinprick  
muscle atrophy Ankle reflex  
Charcot deformity Vibration perception threshold  
•Skin    
Callus    
Erythema    
Diaphoresis    
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