The Comprehensive Diabetic Foot Exam (CDFE)

People with diabetes can develop many different foot problems. Even
ordinary problems can get worse and lead to serious complications. Foot
problems most often happen when there is nerve damage, also called
neuropathy, which results in loss of feeling in your feet. Poor blood flow or
changes in the shape of your feet or toes may also cause problems. It is for
this reason that the American Diabetes Association among others
recommends that your healthcare provider perform a Comprehensive
Diabetic Foot Exam (CDFE) up to four times a year. Click on this link to see
Dr. Timko's suggested annual schedule for Diabetics.

What is a Comprehensive Diabetic Foot Exam (CDFE)?
A CDFE is a comprehensive lower extremity physical examination
combined with an educational and counseling session performed on people
with diabetes. Your healthcare provider should perform a CDFE at least
annually - more often if you have foot problems. During this exam, your
healthcare provider will check your feet for signs of pressure or friction,
calluses, nail problems, red spots, and signs of infection. They will also
evaluate the condition of your skin. The exam will include non-invasive
tests to see if you have lost any feeling in your feet, a simple examination of
your circulation and if there is any change in the shape of your feet. The
exam may turn up nothing, which means that your feet are in good
condition. If changes are noted early, preventative measures can be taken.
The CDFE concludes with an educational session to inform you about your
specific risk factors and counseling on proper foot care.

Why is it so important?
Nerve damage, poor circulation, and trouble fighting infections can make
foot problems serious for people with diabetes. Nerve damage makes the
skin and nails susceptible to injury. Healing is often slowed down or more
difficult for people with diabetes. Skin breakdown can lead to chronic foot
ulcers (long standing sores). The goal of the CDFE is to find any changes in
your feet as early as possible. In most cases, proper care of your feet can
prevent ulcers and the risk of amputation.

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