3 Minute Diabetic Foot Exam

How to Perform the 3-Minute Diabetic Foot Exam 

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How to Perform the 3-Minute Diabetic Foot Exam

People with type 2 diabetes are at risk of lower extremity amputation due to nerve damage and poor circulation. Reduced blood flow increases the risk of developing a wound—and if a person has neuropathy, they may not notice it until it becomes severe.

  • Every 1.2 seconds, someone develops a diabetic foot ulcer.

  • Every 20 seconds, someone with an ulcer undergoes an amputation.

  • Most of these amputations are preventable.

A simple, structured 3-minute foot exam helps clinicians quickly detect risk factors and guide timely referrals to specialists.

1. What to ask

Ask about:

  • Past wounds, ulcers, surgeries, or amputations

  • Use of tobacco/nicotine

  • Diabetes control and history of vascular interventions

  • Burning, tingling, pain with activity, or color changes in the feet.

2. What to look for

What to look for:

  • Check skin, nails, calluses, wounds, and signs of infection

  • Assess protective sensation and look for deformities

  • Examine vascular status including pulses and hair growth.

3. What to teach

Educate your patient about:

  • Daily foot checks and hygiene

  • Proper footwear and avoiding going barefoot

  • Smoking cessation and managing blood sugar.

Diabetic Foot Exam Mythbusters with Dr. David Armstrong

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Mythbusters

There are myths surrounding the diabetic foot exam. In this short video, Dr. David Armstrong separates fact from fiction with clarity and insight.
Whether you’re a patient or a provider, this myth-busting session is one you can’t miss.

Join us in uncovering the truth and stepping toward better limb health.

Dr. David G. Armstrong shares:

“The 3-Minute Diabetic Foot Exam video represents a crucial step forward in our mission to prevent amputations. It’s concise, impactful, and empowers healthcare professionals to make a real difference in patients’ lives. It takes only 3 minutes to save 2 limbs. We can do this, worldwide.”

Myth 1: "Doing the diabetes foot exam doesn't change the outcomes on amputation"

False.  Yes, it does.

If the patient sees the primary care doctor and a foot specialist one time during the year, for the next 6 years, the risk for high-level amputation goes down by up to 66 percent.  

Myth 2: "I don't have time to do the 3-minute diabetes foot exam"

False.

You may not, but your team can do most of it, leaving you with less than 1 minute of triage.

Myth 3: "I don't feel confident in my skills for examining feet"

False. 

Help and educational resources are available providing you with the tools that you need to feel confident. 

Myth 4: "Poor reimbursement for foot exams makes it financially difficult”

False.

The complete 3-minute foot exam may qualify you for higher reimbursement as an Evaluation & Management code.

Other Resources:

A Health Care Provider’s Guide to
Preventing Diabetes Foot Problems

Feet Can Last a Lifetime 

Visit Resource (PDF)

For more information, please contact:
ALPS

Georgia Krehbiel

ALPS CEO

CAP Partner ApS

Annkathrin Mathe

ALPS Program Director