Shoes Off Is a Shoo-In

To help ensure that the annual foot examinations required in patients with diabetes are performed, we have a sign at the front of each examination room that says, “If you have diabetes, please take off your shoes before seeing the provider.” We have also instructed our nurses to ask all patients with diabetes to remove their footwear. These measures have saved physicians time and increased the rates of diabetic foot examinations and neuropathy screenings.
—— Sabesan Karuppiah, MD
         Pittsburgh