'inexpensive way'

Peripheral neuropathy is the prime cause of diabetic foot ulceration. Ulceration, in turn, is the key factor that may precipitate a cascade of events leading to lower-extremity amputation. Checking the loss of Thermal Sense, Vibration sense and protective Touch Sense will help the management of diabetic neuropathy and its effect on the foot. Three important simple devices are packaged in the Neuropathy Assessment Kit (NA03) for the effective management of diabetic neuropathy. The kit contains a Tiptherm, a Vibratip and Monofilament 10gm(25 Nos). TIP THERM® is a simple device for the early diagnosis of symmetrical polyneuropathy by measuring the loss of temperature sensitivity of the skin. TIP THERM® was developed to give the clinician and patient a convenient and easy-to-use method of testing. This device is recommended to use, at a room temperature of 23° C. Failure to perceive variances in temperature in the extremities is the most decisive early symptom of distal symmetric polyneuropathy, a typical ailment accompanying diabetes mellitus (Ziegler 1988). Portable Vibration sense device VIBRATIPTM is a device resembling a small key fob that provides a near-silent vibration of consistent amplitude at a frequency similar to that of a calibrated tuning fork. It is intended for use when testing a person’s vibration perception during routine checks for diabetic peripheral neuropathy (DPN) in people who have type 1 or type 2 diabetes. It is a disposable device works for about 250 patients, and vibrates at 125 Hz with an intensity equivalent to that of a Biothesiometer at 25 Volts. When the patient does not feel the vibration is classified as a high-risk category. MF10GM: Monofilaments 10gm is an effective, convenient, easy to use, relatively inexpensive way of testing for loss of protective touch sense in the feet. It is designed for single-patient use and can be used till 100 bends or filament damage.

Deformity due to the diabetic foot causes repetitive and excessive pressure to certain areas of the foot, which may result in ulcers and pains. Therefore, it is necessary to measure the pressure of the sole for the prevention and management of diabetic foot lesions. Early identification of feet 'at risk' for ulceration is important in preventing plantar lesions in diabetic patients with insensitive feet. Plantar pressures are higher in diabetic neuropathic patients than non-diabetic and non-neuropathic Counterparts. As high plantar pressure is a proven risk factor for foot ulceration, effective screening for high plantar pressures in diabetic patients could have a major influence on the incidence of diabetic foot ulceration. High plantar foot pressure has been identified as a significant risk factor for ulcerations. A large number of studies have suggested that plantar pressures are high in people with diabetic peripheral neuropathy (DPN) and in people with a history of diabetic foot ulcers. Measurement of these foot pressures is possible utilizing a variety of modalities. Several computerized systems can provide quantitative measurement of plantar foot pressure. These measurements are important in identifying areas of the foot at risk for ulceration and possibly in the evaluation of orthotic adjustments. In order to identify high-risk patients in a clinical setting, a simple system for screening is needed which is easy to use, reliable and gives results that are easy to interpret and can be immediately available to both the patient and staff. Our Foot Imprinter Harris Mat FM1111 has been developed as a simple, inexpensive and practical foot pressure measurement device intended for routine clinical use. It is a semiquantitative footprint mat that quantifies plantar pressure by visual comparison between the greyness of the footprint. Features: • Measures and display patient weight disbursement in greyscale • Detects the area of the greatest concern for ulceration • Useful to identify Charcot arthropathy • Arch of the patient can be detected • More the darker color represent the high pressure • Excellent tool for motivating the patient to upgrade to a good footwear • Kit includes FI1111 mat, rubber roller, ink pad, Ink and prescription pad