As mentioned in the last post there is a validated test for diabetic neuropathy that requires no monofilament or tuning fork. It is called IPSWICH and it uses only one finger light tough to 3 toes on each foot. It has a simple method, but it can be done incorrectly. A patient tests positive for neuropathy if ANY of the touch test report negative.(Please see video below)
Id like to add, this test is an initial test and does NOT eliminate the need for monofilament testing, ( More comprehensive, 10 sites, allows for identifying progression of disease, can be used on patients with amputation), or tuning fork ( tests vibration not touch) and reports ability for patient to feel a developing blister. Vibration is addition risk assessment and allows for better self management due to awareness.
Still IPSWICH has its place. There is no tool. No cost. Takes a moment and can identify low risk, very quickly. Please find the evidence and demonstration video below.
https://www.youtube.com/watch?v=rFne3scZCp8 VIDEO demo
Sarah Lockbaum RPN, CDE, IIWCC
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