DIABETIC NERVE PAIN

DOCTOR DISCUSSION GUIDE

It can be hard to explain your pain and exactly how you’re feeling to your doctor. This Doctor Discussion Guide has 5 quick questions that can help you get the conversation started. You and your doctor can use it to see if you have diabetic nerve pain and how it’s affecting you.

Fill out the questions and take it with you to your next doctor’s appointment.

1
Do you have diabetes and experience shooting, burning pain in your feet and hands?
2
How would you describe this pain in your feet and hands?

Select all that apply

3
On a scale from 0-10, how would you rate the severity of your pain?

No pain (0) : Most pain (10)

4
When does your pain worsen?

Select all that apply

5
What daily activities does your pain impact?

Select all that apply

Thank you for completing the Doctor Discussion Guide
Download Your Completed Guide as a PDF
Doctor discussing painful dpn treatment with his patient
Doctor discussing painful dpn treatment with his patient
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