A feed axis diagnostic device for a machine tool is provided. The machine tool machines a workpiece while driving a moving body with feed axes along a guide surface of a rolling guide mechanism. The feed axis diagnostic device includes a feed axis diagnostic unit configured to detect an abnormality in the rolling guide mechanism in the machine tool. The feed axis diagnostic unit is configured to acquire a feed speed during non-machining and a load applied to the feed axes at the feed speed. The abnormality is detected based on an approximate function calculated from relationships between a plurality of the feed speeds and a plurality of the loads acquired under a plurality of different feed speed conditions in a predetermined period.