Health Care Service and Outcomes Among an Estimated 6.7 Million Ambulatory Care Diabetic Foot Cases in the U.S. 

This from our @UofA / @BCM, UTSouthwestern and Oklahoma SALSA team. 6.7 million diabetic foot ulcers, 785 million diabetes-related outpatient visits and 5.5 billion visits overall suggest that diabetic foot ulcers are common, complex, and costly. Compare this frequently silent and sinister problem to CHF, MI, stroke. OBJECTIVE: To evaluate ambulatory clinical cases of diabetic foot […]

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Prevention = Remission: How One Word Can Change Everything

This abstract is from an upcoming JAPMA manuscript from Joe Mills and me. We have been using this terminology in our clinic for some time and believe it truly makes a difference. Here’s to measuring that effect! We credit our friend and colleague Jeff Robbins with simultaneously working on this subject as well and for […]

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Foot Technology & Wounds: Special Online Symposium in Journal of Diabetes Science & Technology

Journal of Diabetes Science and Technology is an electronic-only publication, indexed in MEDLINE by the National Library of Medicine. The journal publishes latest research, analyses, reviews, editorials, and commentaries from the leaders in the field of diabetes technology. In it’s recent issue, the journal published the Part 1 of 2, for a special symposium on […]

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Overview of the RANKL OPG Pathway

Authorship: Nicholas A. Giovinco Julia Bernardini David G. Armstrong The Receptor Activator for Nuclear Factor kappa B Ligand is believed to be an important molecule of bone metabolism. This is a natural and necessary surface-bound molecule on several types of cells, and serves to activate osteoclasts. Overproduction of RANKL is implicated in a variety of […]

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Thermometry, Activity & Patients: Notes for the Physicians

“What should a clinician do in regards with thermometry and activity monitoring, when seeing a diabetic patient?” All the literature out there, suggests that thermometry is useful in “Preventing” foot ulcers and the proven “Delta T” that is considered pre-ulcerous, is 4 Deg F or 2.2 Deg C. However, whether this value of “Delta T” […]

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"Therm Deal" for the Diabetic Feet: WarmFeet Relaxation Method

Excellent work from our colleagues at University of Minnesota’s Epidemiology Clinical Research Center! “Dr. Rice’s technique was tested in multi-site clinical trials at the University of Wisconsin. The medical outcomes were highly significant and positive for increased wound healing and pain relief. Of patients who practiced the technique, 87.5 percent completely healed their chronic ulcers, […]

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Conceptualizing Amputation Prevention

While advancing technologies create different tools to use to prevent amputations in those with diabetes, the concepts of prevention are nearly constant.  We know that 6 major steps are necessary to achieve limb salvage in the shortest possible time.  These steps are: 1.  Infection recognition and management 2.  Vascular disease recognition and management 3.  Offloading […]

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