On diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices
Wonderful work from Pete Lazzarini and coworkers lay out an ambitious pathway to end preventable diabetes-related amputation in Australia and worldwide.
Read More Pathway to end avoidable diabetes-related amputations, worldwideSuperb data from Lazaro-Martinez and coworkers strongly suggest that addition of a rocker sole may be superior to a well fitting therapeutic shoe alone. Background Therapeutic footwear becomes the first treatment line in the prevention of diabetic foot ulcer and future complications of diabetes. Previous studies and the International Working Group on the Diabetic Foot […]
Read More Clinical efficacy of therapeutic footwear with a rocker sole in the prevention of recurrence in people in diabetic foot ulcer remission: results of an RCTImportant work from Josh Beckman and coworkers in Circulation. The data, taken from the Veterans Aging Cohort Study, suggest that microvascular disease (retinopathy/neuropathy/nephropathy) alone is associated with a 3.7-fold greater risk of amputation. When combined with peripheral artery disease (PAD), the risk rises to 22.7-fold increased risk.
Read More Microvascular complications, along with PAD directly associated with amputation: @CircAHA @VascularSVS @APMAImportant data from Veronese and coworkers suggests a bidirectional link between diabetes/sarcopenia and related complications.
Read More Association between sarcopenia and diabetic complications: a systematic review and meta-analysis of observational studiesRecent compelling data by Searle and coworkers report the following: Ankle equinus is associated with increased plantar pressure in people with diabetes Adults with diabetes and ankle equinus undertook 8 weeks of static calf stretching No significant increase in ankle dorsiflexion was seen following the intervention Additionally no significant reduction in plantar pressures was noted
Read More Calf muscle stretching is ineffective in reducing plantar pressure in the diabetic foot?Here is the link for the global vascular guidelines. And listed below is section 12 by Rogers and Armstrong detailing methods of developing and certifying a limb preservation unit. Enjoy.
Read More How to build and certify a center of excellence for amputation prevention @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGoIn important work from Paisey and coworkers, incidence of first foot ulceration was nearly cut in half over a sustained 18-year period in Devonshire, UK with the implementation of podiatric diabetic foot services. Recurrent ulcers for people in diabetic foot remission increased by 60%, echoing other studies showing that ulcer-free days may be an important […]
Read More Podiatry-led teams reduce incidence of first ulceration by 45% in long-term population based studyThe ability to do one push up or to walk at a rate of about one mile in 33 minutes (not the total distance) are better measures of overall health than body weight. Please enjoy this superb article by James Hamblin, MD, in The Atlantic.
Read More A Better Measure of Health Than Body WeightDr. David Armstrong, Professor of Surgery at USC’s Keck School of Medicine and former University Distringuished Outreach Professor of Surgery at the University of Arizona on the Diabetes Epidemic and the rise in its feared complication, amputation.
Read More @USC Armstrong on the @Buckmastershow – Diabetic Amputations are rising (again)— but there’s hope. Here’s how.This work from our friends from Mexico City, Toronto and our team, stems from a lecture series that Joe Mills and I created several years ago entitled “The North American Free Toes Alliance” featuring Mexican Vascular Surgeon Dra. Rocio Jimenez. This was revisited by Dr. Carlos Hinojosa in “Renegotiating NAFTA”. It was Carlos’ leadership that […]
Read More A North America “Free Toes” Alliance (NAFTA)? Teaming up to #ActAgainstAmputation worldwide #DiabeticFoot @VascularSVS @APMA
