Wisdom from Wounds: Armstrong Headlines Diabetic Foot Congress with Keynote Honoring Sjef van Baal in the Netherlands @alpslimb #ActAgainstAmputation

Almelo, Netherlands – June 2025 — In a powerful and thought-provoking keynote at Congres Diabetische Voet 2025, Prof. David G. Armstrong—Founding President of the American Limb Preservation Society (ALPS) and Distinguished Professor of Surgery and Neurological Surgery at USC—delivered the lecture named in honor of the symposium’s founder, Prof. Sjef van Baal. Armstrong’s plenary, titled “Limb Preservation: Looking... Continue Reading →

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MRI Monitoring in Charcot Foot: Valuable Insight or Victim of Modern Imaging Technology? #VOMIT #ActAgainstAmputation #CharcotArthropathy

Our colleagues from Lund, Sweden, have just added a valuable new data point to a growing conversation about the role—and risks—of imaging in Charcot foot care. Their retrospective cohort study, published in the Journal of Foot and Ankle Research, analyzed 143 Charcot events in 122 individuals, comparing those who were monitored using follow-up MRI with those... Continue Reading →

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Custom-Made Footwear Use in People with Diabetes: Can a Multi-Modal Intervention Move the Needle in Improving Adherence? #ActAgainstAmputation #DiabeticFoot

We’ve long known that custom-made footwear plays a central role in preventing diabetic foot ulcers. But ensuring people actually wear this footwear—particularly at home—remains a challenge. A new study by Van Netten, Vossen, Driebergen, Wolthuis, Merkx, and Bus offers important insight into this issue by exploring a multi-modal behavioral intervention to improve adherence. In this... Continue Reading →

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🩺 Time in Range, Time to Heal: CGM as a Window Into Wound Recovery #ActAgainstAmputation #TimeinRange #DiabeticFoot

In the age of connected health, continuous glucose monitoring (CGM) has transformed from a tool for glycemic control into something more: a real-time indicator of healing potential. A recent pilot study in Wound Repair and Regenerationunderscores just how tightly glycemic stability—especially time in range (TIR)—is linked to wound outcomes in people with diabetic foot ulcers (DFUs).... Continue Reading →

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Peering Beneath the Surface: How Reliable is Microwave Radiometry for Charcot Foot? #Charcot #Thermography #Thermometry

Thermometry remains a cornerstone in the detection and monitoring of Charcot neuro-osteoarthropathy (CNO)—a frequently silent, yet limb-threatening complication of diabetes. But what if we could go deeper than skin-level heat? A new study by Eleftheriadou et al., published online in Technology in Wound Care, explores the reliability of microwave radiometry (MWR) as a tool for internal tissue temperature measurement in... Continue Reading →

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Calcium makes everything harder :) – Predicting Microsurgical Morbidity with PAD Grading in Limb Preservation #GLASS #MAC #ActAgainstAmputation

Screenshot Screenshot Screenshot Microsurgical limb salvage is one of the most complex, high-stakes interventions in modern reconstructive surgery. For patients with peripheral artery disease (PAD), the decision to proceed with free tissue transfer (FTT) is fraught with uncertainty—especially when calcified, fragile vessels may compromise flap viability from the outset. A new study by Felder and colleagues,... Continue Reading →

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Novel Glucose-Lowering Agents That Benefit the Diabetic Foot: Icing on the Cake #ActAgainstAmputation

As the global burden of diabetes continues to climb, so too does the impact of its most feared complications—including diabetic foot ulcers (DFUs), infections, and amputations. While tight glycemic control has long been a cornerstone of diabetic foot prevention, emerging therapies are now offering benefits that go beyond glucose reduction. In our newly accepted paper... Continue Reading →

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Two thirds of high-level amputations in those with PAD received low-intensity assessment. Here are the details on how to #ActAgainstAmputation

Using Medicare claims data from over 33,000 beneficiaries between 2016 and 2019, the investigators identified nearly 8,000 patients who underwent a major lower extremity amputation due to chronic limb-threatening ischemia (CLTI). Their findings offer a window into the continuum—or lack thereof—of care before amputation, and the inequities that pervade it. Among their key findings: 63%... Continue Reading →

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Could GLP-1 Receptor Agonists Help Prevent Infections in People with Diabetes? A Nationwide Study Says Yes—At Least for the Lungs and Feet #ActAgainstAmputation #DiabeticFoot #GLP1RA

A new nationwide study out of Taiwan adds fresh weight to the growing list of potential benefits offered by GLP-1 receptor agonists (GLP-1RAs)—a class of medications already known for their glycemic control, cardiovascular protection, and weight loss benefits. This time, the focus is on something more insidious: infections that land people in the hospital. In... Continue Reading →

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From Controversies to Consensus: Rethinking Exercise in Diabetic Foot Disease #ActAgainstAmputation #Exercise

What happens when one of the oldest prescriptions in medicine—movement—is withheld from one of the most at-risk patient populations? This important question is tackled head-on in a recent review by Sutkowska, Korzon-Burakowska, and Biernat, titled “On the Merits of Targeted and Individualized Physical Exercise in Persons with Diabetic Foot Disease – From Controversies to Consensus” . In... Continue Reading →

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