Personalized Offloading Treatments for Healing Plantar Diabetic Foot Ulcers @alpslimb #DiabeticFoot #ActAgainstAmputation @NIDDK

Important and subtle work from Gustav Jarl and coworkers in Sweden and Australia. It speaks to the trend to be doing things with our patients and not to them. Background: Non-removable knee-high devices are the gold-standard offloading treatments to heal plantar diabetic foot ulcers (DFUs). These devices are underused in practice for a variety of reasons.... Continue Reading →

Researchers publish first successful “smart boot” study regarding diabetes-related wounds @NIDDK @NIH #ACTAGAINSTAMPUTATION @USC @KECKMEDUSC @BCMSURGERY @SENSORIAINC

This posted to Keck Medicine of USC HSC News Researchers publish first successful “smart boot” study regarding diabetes-related wounds David Armstrong, PhD, DPM (Photo/Ricardo Carrasco) As part of its partnership with Center to Stream Healthcare in Place (C2SHIP), Keck Medicine of USC has developed a new, interactive smart boot to help diabetic patients recover from dangerous... Continue Reading →

Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers @alpslimb #ActAgainstAmputation #Offloading

Superb work from our Jordanian/Aussie SALSAmigos. The data are almost identical to work done by our team in the early days of wearables in 2003 using similar methodology. Bottom line: Removable devices often remain removed (about 70% of the time) unless we do something with our patient and not to them! Anas Ababneh 1 2 3, Kathleen Finlayson 2 3, Helen Edwards 2 3, Peter... Continue Reading →

Custom-made footwear designed for indoor use increases short-term and long-term adherence in people with diabetes at high ulcer risk #ActAgainstAmputation #Shoes #DiabeticFoot @diabetesRC

Important work from our Dutch SALSAmigos. Can it help guide us to work with our patients to improve adherence and #ActAgainstAmputation? Renske Keukenkamp, Jaap J van Netten, Tessa E Busch-Westbroek, Sicco A BusCorrespondence to Dr Sicco A Bus; s.a.bus@amsterdamumc.nl Introduction To explore changes in footwear adherence following provision of custom-made indoor footwear in people with diabetes at high risk for plantar... Continue Reading →

Smart Offloading Boot System for Remote Patient Monitoring: Toward Adherence Reinforcement + Proper Physical Activity Prescription for Diabetic Foot Ulcer Patients @NIDDK @NIH #ActAgainstAmputation @USC @KeckMedUSC @bcmsurgery @sensoriainc

This just published in JDST highlights the first ever smart boot system designed to explore the boundaries of boosting adherence to care in people with diabetic foot ulcers. Catherine Park 1 2 3, Ramkinker Mishra 1, Davide Vigano 4, Maurizio Macagno 4, Stefano Rossotti 4, Karen D'Huyvetter 5, Jason Garcia 5, David G Armstrong 5 6, Bijan Najafi 1 Background: A critical factor in healing diabetic foot ulcers is patient adherence to offloading devices. We tested... Continue Reading →

From our combined team: Time in Range (TIR) may help to predict amputation and mortality risk #ActAgainstAmputation @USC @USC_Vascular @KeckSchool_USC

This from our combined Chongqing/Singapore/USC team. This adds additional data pointing to a relationship with glucose, morbidity and mortality in high risk diabetic foot patients. Aims: To evaluate the association of time in range (TIR) with amputation and all-cause mortality in hospitalized patients with diabetic foot ulcers (DFUs) MATERIALS AND METHODS: A retrospective analysis was performed... Continue Reading →

Fewer Type A personality traits in type 2 diabetes patients with diabetic foot ulcer?

Compelling data from Verges and coworkers from Dijon and coworkers that is certainly worthy of discussion. Fewer Type A personality traits in type 2 diabetes patients with diabetic foot ulcerFig. 1. Histograms of: (A) Bortner Scale score distributions in type 2 diabetes (T2D) patients with (grey) and without (white) diabetic foot ulcer (DFU); (B) distribution... Continue Reading →

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