Weโve known for a long time that a diabetic foot ulcer (DFU) isnโt just a wound on the bottom of a footโitโs a massive red flare for a patientโs overall health. But a recent nationwide study in Diabetes Care just put some sobering, and ultimately hopeful, numbers behind that reality. The data from this massive... Continue Reading →
Measuring what we Manage: Why the Mother of Modern Nursing is the Grandmother of Big-Time Data Viz
You'll often hear us saying "you can't manage what you can't measure", but for those of us in the trenches of limb salvage and wound healing, this isn't just a mantraโit is a moral imperative. And if we want to see the future of how we treat the "patient-in-place," we need to look back nearly... Continue Reading →
What is the Optimal Follow-Up Interval After Diabetic Foot Ulcer Healing in Remission? #ActAgainstAmputation
Our friends and colleagues at the Universidad Complutense de Madridโled by Mateo Lรณpez-Moral, Marta Garcรญa-Madrid, Esther Garcรญa-Morales, Yolanda Garcรญa-รlvarez, Francisco J. รlvaro-Afonso, and Josรฉ Luis Lรกzaro-Martรญnezโhave just published the DIATIME Comparative Efficacy Study, a randomized clinical trial that may help redefine how often we should see patients in remission after a healed diabetic foot ulcerLรณpez-Moral... Continue Reading →
When Stress Doesnโt Tell the Whole Story: Walking Speed, Pre-Ulcers, and the Path to Prevention #ActAgainstAmputation #DiabeticFootUlcer
For decades, clinicians and researchers have sought a simple, reliable biomechanical predictor of diabetic foot ulceration. Peak plantar pressure has been the standard metric, but its predictive value has always been modest. A newer, more holistic measureโcumulative plantar tissue stress (CPTS)โwas thought to offer better predictive power by integrating multiple factors: plantar pressure, time spent... Continue Reading →
Frailty Progression and Outcomes in Patients with Diabetic Foot Ulcers: New Insights from @USC @keckschool_usc @USC_Vascular #ActAgainstAmputation
We are pleased to share our teamโs latest publication led by super sudents Alex Hong, Ivan Luu and Brandan Deras-Guerra under the direction of Tze Woei Tan inย the journal Surgery: Hong AT, Luu IY, Deras-Guerra B, Han S, Shin L, Shih C-D, Armstrong DG, Tan T-W. โAssociation between frailty progression and clinical outcomes in patients... Continue Reading →
From Controversies to Consensus: Rethinking Exercise in Diabetic Foot Disease #ActAgainstAmputation #Exercise
What happens when one of the oldest prescriptions in medicineโmovementโis 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 โOn the Merits of Targeted and Individualized Physical Exercise in Persons with Diabetic Foot Disease โ From Controversies to Consensusโ . In... Continue Reading →
New Insights in Adherence Monitoring for Removable Cast Walkers
๐ก Revolutionizing Diabetic Foot Care with Smart Sensor Technology Diabetic foot ulcers (DFUs) are a costly and common complication for up to 25% of individuals with diabetes. Removable cast walker (RCW) boots play a vital role in offloading and protecting wounds, but adherence to wearing them is critical for success. Aย fascinating studyย by Havey et al. in... Continue Reading →
Exploring the Therapeutic Potential of Postbiotic Lactobacilli for Cutaneous Health #ActAgainstAmputation
In recent years, the therapeutic potential of probiotics has gained considerable attention, particularly in the context of gut health and immune modulation. However, their role in cutaneous immunity and wound healing remains an emerging field of study. A fascinating study published in The FASEB Journal sheds light on the promising effects of postbiotic lactobacilli on... Continue Reading →
Exploring the Potential of Pemafibrate in Reducing Diabetic Foot Ulceration and Gangrene #ActAgainstAmputation #Fibrate #Bestmedicaltherapy
Exploring the Potential of Pemafibrate in Reducing Diabetic Foot Ulceration and Gangrene Note: This post was also part of a Med Page Today interview here Diabetic foot ulceration remains a significant challenge in the management of type 2 diabetes, often leading to increased risks of amputation and mortality. This condition affects up to 34% of... Continue Reading →
More glimmers of good news? Understandingย the Decline inย Diabetic Footย Ulcers in Norway: Insights fromย the HUNT Study
Trends in lifetime prevalence of Diabetic Foot Ulcer (DFUs) Understanding the Decline in Diabetic Foot Ulcers in Norway: Insights from the HUNT Study Diabetic foot ulcers (DFUs) are a major complication of diabetes, leading to severe health consequences and high healthcare costs. However, a recent study from Norway provides a glimmer of hope, showing a... Continue Reading →