Prevalence and risk factors for diabetic peripheral neuropathy, neuropathic pain and foot ulceration in the Arabian Gulf Region

Important work from our colleagues throughout the Gulf states. Anchored by Rayaz Malik of Cornell/Doha. Bottom line- the largest ever study in the region shows that so much of this is silent and sinister. For instance: 43% prevalence of painful diabetic neuropathy of whom 54% were undiagnosed. Risk factors for painless, painful neuropathy and diabetic... Continue Reading →

Diabetes-related lower extremity complications in a multi-ethnic Asian population: a 10 year observational study in Singapore

Great data from our Singapore colleagues Riandini and coworkers. Aims/hypothesis Diabetes progression and complication risk are different in Asian people compared with those of European ancestry. In this study, we sought to understand the epidemiology of diabetes-related lower extremity complications (DRLECs: symptomatic peripheral arterial disease, ulceration, infection, gangrene) and amputations in a multi-ethnic Asian population.... Continue Reading →

Scottish Nationwide Diabetic Foot Data: 5% Diabetes Prevalence, 1.1% DFU Incidence per year, Dramatically lower amputation-free Survival

Important work from our long-time SALSAmigos Graeme Leese and coworkers (Chamberlain et al) report five year data from a national Scottish database in the journal Diabetes Care. Abstract Objective: To describe incidence of foot ulceration and amputation-free survival associated with foot ulceration status in a national population-based cohort study of people with diabetes. Research design and... Continue Reading →

Social determinants of diabetes-related foot disease among older adults in Australia: evidence from a population-based study @alpslimb #SocialDeterminants #ActAgainstAmputation #DiabeticFoot

Social determinants of diabetes-related foot disease among older adults in New South Wales, Australia: evidence from a population-based study Background: Diabetes-related foot is the largest burden to the health sector compared to other diabetes-related complications in Australia, including New South Wales (NSW). Understanding of social determinants of diabetes- related foot disease has not been definitive... Continue Reading →

Survival of Patients Following First Diagnosis of Diabetic Foot Complications: A Nationwide 15-Year Longitudinal Analysis #CGMH @USC @ALPSlimb #ActAgainstAmputation #DiabeticFoot

Survival of Patients Following First Diagnosis of Diabetic Foot Complications: A Nationwide 15-Year Longitudinal Analysis Chia-Hung Lin 1,2,3, David G. Armstrong 4, Pi-Hua Liu1,5, Cheng-Wei Lin1, Chung-Huei Huang1 and Yu-Yao Huang1,3,6* Background and Aims: The long-term survival in people with type 2 diabetes following first diagnosis of diabetic foot complications (FDDFC) is unclear. The object is... Continue Reading →

Incidence of lower extremity amputations among patients with type 1 and type 2 diabetes in the United States from 2010 to 2014

Our data showed a higher incidence of LEA, especially minor LEA, in patients with T1D and T2D compared with those without diabetes, with a greater risk among patients with T1D than patients with T2D. Accounting for known and measurable risk factors for LEA reduced the relative hazard by nearly 50%; … — Read on pubmed.ncbi.nlm.nih.gov/32090430/... Continue Reading →

A Model to Predict Outcome of The Diabetic Foot? A Nine State Solution.

Superb work from our SALSAmigos in Soest and Duesseldorf. Understanding that diabetic foot complications are lifetime conditions-- and not just individual events fundamentally changes how we might model outcomes and care. Study of Disease Progression and Relevant Risk Factors in Diabetic Foot Patients Using a Multistate Continuous-Time Markov Chain Model   Alexander Begun1*, Stephan Morbach1,2,... Continue Reading →

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