Tag: prevention

Intensive Diabetes Control Reduces Incidence of a Diabetic Foot Ulcer by 23%: DCCT @ALPSlimb #ActAgainstAmputation

Great work from Ed Boyko and coworkers who mined the Diabetes Control and Complications Trial (DCCT) for these golden data. Abstract Objective: Intensive glycemic control reduces the risk of kidney, retinal, and neurologic complications in type 1 diabetes (T1D), but whether it reduces the risk of lower-extremity complications is unknown. We examined whether former intensive versus... Continue Reading →

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An explainable machine learning model for predicting in‐hospital amputation rate of patients with diabetic foot ulcer

Just published this past week by our collective Chongqing/Singapore/and local LA squad. Diabetic foot ulcer (DFU) is one of the most serious and alarming diabetic complications, which often leads to high amputation rates in diabetic patients. Machine learning is a part of the field of artificial intelligence, which can automatically learn models from data and... Continue Reading →

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Pay For Performance Reduces Incident Ulceration, Amputation, Death in the Diabetic Foot: Nationwide Study

A key Taiwanese nationwide study suggests that focusing on quality can improve outcomes. See for yourself: A nationwide cohort investigation on pay-for-performance and major adverse limb events in patients with diabetes A nationwide cohort investigation on pay-for-performance and major adverse limb events in patients with diabetes Highlights The nationwide population-base investigation unlinked vascular benefit of... Continue Reading →

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Thermometry reduces risk for reucleration in remission– in patients who reduce their activity

Important work from Sicco Bus, et al. published in BMJ Diabetes This RCT (DIATEMP) suggests that it's not enough just to know that you've a preulcerative hot spot-- but you need to do something about it. In this case, patients were told to reduce activity. Effectiveness of at-home skin temperature monitoring in reducing the incidence... Continue Reading →

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@CDCgov Analysis of Cost Effectiveness in #Diabetes: Hypertension Control and Foot Care top the list @alpslimb #DiabeticFoot #ActAgainstAmputation @apma

This superb report from Siegel and coworkers from the Centers for Disease Control and Prevention. OBJECTIVE To synthesize updated evidence on the cost-effectiveness (CE) of interventions to manage diabetes, its complications, and comorbidities. RESEARCH DESIGN AND METHODS We conducted a systematic literature review of studies from high-income countries evaluating the CE of diabetes management interventions recommended by... Continue Reading →

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Preventing foot ulceration in diabetes: systematic review and meta-analyses of RCT data #DiabeticFoot #Remission #ActAgainstAmputation @Diabetologia

Strong work from Fay Crawford and team! Aims/hypothesis Foot ulceration is a serious complication for people with diabetes that results in high levels of morbidity for individuals and significant costs for health and social care systems. Nineteen systematic reviews of preventative interventions have been published, but none provides a reliable numerical summary of treatment effects.... Continue Reading →

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16 steps to protect your feet during Hajj (Muslim pilgrimage) @APMA #ActAgainstAmputation @KeckSchool_USC

We at SALSA@USC are pleased to have participated in this collaborative effort to provide guidance to the nearly quarter million people with diabetes who perform Hajj each year. This manuscript has been published in BMJ Open Diabetes Research and Care. 16 steps to keep the foot healthy before, during and after the Hajj Daily inspection... Continue Reading →

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