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 […]Read More Thermometry reduces risk for reucleration in remission– in patients who reduce their activity
Here is important work from our long-time Dutch friends and colleagues. Bottom line: there are now key factors that can be inputted into models to predict (and therefore reduce) risk for reulceration in patients in diabetic foot remission. This is the first multivariate model we’ve seen include use of personal thermometry. Wouter B Aan de […]Read More Development of a prediction model for foot ulcer recurrence in people with diabetes using easy-to-obtain clinical variables #Remission #DiabeticFoot #UlcerFreeDays #Thermometry
This study from Duan and coworkers. Bottom line: people with diabetes do not recover as rapidly following activity– particularly following repetitive activity. It is yet more data to guide us in better dosing activity and predicting diabetic foot ulcers. The effects of different accumulated pressure-time integral stimuli on plantar blood flow in people with diabetes […]Read More The effects of different accumulated pressure-time integral stimuli on plantar blood flow in people with diabetes mellitus #diabeticfoot
Lower extremity reamputation in people with diabetes: a systematic reviewand meta-analysis This from Liu and our group evaluating the best available evidence on reamputation. The bottom line: 1 year reamputation: 19%, 5 year reamputation 37.1%, 5 year contralateral reamputation: 20.5%. No trend for improvement or worsening over the past 2 decades. Lower extremity reamputation in […]Read More Lower extremity reamputation in people with diabetes: a systematic review and meta-analysis @ALPSlimb #ActAgainstAmputation @USC_vascular @apma @keckmedusc @DiabetesRC
Fascinating work from Chen and coworkers. Perhaps something else we need to focus on that we often acknowledge but frequently neglect! STUDY OBJECTIVES: Sleep-disordered breathing (SDB) is prevalent and associated with increased risk of morbidity and mortality. However, whether SDB has an adverse impact on wound healing in patients with diabetic foot ulcers (DFUs) is […]Read More Poor sleep and hypoxemia may be associated with longer wound healing and more frequent ulcer recurrence in remission
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. […]Read More Preventing foot ulceration in diabetes: systematic review and meta-analyses of RCT data #DiabeticFoot #Remission #ActAgainstAmputation @Diabetologia
Promising work from our Darbyshire SALSAmigos. • Source: Wounds UK . Jul2018, Vol. 14 Issue 3, p34-39. 5p. • Author(s): GRAY, KATIE; GAME, FRANCES; PINNINGTON, LORRAINE • Abstract: Background: Recommendations published by the international working group of the diabetic foot (2015) advise that patients should limit standing and walking to facilitate optimal wound healing. Aims: […]Read More Encouraging reduction of activity amongst patients with diabetic foot ulcers.