Association between elevated skin temperature of the foot callus and inflammatory marker in people with diabetes #ActAgainstAmputation #Diagnostic #Theragnostic #DiabeticFoot

Calluses are defined as “hyperkeratosis caused by excessive mechanical loading in particular areas” and can contribute to the development of diabetic foot ulcers(DFUs). Callus inflammation is a premonitory symptom of DFUs. To prevent DFUs, recent studies have recommended thermographic monitoring of foot skin temperature, which is recognized as a sign of skin inflammation. However, no... Continue Reading →

Can Wound Surface pH and Temperature Predict Wound Healing in Diabetic Foot Ulcer? #Theragnostics #Diagnostics #DiabeticFootUlcer

More data supporting diagnostics and theragnostics like wound pH and thermometry. Introduction: Diabetic foot ulcer (DFU) is dreaded and one of the most intricate medical conditions in diabetes. Improving the healing of DFU is imperative for improved patient outcomes. To consider a biomarker of comprehensive value to patients and health care professionals, it should be cost... Continue Reading →

Home temperature monitoring reduces risk of diabetic foot ulcer recurrence by more than half: Meta Analysis #ActAgainstAmputation #DiabeticFoot @ALPSlimb

Superb effort as usual from Golledge and coworkers in evaulating people in diabetic foot remission. Aims: To perform an updated systematic review of randomised controlled trials examining the efficacy of at-home foot temperature monitoring in reducing the risk of a diabetes-related foot ulcer (DFU). Methods: Systematic review performed according to Preferred Reporting Items for Systematic reviews and... Continue Reading →

Adherence to at-Home Monitoring of Foot Temperatures in People with Diabetes at High Risk of Ulceration #Thermometry #Remission #DiabeticFoot #ActAgainstAmputation

Data reported by Rovers and coworkers on 151 people in diabetic foot remission from our colleagues under the aegis of Sicco Bus and Jaap Van Netten. Bottom line: like with glucose monitoring (particularly in its early days) adherence to thermometry is spotty (56.6% adhering to daily checks at 18 months). We aimed to investigate adherence... Continue Reading →

A Novel Machine Learning Approach for Severity Classification of Diabetic Foot Complications Using Thermogram Images #ActAgainstAmputation

We are seeing and better approaches to assisting us in identifying subtle asymmetries and personalized discontinuities in thermometry. This work from our Qatari colleagues is just such an example. Diabetes mellitus (DM) is one of the most prevalent diseases in the world, and is correlated to a high index of mortality. One of its major... Continue Reading →

Meta-analysis of randomised controlled trials testing the effect of at-home foot temperature monitoring and reduction of ambulatory activity in response to hotspots on the incidence of diabetes-related foot ulcers

Enjoy this deep dive into the current status of data supporting or refuting use of thermometry Aim: To perform an updated systematic review of randomised controlled trials examining the efficacy of at-home foot temperature monitoring in reducing the risk of a diabetes-related foot ulcer (DFU). Methods: Systematic review performed according to PRISMA guidelines. Risk-of-bias was assessed using... Continue Reading →

Is a Left-to-Right >2.2°C Difference a Valid Measurement to Predict Diabetic Foot Ulceration in People in Diabetic Foot Remision? #Thermometry

Terrific work from Featherson and coworkers lending further light on the role (and limitations) of thermometry/thermography in predicting reulceration in diabetic foot remission Monitoring foot skin temperatures at home have been shown to be effective at preventing the occurrence of diabetic foot ulcers. In this study, the construct validity of using >2.2°C difference between contralateral... Continue Reading →

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 →

Development of a prediction model for foot ulcer recurrence in people with diabetes using easy-to-obtain clinical variables #Remission #DiabeticFoot #UlcerFreeDays #Thermometry

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... Continue Reading →

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