Blog
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MIPS Quality Measure #126-Diabetic Foot Neurological Exam
CMS has recently updated its MIPS (Merit-based Incentive Payment System) Quality Measures. Measure #126 continues to be retained for performance of neurological exams on the feet of diabetic patients. As Measure Steward for this indicator, APMA (American Podiatric Medical Association) has done an excellent job creating a flowchart on implementation. Consistent with prior years, […]
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Diabetic Amputation Rates on the Rise
A new study by Geiss from Diabetes Care reveals a disturbing trend toward increasing rates of lower extremity amputations in young (18-44 y/o) and middle-aged (45-64 y/o) diabetic patients. This comes after a two-decade long decline in amputation rates in all diabetic patients. The study noted this upward spike in data collected from 2010-2015 in the US. […]
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ETF128 Successfully Registered with Italian Health Ministry
The company is gratified to announce successful registration of the ETF128 with the Italian Ministry of Health, clearing the way for entry into the Italian market. This is an important milestone as it is represents the company’s first expansion into the EU. The company plans to sell its products through an authorized representative per Ministry […]
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ETF Clinical Cases: Peripheral Neuropathy Secondary to Untreated Hypothyroidism
Although more closely associated with carpal tunnel syndrome, hypothyroidism is a recognized cause of peripheral neuropathy. While the mechanism of neuropathy in untreated hypothyroidism is unclear, researchers have theorized that it may be attributed to the deposition of mucopolysaccharides or to the accumulation of soft tissue edema in proximity to peripheral nerves. Regardless of the […]
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Evidence-based Links between Sympathetic Vascular Dysfunction and C-fiber Neuropathy
Researchers have long suspected a connection between sympathetic vascular dysfunction and small fiber neuropathy in diabetic patients. This is of special significance regarding the plantar skin of the foot where many diabetic complications arise. Several studies have found reduced vasomotor control to this skin in diabetics with diabetic peripheral neuropathy (DPN). Although the underlying mechanisms […]