Tag Archive: diabetic foot ulcers

  1. “Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers” from Diabetes Care

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    A recently published article in Diabetes Care, Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers, is one of the most comprehensive reviews on the topic in the last several years. Disturbing trends in healthcare disparities for lower income and minority patient populations with diabetic foot ulcers (DFUs) are discussed. Another concern noted in the article is the uptick in the amputation rate in diabetes patients after some notable reductions in the 1990s and 2000s.  The importance of preventative care and screening is reviewed in detail. Specifically, diagnosing loss of protective sensation (LOPS) through testing with the Semmes-Weinstein monofilament and tuning fork is stressed in these patients due to the centrality of diabetic peripheral neuropathy (DPN) in the formation of most DFUs. These recommendations support the findings of our last article on the prediction of DFUs with these two screening tests.

  2. ADA releases Standards of Care in Diabetes—2023

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    The American Diabetes Association just released their 2023 version of it’s Standards of Care in Diabetes. The Retinopathy, Neuropathy, and Foot Care: Standards of Care in Diabetes chapter again reflects the latest evidenced-based guidelines on the treatment of the diabetic foot. Some newer recommendations include topical oxygen therapy for recalcitrant diabetic foot ulcers and alpha lipoic acid for neuropathic pain. Testing patients with diabetes for Loss of Protective Sensation (LOPS) with a 10g monofilament and at least one other neurological screening tool is again advised. One of these approved methods includes vibration testing with the 128 Hz tuning fork or “similar device”. These guidelines are in agreement with our latest ETF research paper, Combined Utility of the Semmes-Weinstein Monofilament and the Timed Vibration Test in the Prediction of Diabetic Foot Ulcers.

  3. Impaired dermal microvascular reactivity and implications for diabetic wound formation and healing: an evidence review

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    We are pleased to share a new article in the Journal of Wound Care on diabetic wound healing by CEO, Todd O’Brien, DPM. Dr. O’Brien published this review on Impaired Dermal Microvascular Reactivity (IDMR) as it relates to difficult to heal diabetic foot ulcers (DFUs). IDMR may be the culprit at work in many difficult to heal wounds seen in patients with otherwise normal appearing circulation and appropriate wound care.