diabetic

Technology to improve treatment of diabetic complications

August 19, 2014

Neuropathy, or nerve disease, is one of the most common complications of diabetes affecting about half of the diabetic population. Its implications can be severe: foot ulcers leading to amputations and disabling chronic pain.

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Cultures of Diabetic Foot Ulcers Without Clinical Signs of Infection Do Not Predict Outcomes

July 13, 2014

Cultures of Diabetic Foot Ulcers Without Clinical Signs of Infection Do Not Predict Outcomes Gardner SE 1 ,  Haleem A 2 ,  Jao YL 3 ,  Hillis SL 4 ,  Femino JE 5 ,  Phisitkul P 5 ,  Heilmann KP 2 ,  Lehman SM 3 ,  Franciscus CL 6 . 1 College of Nursing, The University of Iowa, Iowa City, IA sue-gardner@uiowa.edu

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The 3-Minute Diabetic Foot Exam + Referral Guidelines For Primary Care #FootAttack

July 7, 2014

These guidelines and the presentation listed below were adapted from our American Diabetes Association’s Comprehensive Diabetic Foot Examination . Further information can be found here . 

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Diabetic Foot: A Cinderella Specialty, Needs Team Approach

June 21, 2014

Diabetic Foot: A Cinderella Specialty, Needs Team Approach : SAN FRANCISCO — Results from 2 new studies in diabetes-related foot complications indicate how vital it is for healthcare professionals to adopt a multidisciplinary team approach when it comes to managing this often-neglected complication of diabetes. The findings were reported at the  American Diabetes Association (ADA) 2014 Scientific Sessions  earlier this week. In the first study, a retrospective look back at 10 years of treatment of underserved populations in a single center, Merribeth Bruntz, DPM, from the Denver Health Medical Center, Colorado, reported a staggering reduction in the number of amputations after she established a limb-salvage program in her institution.

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Clinical Examination and Treatment of a Leg Ulcer Caused by a Stingray Puncture

May 30, 2014

The most frequent causes of leg ulcers include venous incompetency (superficial and deep), arterial insufficiency, trauma, vasculitis, and neoplasm. Leg ulcers from injury by stingrays are quite rare. In this case report, we describe a leg ulcer caused by a stingray sting complicated by infection, which healed completely without surgery.

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Diabetic foot ulcers linked to premature death from vascular, nonvascular causes

May 29, 2014

Diabetic foot ulcers linked to premature death from vascular, nonvascular causes  via Helio This from our colleague Rob Hinchliffe’s great team at St.

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A CD30(-) Transformed Mycosis Fungoides Case Responding Very Well to Systemic Bexarotene and Methotrexate

May 28, 2014

The course of mycosis fungoides (MF) is indolent except when transformation to a large T-cell lymphoma occurs. The diagnosis of transformed MF relies on the presence of more than 25% of large cells on biopsy of an MF lesion

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Sulodexide as Adjunctive Therapy in Diabetic Foot Patients With Critical Limb Ischemia Treated With Percutaneous Transluminal Angioplasty

May 26, 2014

We evaluated the safety and efficacy of sulodexide, a biocompound of glycosamin-glicans, as adjunct medical therapy to percutaneous transluminal angioplasty (PTA) in diabetes mellitus (DM) patients with critical limb ischemia (CLI). We studied 27 consecutive DM patients with CLI successfully subjected to PTA who, on top of standard antiplatelet therapy, received sulodexide 25 mg bid, and were followed-up for 24 weeks, monitoring adverse events, transcutaneous oxygen tension (TcPO 2 ), ankle–brachial pressure index, pain, and ulcer dimension.

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