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Skin Temperature Monitoring Reduces the Risk for
Diabetic Foot Ulceration in High-risk Patients |
| David G. Armstrong, DPM, PhD, Katherine Holtz-Neiderer, DPM, Christopher Wendel, MS, M. Jane Mohler, PhD, Heather R. Kimbriel, Lawrence . Lavery, DPM, MPHd |
In diabetes, as in other chronic diseases, self-care is an
essential element of disease management and prevention.
Most diabetic lower extremity complications involve sensory
neuropathy; patients do not recognize that their feet are
being injured until a wound develops ... |
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| Hypertension and Diabetes: Should We Treat Early Surrogates? |
| University Hospital, Malmö, Sweden |
Type 2 diabetes, a major public health problem of great concern, affects millions of patients in both developed and developing countries. These patients run a well-documented increased risk of cardiovascular disease (CVD), the risk of which is two- to threefold greater than that seen in nondiabetic subjects ... |
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| The metabolic syndrome in hypertension: European society of
hypertension position statement |
| Josep Redona, Renata Cifkovab, Stephane Laurentc, Peter Nilssond,
Krzysztof Narkiewicze, Serap Erdinef and Giuseppe Manciag |
| - on behalf of the Scientific Council of the European Society of Hypertension |
The metabolic syndrome considerably increases the risk of
cardiovascular and renal events in hypertension. It has been
associated with a wide range of classical and new
cardiovascular risk factors as well as with early signs of
subclinical cardiovascular and renal damage ... |
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| Cost-Effectiveness of Prevention and
Treatment of the Diabetic Foot |
| MONICA MARIA ORTEGON, WILLIAM KEN REDEKOP, LOUIS WILHELMUS NIESSEN |
| - Netherlands Institute of Health Sciences, Erasmus University, Rotterdam |
| - Institute for Medical Technology Assessment, Erasmus University, Rotterdam |
Diabetes is becoming one of the most common chronic diseases in the Netherlands. An age-related increase in the prevalence of diabetes of 32– 36% is estimated for the period from 1995 to 2010, at the end of which 400,000–500,000 cases are expected. |
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| The Economic Costs of Undiagnosed Diabetes |
| Yiduo Zhang, Ph.D.,Timothy M. Dall, M.S.,Sarah E. Mann, B.S.,Yaozhu Chen, M.P.A.,
Jaana Martin, B.A.,Victoria Moore, B.S.,Alan Baldwin, M.A.,Viviana A. Reidel, M.D., William W. Quick, M.D., F.A.C.P., F.A.C.E. |
| - The Lewin Group, Falls Church, Virginia |
| - Ingenix=i3 Pharmainformatics, Cary, North Carolina |
| - Ingenix=i3 Research, Basking Ridge, New Jersey |
ne-fourth of the approximately 23.6 million people with diabetes in the United States are unaware they have the disease. While much is known about the population with diagnosed diabetes mellitus (DDM), data limitations have contributed to a paucity of information on the health care use patterns and economic burden associated with undiagnosed diabetes mellitus (UDM)— defined as unknowingly having an elevated glucose level that meets the definition of diabetes. |
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| Variability in Activity May Precede
Diabetic Foot Ulceration |
| DAVID G. ARMSTRONG, CHRISTOPHER S. WENDEL, LAWRENCE A. LAVERY, BRENT P. NIXON, KATHERINE HOLTZ-NEIDERER, ANDREW J.M. BOULTON, MARTHA J. MOHLER |
| - Rosalind Franklin University of Medicine
and Science, Chicago, Illinois |
- Department of Surgery, Southern Arizona Veterans Affairs Medical Center,Tucson,
 Arizona |
| - Department of Surgery, Texas A&M University, Temple, Texas |
| - 4Department of Medicine, Manchester Royal Infirmary, University of Manchester, U.K |
Diabetic foot ulcers and related maladies continue to be among the most common serious diabetesrelated sequelae, affecting some 68 per 1,000 individuals with diabetes per annum in the U.S. The pathologic process leading to the vast majority of foot ulcerations is a consistent one. In the face of neuropathy, pressure multiplied by repetitive moderate stress leads to inflammation and subsequent autolysis of soft tissue overlying bony prominences |
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| Home Monitoring of Foot Skin
Temperatures to Prevent Ulceration |
| LAWRENCE A. LAVERY, RUBEN G. ZAMORANO, KEVIN R. HIGGINS, DAVID G. ARMSTRONG, DAN R. LANCTOT, KYRIACOS A. ATHANASIOU, GEORGE P. CONSTANTINIDES, C. MAULI AGRAWAL |
- College of Medicine, TexasA&MHealth Science Center, Scott and White
Hospital, Temple, Texas |
| - Xilas Medical, San Antonio, Texas |
- Dr. William M. Scholl College of Podiatric Medicine, Rosalind
Franklin University
of Medicine, Chicago, Illinois |
| - Department of Bioengineering, Rice University,
Houston, Texas |
- Department of Biomedical Engineering, The University of Texas, San Antonio,
Texas |
Foot ulcers are one of the most common precursors to diabetes-related amputations. Other factors that have been associated with amputation, such as infection, faulty wound healing, and ischemia, usually do not cause tissue loss or amputation in the absence of a wound. Therefore, ulcer prevention is one of the foci of any amputation prevention program. |
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| Hypertension in people with Type 2 diabetes |
The International Diabetes Federation (Europe) has updated these guidelines on hypertension management specifically in Type 2 diabetes in the light of recent results of the first prospective, randomized controlled studies to investigate clinical outcomes in people with diabetes and hypertension. The guidelines are knowledge based, i.e. based not only on evidence originating from clinical trials, but also from epidemiological and pathophysiological studies. A successful management strategy requires the following components: 1. Regular surveillance to detect developing hypertension and other cardiovascular (CV) risk factors... |
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