Archive: Apr 2018

And Now for Something Completely Different: Glycemic control and wound healing not necessarily intimately linked?

April 17, 2018

Association of Hemoglobin A1c and Wound Healing in Diabetic Foot Ulcers Betiel K. Fesseha, Christopher J. Abularrage, Kathryn F. Hines, Ronald Sherman, Priscilla Frost, Susan Langan, Joseph Canner, Kendall C. Likes, Sayed M. Hosseini, Gwendolyne Jack, Caitlin W. Hicks, Swaytha Yalamanchi and Nestoras Mathioudakis Diabetes Care 2018 Apr; dc171683. https://doi.org/10.2337/dc17-1683 Abstract OBJECTIVE This study evaluated the association between hemoglobin A1c (A1C) and wound outcomes in patients with diabetic foot ulcers (DFUs). RESEARCH DESIGN AND METHODS We conducted a retrospective analysis of an ongoing prospective, clinic-based study of patients with DFUs treated at an academic institution during a 4.7-year period. Data…

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As it was in the Beginning: Diabetic Neuropathy is at the bottom of the stairway to amputation.

April 6, 2018

Diabetic Neuropathy Updated: Mar 07, 2018  Author: Dianna Quan, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more… Share           Feedback Practice Essentials Diabetic neuropathy is the most common complication of diabetes mellitus (DM), affecting as many as 50% of patients with type 1 and type 2 DM. Diabetic peripheral neuropathy involves the presence of symptoms or signs of peripheral nerve dysfunction in people with diabetes after other possible causes have been excluded. [1]  Signs and symptoms In…

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Charcot Neuroarthropathy: It’s tricky.

April 6, 2018

Imaging in Neuropathic Arthropathy (Charcot Joint) Updated: Nov 12, 2015  Author: Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR; Chief Editor: Felix S Chew, MD, MBA, MEd  more… Share           Feedback Overview Neuropathic arthropathy (Charcot joint) can be defined as bone and joint changes that occur secondary to loss of sensation and that accompany a variety of disorders. Charcot first described the relationship between loss of sensation and arthropathy in 1868. The radiographic changes of this condition include…

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