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Diabetes Canada Steps up the Heat: A call to action in the fight to prevent diabetic amputations

June 1, 2018

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        NEW REPORTS HIGHLIGHT ACTION NEEDED TO SAVE LIMBS AND IMPROVE LIVES   May 09, 2018 Time to act against preventable diabetes-related amputations In some provinces one lower limb amputation occurs every day as a result of a diabetic foot ulcer, with the frequency varying across Canada. Many of these amputations could be prevented with proper care and access to supports. In recognition of World Foot Health Awareness Month, Diabetes Canada has released new reports that address the benefits…

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Preventable Wounds in Ontario Long Term Care Facilities: A sore point whose time has come.

May 7, 2018

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  It is a far too common occurrence in our long-term care facilities – patients developing pressure sores as a result of neglect in the first instance and then neglect in the second, when appropriate wound care is not provided. Unfortunately, the same is true in our hospital system. Making these events, wounds that develop in a health facility, an actionable offence, is the only way that these tragedies will be prevented. It is a step our neighbours to the…

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

April 17, 2018

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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

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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

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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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Limb- and Person-Level Risk Factors for Lower-Limb Amputation in the Prospective Seattle Diabetic Foot Study | Diabetes Care

February 9, 2018

OBJECTIVE Diabetes is the leading cause of nontraumatic lower-limb amputations in the U.S., but no research has prospectively examined associations between limb-specific measurements and amputation risk among patients without foot ulcer. We investigated amputation risk by limb in relation to the same limb- and person-level factors.RESEARCH DESIGN AND METHODS We conducted a 22-year prospective study among 1,461 male patients with diabetes without foot ulcer (mean age 62.4 years), with 2,893 lower limbs among subjects recruited between 1990 and 2002 from…

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