Trends in lifetime prevalence of Diabetic Foot Ulcer (DFUs)Understanding the Decline in Diabetic Foot Ulcers in Norway: Insights from the HUNT Study Diabetic foot ulcers (DFUs) are a major complication of diabetes, leading to severe health consequences and high healthcare costs. However, a recent study from Norway provides a glimmer of hope, showing a significant decline in the lifetime prevalence of DFUs among individuals with diabetes. This finding comes from the Trøndelag Health Study (HUNT), which has tracked health data over several decades. The HUNT Study: A Beacon for Public Health Rese ..read more

In the ongoing battle against diabetic foot ulcers, a recent study offers promising insights into the effectiveness of personalized footwear and insole designs. Conducted by Sayed Ahmed and colleagues, this research utilized a series of N-of-1 trials to explore how custom-tailored footwear can help prevent the recurrence of neuropathic plantar forefoot ulcers in individuals with diabetes[1]. ScreenshotStudy Overview The study involved 12 participants with a history of neuropathic plantar forefoot ulcers. It employed non-randomized, unblinded N-of-1 trials across three sites in Sydney, Australi ..read more

Excellent work from Zhang and coworkers. ScreenshotScreenshot Negative pressure injury is one of the auxiliary methods of treating diabetes foot ulcers. It has been shown to be superior to conventional techniques in randomized controlled trials (RCTs). Nevertheless, the results of observational research are still scarce. A systematic review of RCTs and observations was carried out to evaluate the effectiveness and security of negative pressure wound therapy (NPWT) treatment for diabetes foot ulcers. Three English e-databases have been found for NPWT research. The meta-analyses of the comparati ..read more

Understanding the Trends in Diabetes-Related Amputations in Germany: A Comprehensive Analysis Diabetes-related amputations are a significant public health concern that not only affect the quality of life but also serve as an indicator of the quality of diabetes care. A recent study published in the Journal of Health Monitoring provides a detailed analysis of the trends in diabetes-related amputations in Germany from 2015 to 2022, highlighting the impact of socioeconomic factors on these trends. Key Findings of the Study The study, conducted by researchers from the Robert Koch Institute in Berl ..read more

This from our friend Luigi Uccioli and coworkers Abstract Background: Adequate compliance with wearing therapeutic footwear (TF) to prevent diabetic foot ulcers is known to be low. The primary aim of this study was to identify population awareness about the ulceration and/or recurrence risk according to footwear choice. The secondary aim was to evaluate the compliance level in footwear choice based on a patient’s own risk. Methods: Forty podiatrists participated from 1 September 2017 to 31 August 2018, providing six-section forms which included personal data, risk classification ..read more

This manuscript from Zhao and coworkers. Diabetic wounds cannot undergo normal wound healing due to changes in the concentration of hyperglycemia in the body and soon evolve into chronic wounds causing amputation or even death of patients. Diabetic wounds directly affect the quality of patients and social medical management; thus researchers started to focus on skin transplantation technology. The acellular fish skin grafts (AFSGs) are derived from wild fish, which avoids the influence of human immune function and the spread of the virus through low-cost decellularization. AFSGs contain a lar ..read more

Armstrong and Johns Hopkins’ Nino Isakadze were the two awardees Armstrong is the first podiatric surgeon to be so awarded by the PhRMA Foundation The post @PhRMA Foundation Awards $1M for Equity-Focused Research on Digital Health Tools @KeckSchool_USC Prof @DGArmstrong First Podiatrist Awarded #DigitalHealth #C2SHiP #ActAgainstAmputation @USC_Vascular @SchaefferCenter first appeared on DF Blog ..read more

Episode 98 of the Febrile podcast 98: StAR: Diabetes-related Foot Infections Episode 98 • 22nd April 2024 • Febrile • Sara Dong Shownotes This StAR episode features the CID State-of-the-Art Review on evaluation and management of diabetes-related foot infections. Our guest stars this episode are: Dr. Meghan Brennan (ID physician at University of Wisconsin) Dr. Marcos Schechter (ID physician at Emory University) Dr. Tze-Woei Tan (Vascular surgeon at University of Southern California) Dr. David Armstrong (Podiatric surgeon at University of Southern California) Journal a ..read more

Thanks to the team at Audible Bleeding for putting together such a great group of characters– led by Rachael Forsythe (and friends). Here is the link to the episode and the show notes. In today’s episode, Dr. Rachael Forsythe (@ROForsythe), consultant vascular surgeon at NHS Lothian, leads a fictional case-based discussion with leaders in managing diabetic foot ulcers. Joining the conversation are Professor Andrew Boulton, Mr. Patrick Coughlin, Dr. David Armstrong, Dr. Dane Wukich, and Dr. Edgar Peters. Professor Boulton is a professor of medicine at Manchester University in Eng ..read more

Diabetic foot ulcers (DFUs) are a severe complication of diabetes, leading to significant morbidity and even mortality. A critical factor influencing the healing of these ulcers is the nutritional status of the patient. A recent study published in the British Journal of Nutrition has shed light on the effectiveness of two nutritional assessment tools—the Global Leadership Initiative on Malnutrition (GLIM) criteria and the Subjective Global Assessment (SGA)—in diagnosing malnutrition and predicting wound healing in patients with DFUs. The Study at a Glance The study was a retrospective cohort ..read more