Arterial disease and neuropathy, along with poor vision and reduced kidney function, are associated with a significantly increased risk for lower limb amputation in men with diabetes, US researchers report.
Hyperbaric oxygen therapy does not significantly improve wound healing or reduce major amputation rates when added to usual care in patients with diabetes and ischemic lower extremity ulcers, Dutch study data show.
Formal guidance addressing the optimal use of insulin therapy in diabetic foot ulcer patients is lacking. Editorial Board member Sanjay Kalra and Banshi Saboo present their pragmatic approach to treatment.
The authors review the literature on kinetics, kinematics, and posture during gait in patients with diabetic peripheral neuropathy, demonstrating an increased risk of falls in older patients with diabetes.
Alam U et al. Diabetes Ther 2017. doi:10.1007/s13300-017-0295-y
The authors summarize literature from the fields of podiatric surgery/medicine, vascular and plastic surgery and discuss the successes that a multi-disciplinary limb salvage center can have on patients with diabetes.