A Spirit Of Collaboration At The International Symposium On The Diabetic Foot

David G. Armstrong DPM MD PhD
5/25/11 | 2906 reads | 2 comments
The sixth annual International Symposium on the Diabetic Foot (ISDF) recently met in the Netherlands to achieve a consensus for the next generation of worldwide guidelines for the diabetic foot. I was one of 1,000 participants from 77 nations to attend with one mission: improve the quality of care for patients with diabetes. Read More.

Can Fibrates Help Improve Sensation In Patients With Diabetic Neuropathy?

David G. Armstrong DPM MD PhD
4/6/11 | 3143 reads | 1 comments
At last year's Diabetic Foot Global Conference (DFCon10), Professor Tony Keech of Sydney, Australia, offered us some tantalizing evidence that fenofibrate had a net protective effect on preventing low-level amputations. While the rationale behind this was not entirely clear, further information at DFCon11 and further data seems to suggest the answer may lie in fenofibrate’s potential microvascular benefits. Read More.

Working Toward A Better Definition And Treatments For The Charcot Foot

David G. Armstrong DPM MD PhD
3/17/11 | 3423 reads | 0 comments
The American Diabetes Association and the American Podiatric Medical Association recently convened an international task force of experts to make recommendations on the diabetic Charcot foot. The meeting was located in Paris at the famous Pitié-Salpêtrière Hospital, the institution where Jean-Martin Charcot practiced in the 19th century. Read More.

Tending The Goalpost Against Diabetic Foot Complications

David G. Armstrong DPM MD PhD
2/18/11 | 2987 reads | 0 comments
I am something of a podcast junkie. I generally listen at night, trying to capture the feeling my mother and father told me about when they curled up next to radio sets as kids. In fact, I have listened to shortwave radio (and later podcasts) ever since my childhood. Read More.

Eleven Resolutions For Preventing And Treating DFUs In 2011

David G. Armstrong DPM MD PhD
1/6/11 | 3908 reads | 3 comments
As we begin 2011, we all want to put together our list of resolutions to accomplish in the new year. Lee C. Rogers, DPM, suggested we do the same for the diabetic foot and even got things started with a few of his own. Read More.

Different Perspectives On Debridement And Wound Flora Identification

David G. Armstrong DPM MD PhD
12/1/10 | 3755 reads | 0 comments
Looking at medical disciplines outside of podiatry may give us new perspectives in our approach to wound care. I was having a chat recently in New York with Marjana Tomic-Canic, PhD, a Professor in the Department of Dermatology at the University of Miami. It triggered an idea that we'd discussed some years ago but I think it rather apropos now. Read More.

Rising Incidence Of PAD Should Spur Greater Diagnostic Vigilance And Multidisciplinary Cooperation

David G. Armstrong DPM MD PhD
10/26/10 | 3381 reads | 0 comments
Evidence continues to mount that the incidence of peripheral arterial disease (PAD) is a devastating complication of diabetes. In the United States, PAD afflicts 2 million to 3.7 million people with diabetic foot ulcers (DFU), according to an analysis published by the Sage Group.1 The group adds that approximately 1 million patients with DFUs suffer from critical limb ischemia. Read More.

Advances In Ambulation Monitoring May Benefit Patients With Diabetes

David G. Armstrong DPM MD PhD
9/29/10 | 3253 reads | 0 comments
Researchers in the University of Arizona Department of Surgery have received a $1.2 million grant to use cutting-edge technology in the form of a simple computerized undershirt to monitor activity in patients with diabetic foot wounds. The study, funded by the Qatar National Research Fund, will determine the role activity plays in the formation of sores to better understand how to prevent wounds from occurring. Read More.

Will Tough Fiscal Choices In Arizona Hamper Patient Access To Podiatric Care?

David G. Armstrong DPM MD PhD
8/23/10 | 3303 reads | 1 comments
I was asked by the editorial staff of Podiatry Today to summarize our thoughts regarding recent fiscal rulings to reduce the weight of the Arizona Health Care Cost Containment System (AHCCCS) on the state of Arizona’s budget. One of those rulings eliminated all state Medicaid coverage of foot care provided by podiatrists. Read More.