Volume 22 - Issue 3 - March 2009

Diabetes Watch »

How Depression And Anxiety Affect Patient Adherence

Nancy R. Megas MSN, CRNP | 10437 reads | 1 comments

   We have all bemoaned non-adherent patients with out-of-control blood sugars who nod agreeably and then ignore everything we say. Not surprisingly, their wounds heal poorly and discouragement sets in with these patients. Their behavior appears to defy logic until we look at how prevalent depression and anxiety disorders are among patents with diabetes and how these disorders affect healing. The picture begins to make even more sense when we consider the effect of prolonged hyperglycemia on the brain.



News and Trends »

March 2009

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Study Examines Shoelace Patterns On Running Shoes

By Brian McCurdy, Senior Editor

   Before hitting the track, runners must take various factors into account to streamline their performance. A recent study in the Journal of Sports Medicine explores how different shoelace patterns can affect the biomechanics of runners.

   According to the study, researchers evaluated 20 experienced runners and the influence of shoelace tightness and the number of laced eyelets upon foot pronation during contact, tibial acceleration and plantar pressure di



Feature »

What The Literature Reveals About Diabetic Foot Osteomyelitis

Ryan H. Fitzgerald, DPM | 27790 reads | 0 comments

Given that osteomyelitis in the diabetic foot can lead to complications such as limb loss, ensuring a proper diagnosis and timely treatment is vital. Accordingly, this author surveys the literature to review pertinent classification systems, the merits of different imaging techniques and current thoughts on the debate over conservative therapy versus surgical treatment.



   The worldwide incidence of diabetes has reached nearly epidemic proportions. With this increased incidence, there has been a significant rise in the comorbidities commonly associated with the disea



Feature »

What You Should Know About Emerging Techniques In Revascularization

Shaun Hafner, DPM, Nancy Han, DPM, John Aruny, MD, Jonathan J. Key, DPM, Jeff Indes, MD, Bart E. Muhs, MD, PhD, Bauer Sumpio, MD, PhD, and Peter Blume, DPM | 11757 reads | 0 comments

   Given the challenges of managing chronic wounds in patients with peripheral arterial disease, these authors offer a review of current concepts in revascularization and how these procedures may facilitate improved wound healing.

   Perfusion is the most fundamental requirement to heal a wound. According to current estimates, peripheral arterial disease (PAD) affects over 12 million people in the United States and more than half are asymptomatic.1,2

   As PAD progresses to advanced stages such as non-healing wounds or critical



Feature »

Essential Insights On Detecting The Etiology Of Peripheral Neuropathy

By Jeremy Tilton and Lee C. Rogers, DPM | 18625 reads | 0 comments

Peripheral neuropathy can be triggered by disparate causes such as diabetes, alcoholism, certain chemotherapy medications and HIV. Given the importance of identifying the correct etiology in order to facilitate appropriate treatment, these authors discuss pertinent clues in the patient history and physical exam, and share perspectives on helpful diagnostic testing.



   In podiatric practice, we commonly see peripheral neuropathy, the primary factor leading to ulceration, which can subsequently lead to infection and ultimately amputation. Neuropathy may also lead to Ch



Feature »

Keys To Selecting Footwear For Patients With Diabetes

David Levine, DPM, CPed | 5392 reads | 0 comments

For patients with diabetes, proper footwear is a critical part of the equation for preventing or reducing the risk of lower extremity complications. Accordingly, this author offers pertinent pointers and key nuances in ensuring the proper fit of therapeutic shoes.



   The number of people diagnosed with diabetes has doubled since 1996, according to the Centers for Disease Control and Prevention (CDC).1 In 2009, approximately 4 million people with diabetes mellitus will develop a foot ulcer.1 The ramifications of this fact are enormous and the effe