Volume 16 - Issue 3 - March 2003

Diabetes Watch »

Current Concepts In Treating Diabetic Foot Wounds

By Richard M. Stillman, MD, FACS Clinical Editor: John Steinberg, DPM | 9099 reads | 0 comments

Managing foot wounds in diabetes patients forms much of the core practice of wound care and podiatry. In the United States, the annual cost for the care of diabetic foot wounds exceeds $5 billion.1 It’s been estimated that anywhere from 2.5 to 10.7 percent of patients with diabetes develop a foot wound each year. Even for wounds that heal, the recurrence rate is approximately 55 percent over the next five years.
According to one study, the prevalence of neuropathy in the diabetic population is 33.5 percent, the prevalence of vascular disease is 12.7 percent and the prevalence of

News and Trends »

ADA Recommends New Diagnostic Criteria For Diabetes

By Brian McCurdy, Associate Editor | 9298 reads | 0 comments

The American Diabetes Association (ADA) recently released its 2003 Clinical Practice Recommendations and one of the highlights is a new methodology of diagnosing diabetes. Using an altered version of a test may change the number of how many people are diagnosed with diabetes, according to the ADA.
The ADA recommends practitioners use the following criteria:
• Symptoms of diabetes plus casual plasma glucose concentration 200 mg/dl (11.1 mmol/l); or
• FPG >126 mg/dl (7.0 mmol/l); or
• 2-h PG > 200 mg/dl (11.1 mmol/l) during an OGTT.
The new criteria change the previous recommendat

Technology In Practice »

Providing Better Mobility For Diabetes Patients

By Gina DiGironimo, Production Editor | 1984 reads | 0 comments

When diabetic patients have lower extremity injuries, they may have trouble weightbearing and getting around can prove difficult. Not only do you want to promote healing, you also want to enhance patient mobility. You may recommend traditional casting braces or something tailored specifically for your diabetic patient. One such option is the Pneumatic Walker Diabetic System.
Aircast, the manufacturer of the device, offers two other walking braces, the Pneumatic Walker and the Foam Walker, which provide pneumatic and semi-pneumatic support respectively. However, the Pneumatic Walker Diabetic S

Continuing Education »

Addressing Tendon Balancing Concerns In Diabetic Patients

By Matthew J. Claxton, DPM, and David G. Armstrong, DPM | 17725 reads | 0 comments

Foot ulcers are the major risk factor for amputation among people with diabetes. Fifteen percent of people with diabetes will experience a foot ulcer. In this particular patient population, 14 to 24 percent will require lower extremity amputation.1 Loss of protective sensation and repetitive mechanical trauma (high foot pressures) are the major causes of diabetic foot ulceration.2,3
As per the ADA consensus report, the plantar forefoot is the most common location for foot ulcers.1 The underlying source of forefoot ulceration is increased forefoot pressure t

Feature »

Maximize Your Reimbursement: A Guide To Billing In Diabetic Care

By Anthony Poggio, DPM | 25750 reads | 0 comments

Diabetes is one of the more common conditions that we treat. Our training and expertise in this area make us an integral part of the multidisciplinary team approach. Given that diabetes is a multi-system disorder, diagnosis and treatment tends to be more complicated. Indeed, treating these patients may involve more frequent visits, more detailed examinations and more complex decision making.
A significant number of patients in virtually any podiatric practice are diabetic. Given this high volume, errors in billing and coding can have a major financial impact on a practice. Improperly submitt

Feature »

Expert Insights On Painful Diabetic Neuropathy

Moderator: David G. Armstrong, DPM; Panelists: Andrew Boulton, MD, A. Lee Dellon, MD, Jeffrey Page, DPM and Barry Rosenblum, DPM | 8303 reads | 0 comments

Painful diabetic neuropathy is perhaps one of the most discussed and hotly debated subjects in podiatry. Emerging research and emerging treatments have fueled the fire even further. With this in mind, David G. Armstrong, DPM, a member of the American Diabetes Association’s National Board of Directors, posed a number of questions to leading authorities on this controversial subject. Here’s what they had to say …

Q: How prevalent is painful diabetic neuropathy in your practice?
All of the panelists note they see a large number of patients with neuropathy secondary to diabete

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