Diabetes Watch

Caroline E. Fife, MD
| 9,196 reads | 0 comments
The Affordable Care Act (ACA), which the Supreme Court recently upheld, creates a new value-based payment modifier. Starting in 2015, this payment modifier will provide differential payments to doctors based on quality and cost of care. Since the payment adjustments are to be budget neutral, some physicians will receive bonuses and others penalties under this provision. It is likely that payment... Read More.
Karen Shum, DPM, Ronald Belczyk, DPM, Lee C. Rogers, DPM, George Andros, MD, and Larissa Lee, MD
| 7,890 reads | 0 comments
Diabetic ulcers, particularly those located in the forefoot region, pose an interesting challenge for the foot surgeon. When these ulcers occur in the neuropathic patient with adequate circulation, the pedicle flap of the great toe can serve as a useful tool for ulcer management.    Frequently, ulcerations located on the plantar aspect can be difficult to treat because of their... Read More.
Paul J. Liswood, DPM, FACFAS
| 8,580 reads | 0 comments
The care podiatrists provide for patients with diabetes is essential, improves outcomes and saves money. That is the value we provide. Now we have data that demonstrates this value. Last year, two independent studies, one by Carls and colleagues and the other by researchers at Duke University, confirmed this truth.1,2    As we embark on new healthcare delivery models and... Read More.
Alexander M. Reyzelman, DPM, and Irina Bazarov, MS
| 16,513 reads | 0 comments
Despite the multitude of wound healing products and technologies that have come out in recent years, the treatment of chronic diabetic ulcers still remains a challenge. An evolving scientific understanding of wound physiology has led to the introduction of new wound care products targeting specific wound healing abnormalities.    Unfortunately, the complexity of imbalances... Read More.
J. Monroe Laborde, MD, MS
| 13,485 reads | 0 comments
Diabetic neuropathy results in tendon imbalance and decreased protective sensation.1,2 Tendon imbalance, especially Achilles or gastrocnemius-soleus tightness, causes or aggravates most foot problems.3-7 Achilles tendon or gastrocnemius-soleus tightness causes increased stress in the foot.8,9 This stress can cause a callus and a subsequent forefoot ulcer.8 Increased stress in the foot less... Read More.
E. Giannin Perez, DPM, MS, Alicia Attanasio and Khurram H. Khan, DPM
| 10,362 reads | 0 comments
Determining the best course of treatment for bacterial infections can be a daunting task, especially in the age of multidrug-resistant organisms.    Perhaps the most well known multidrug resistant organism is methicillin resistant Staphylococcus aureus (MRSA). A survey conducted at 97 hospitals showed the rate of MRSA in diabetic foot infections to have almost doubled between... Read More.
Kelly Pirozzi, DPM, and Andrew J. Meyr, DPM
| 8,592 reads | 0 comments
Any podiatric medical student could tell you that the “gold standard” for the diagnosis of osteomyelitis is bone biopsy. This is obviously an important diagnosis to reach with a high degree of confidence. From a clinical standpoint, we utilize bone biopsy results: to decide on the course and duration of antibiotic therapy; to determine the need for subsequent wound debridement; as an indication... Read More.
Dong Kim, DPM, Jeffrey McAlister, DPM, and Paul J. Kim, DPM
| 7,359 reads | 0 comments
In lieu of the advancements in wound healing and innovations in surgical technique, limb salvage in the patient with diabetes remains a costly and complex endeavor. Some advocate immediate amputation for complex diabetic ulcers or gangrene.1 However, researchers have associated amputations in patients with diabetes with decreased life expectancy and an increased risk of contralateral amputation.2... Read More.
Desmond Bell, DPM, CWS, FACCWS
| 8,192 reads | 0 comments
Pink ribbon. The juxtaposition of these two words translates into arguably the most recognized symbol anywhere, the looping image firmly embedded in our collective psyche and associated with breast cancer awareness. These words also conjure up a range of thoughts, emotions and an awareness of breast cancer that has transformed this terrible disease into a cause that extends beyond medical... Read More.
Gary M. Rothenberg, DPM, CDE, CWS
| 11,941 reads | 0 comments
The wound care arena of the 21st century offers the practicing clinician a wide array of products and technologies to utilize in the management of diabetic foot ulcerations. Our patients are benefitting from the explosion of emerging technologies and evidence-based algorithms are helpful in guiding treatment interventions. Some technologies are innovative and a reflection of modern discoveries... Read More.
Adam R. Johnson, DPM
| 7,819 reads | 0 comments
As the diabetes mellitus epidemic continues to grow, so does the number of diabetic wounds in the lower extremity. Researchers have estimated that the number of individuals with diabetes mellitus who eventually develop a lower extremity ulceration may be as high as 25 percent.1    Heel ulcers are notoriously difficult to treat because of their late clinical presentation, which... Read More.
Ronald J. Belczyk, DPM, AACFAS, Lee C. Rogers, DPM, and George Andros, MD
| 10,304 reads | 0 comments
The diabetic ulcer, particularly involving the heel, remains a challenge for the foot surgeon. When these ulcers occur in the neuropathic patient with adequate circulation, the medial plantar artery flap can serve as a useful tool for the management of these defects.    Heel ulcers are notoriously difficult to treat because of their late clinical presentation, which often involves... Read More.