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Diabetes Watch

By Christopher Kennedy, DPM, AACFAS

Rearfoot ulceration is a pinnacle of complexity in diabetic limb salvage. It is a perverse pathology reserved for those with the most severe systemic illnesses. An unfortunate outcome of a merciless disease, heel ulceration afflicts our most…

By Joseph Candela, DPM, PhD, Michael Baker DPM and Tiffany Koch, DPM

According to the World Health Organization, an estimated 422 million people worldwide suffer from diabetes, which was responsible for 1.5 million patient deaths in 2015 alone.1 Diabetic foot ulcers (DFUs) are a common and often debilitating…

By Viktoriya Krepkiy, DPM, Monara Dini, DPM and Alexander M. Reyzelman, DPM

The majority of limb loss in the United States is due to a combination of neuropathy, ischemia and infection.1 Populations affected by diabetes mellitus and peripheral arterial disease (PAD) are at particularly high risk for amputation.1 One can…

By Adam L. Isaac, DPM, FACFAS

There are reportedly 463 million people worldwide living with diabetes and that number is expected to increase to 700 million by 2045.1 Based on the most recent estimates from the Centers for Disease Control and Prevention (CDC), 30.3 million…

By Windy Cole, DPM and Stacey Coe, BA, CCRP

The prevalence of diabetes is on the rise worldwide. As podiatrists and diabetic foot experts, we know the deleterious effects of diabetes on the tissues of the lower extremity. Among diabetes-related complications, the treatment and management…

By Kevin McDonald, DPM

In 2006, a group of pediatric cardiologists in Boston set out to improve patient outcomes while decreasing unnecessary costs.1 The doctors based their initiative on the following five principles.

• Variation from sound medical principles…

By Sara Mateen, DPM, Katrin Heineman, DPM and Andrew J. Meyr, DPM

In this column, we will attempt to broadly, but specifically and critically, evaluate the medical literature with respect to the treatment of diabetic ankle fractures and answer a seemingly simple clinical question: “Do ankle fractures in…

By Krystle Scott, DPM and Suhad A. Hadi, DPM, FACFAS

Patients with diabetes are not void of surgical needs, whether it is emergent surgery or elective surgery. These needs can, however, come with a set of risks for the patient with regard to overall healing and the success of the procedure.…

By David Swain, DPM

Multiple studies link sodium-glucose cotransporter 2 (SGLT-2) inhibitors, the newest class of medications for treating diabetes, with a possible increase in lower extremity amputations.1-8 The exact cause is unknown and the research is…

By Christopher J. Kennedy, DPM, AACFAS and Ali Rahnama, DPM, AACFAS

Successful management of traumatic ankle fractures in the increasingly prevalent diabetic population is tenuous.1 The surgical demands one encounters with typical fracture repairs are compounded by the dynamic needs of this widely varied…

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