Diabetes and Wound Management
As each year passes, it becomes clearer that the diabetic epidemic continues to grow. Americans are growing older and more obese, and even children are increasingly being affected by this insidious disease. The good news is that recently the much-heralded Thomson-Reuters study has validated what the podiatric profession has known for decades-podiatric care reduces amputation risk in diabetics. According to this APMA - funded research, "Patients who had seen a podiatrist in the year prior to the onset of a foot ulcer had significantly lower rates of any amputation and hospitalization than
those who had not."
Armed with this powerful data, individually and collectively, we must spread the word to patients, insurance carriers, legislators, and other professionals that we are the cost-effective providers of high-quality foot and ankle care to diabetics. Of course, the best way to strengthen our position is to ensure that we stay current on the best treatment protocols and new technologies in this ever-changing field (and the related field of wound management). This is the impetus for presenting this special section of our website.
- Topical Antimicrobial Use in Diabetic Wound Healing
These agents are important treatment modalities.
- The Wound Is Closed… Now What? So What?
The closure of a wound does not define the endpoint of treatment.
- The Diabetic Patient and Non-Adherence
Education, communication, and technology can make the difference.
- DME for Partial Foot Amputations
These devices can restore function and improve patients’ quality of life.
- Oxygen as an Adjunct to Closing DFUs
Both HBOT and the newer TO2 treatments have been found to be generally safe and efficacious.
- The More Things Change, the More They Remain the Same
Here’s an historical review of diabetic wound care.
- The Role of Oxygen in Wound Healing
HBOT, TO, and TCOT all play critical treatment roles.
- The Standard Approach Is Becoming the Standard
A new SDO ensures the consistency and quality of the manufacturing process
for therapeutic shoe inserts.
- Surgical Dressings Policy and Cellular Tissue Products
It’s important to stay up-to-date on this most complex subject.
- Skin Flora’s Symbiotic Role in Wound Healing
Colonizing bacteria and probiotic therapy can help.
- Sparing Morbidity, Mortality, and Money with the HELLPP Act
This bill can improve foot and ankle care to Medicaid patients.
- Surgical Management of Ankle Fractures in Patients with Diabetes
Dealing with complications can present challenges.
- Cannabidiol (CBD) and Diabetes
New evidence has correlated a benefit.
- The Podiatrist’s Role in Addressing Fall Risk Among a Growing Diabetic/Aging Population
Proper assessment and treatment can reduce falls in these patients.
- A Clinical Approach to Nutrition and Wound Healing
A patient’s diet matters.
- The Early Detection and Management of Diabetic Neuropathy
Sudomotor testing helps evaluate the autonomic nervous system.
- Tendon Transfers for Chronic Ulcerations in Diabetics
This can be an effective treatment.
- Counteracting the Consequences of Diabetic Feet
Here’s another approach using collagen matrix.
- PPOD—The Team Approach to Managing Patients with Diabetes
Podiatrists who collaborate with local pharmacists, optometrists, and dentists can improve patient care—and grow their practice.
- Health Information Technology and Wound Care
EHR will soon play an increasing role in prevention and treatment of pedal wounds.
- Is This Just a Simple Venous Ulcer, or Something More Complex?
These other conditions should be in your differential diagnoses.
- Introduction to Coding for Wound Care
It’s important to know when to use each of these codes.
- Why Do Transmetatarsal Amputations Have a High Rate of Failure?
Use of the angiosome theory and proper incision placement can improve results.
- DME and Wound Care
Here’s a Q&A on commonly occurring issues.
- The WIfI System for Threatened Limbs
Let’s take a closer look at SVS’ lower extremity threatened limb classification.