Volume 9 Issue 143
Published - 14:00 UTC 08:00 EST 24-May-2007 
Next Update - 14:00 UTC 08:00 EST 25-May-2007

Editor: Susan K. Boyer, RN
Vidyya.
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When it comes to preventing amputation in diabetics, site, not size, matters

(24 May 2007: VIDYYA MEDICAL NEWS SERVICE) -- Researchers at Scholl College's Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University of Medicine and Science, Leiden University in the Netherlands, and Texas A&M University have presented important new information that could help physicians and their patients predict dangerous recurrent wounds that precede amputations in persons with diabetes.

The study, conducted over a several-year period, identified two simple items that helped predict recurrence.

"The study was surprising and promising in that, out of a whole lot of data, some simple truths emerged," noted David G. Armstrong, DPM, PhD, Professor of Surgery at Scholl College and a principal investigator on the study.

"The location of the ulcer (under the big toe) and the presence of poor blood flow were the key factors that dramatically increased the risk for recurrent wounds in these patients, thereby increasing their risk for gangrene and amputation. These findings could go a long way to help us predict and prevent the unnecessarily high rate of complications in persons with diabetes, worldwide."

The findings are published ahead of print in the May 17th online edition of the journal Diabetes Care.

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