Study raises questions on widespread prescribing of diabetic footwear

e, as patients of either the VA Puget Sound Health Care System or the Seattle-based Group Health Cooperative.

Study participants made visits every 17 weeks to a study team that included a foot care specialist. Patients and their health care providers were informed about any foot lesions, and the patients were referred to the providers for treatment.

Reiber noted that the extra attention given the study participants may have contributed to the overall low rate of ulcers in all three groups, regardless of what kind of shoes they wore.

It is estimated that about 17 million Americans have diabetes. Footwear is a concern for those with diabetes because the condition may cause peripheral nerve damage and poor blood circulation, leaving patients with little to no feeling in their feet. As a result, pressure from shoes and minor trauma are more likely to lead to ulcers.

Half of U.S. adults with diabetes have one or more foot risk conditions and 10 percent of these adults report a prior foot ulcer, similar to the study population. These ulcers can become severe enough to require amputation. People with diabetes account for more than 90,000 of the roughly 134,000 lower-limb amputations performed yearly in the United States. About half these diabetes-related amputations are attributed to poorly fitting footwear.

Foot care specialists routinely recommend that patients with diabetes and foot risk factors buy special "depth" shoes with extra room in the toes. Since Medicare adopted the Therapeutic Shoe Bill in 1993, the cost of these shoes, along with insertsup to $318 per yearis covered for certain patients who do not have severe foot deformities.

"The evidence suggests that a shift in the diabetic foot care paradigm may be in order," said co-principal investigator Douglas Smith, MD, of the University of Washington. In light of the findings, he suggested the clinical emphasis should be on ensuring that all persons wi

Contact: Jeri Rowe
VA Research Communications Service

Page: 1 2 3

Related medicine news :

1. Study of energy and health in Africa focuses spotlight on charcoal and forest management
2. Study shows promise in identifying kidney failure
3. Study shows patch therapy may be as effective as oral medications
4. Study shows soy is well accepted in school lunches
5. Study finds that coordinating care of chronically ill patients does not increase liability
6. Study provides new estimates of the causes of child mortality worldwide
7. Study finds factors linked to substance use disorder relapse among health care professionals
8. Study finds majority of women willing to accept cervical cancer vaccine for self and children
9. Study shows use of budesonide reduced the risk of asthma related events by 40% in children
10. Study shows risk of cardiac death after radiation for breast cancer has dramatically decreased
11. Study shows acrylamide in baked and fried food does not increase risk of breast cancer in women

Post Your Comments:

(Date:10/13/2017)... LEXINGTON, Ky. (PRWEB) , ... October 13, 2017 , ... ... MD, MPH to become its next President and Chief Executive Officer, succeeding Dr. James ... and CEO Elect beginning July 1, 2018 until Dr. Puffer’s retirement at the end ...
(Date:10/13/2017)... Shelton, CT (PRWEB) , ... October 13, 2017 , ... ... and long-term care services, staged a mock evacuation of the facility as part of ... Department, Shelton Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer ... one of the most popular and least understood books in the Holy Scriptures, Revelation. ... descriptions that have baffled scholars for centuries. Many have tossed it off as mere ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... services for healthcare compliance program management, will showcase a range of technology and ... for Assisted Living (NCAL) Convention and Expo to be held October 14–18, 2017 ...
(Date:10/12/2017)... ... October 12, 2017 , ... The American College of Medical Informatics (ACMI) will ... during the Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual ... F. Collen, a pioneer in the field of medical informatics, this prestigious award is ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... Hill-Rom Holdings, Inc. (NYSE: HRC), will host its fiscal ... Friday, November 3, 2017, beginning at 7:00 a.m. (CDT) ... a.m. (CDT) / 9:30 a.m. (EDT). In ... guidance for 2018, Hill-Rom executives will also highlight the ... long-range financial outlook through 2020. ...
(Date:9/25/2017)... , Sept. 25, 2017   Montrium ... Master File solutions, today—from the IQPC Trial Master ... , NL)—announced that EastHORN Clinical Services has ... clinical programs and TMF management. EastHORN, a leading ... eTMF platform to increase transparency to enable greater ...
(Date:9/22/2017)... -- AVACEN Medical (AVACEN) announced that its CE-Marked AVACEN ... with the widespread pain associated with fibromyalgia in the ... Essex, England commented, "I had difficulty ... sleep at all, tremendous pain, with every movement sending ... AVACEN 100] enough, how this has and is helping ...
Breaking Medicine Technology:
Cached News: