HOME >> MEDICINE >> NEWS
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
jeri.rowe@med.va.gov
206-764-2435
VA Research Communications Service
14-May-2002


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:
*Name:
*Comment:
*Email:


(Date:5/27/2016)... , ... May 27, 2016 , ... Aimed at nurses ... interest stories, which come courtesy of leaders in the nursing and health care industry. ... leading advocates and associations—namely Abilene Christian University. , As the nursing industry is ...
(Date:5/26/2016)... ... May 26, 2016 , ... There are many ways ... and Sausage Council (NHDSC) suggests that Americans prefer their dogs straight off the grill. ... say grilling is their favorite way to cook a hot dog, far outpacing other ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... (IP) to its specialty academic programs. , Answering to the increasing demand for ... programs in health law, and environmental and land use law. ,  , “The ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... a significant negative impact on long-term patient survival, reports a team of UPMC ... online this week in the Journal of Thoracic and Cardiovascular Surgery, provide critical ...
(Date:5/26/2016)... ... 26, 2016 , ... Dr. James Maisel will present on ... Chapter on June 4, 2016, 1:30-3:30 pm at the Farmingdale Public Library. The ... Group of New York , is a Board Certified ophthalmologist who completed his ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... 24, 2016 Niederländische Chirurgen ... die es Ärzten erlaubt, ihre Expertise weltweit zu ... kombiniert Live Streaming mit einer Instant-Messaging-Funktion und der ... Mediziner in Europa, Afrika, Asien und den ... die Plattform registriert. Information und Weiterbildung   ...
(Date:5/24/2016)... , May 24, 2016 ... beide primären Endpunkte und demonstriert ... in ‚ausgezeichneter plus guter , ...    ,      (Logo: http://photos.prnewswire.com/prnh/20130829/633895-a ... heute neue positive Daten von der MORA-Studie der ...
(Date:5/24/2016)... May 24, 2016  Diana Russell suffers from a ... from the inside out.  This disease has put her ... her children and grandchildren to leave her home.  Because ... family cannot haul the wheelchair.  So if there is ... and Diana is left to wait for the bus. ...
Breaking Medicine Technology:
Cached News: