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1

Nixon, Brent P., David G. Armstrong, Christopher Wendell, et al. "Do US Veterans Wear Appropriately Sized Shoes?" Journal of the American Podiatric Medical Association 96, no. 4 (2006): 290–92. http://dx.doi.org/10.7547/0960290.

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Poorly fitting footwear has frequently been cited as an etiologic factor in the pathway to diabetic foot ulceration. However, we are unaware of any reports in the medical literature specifically measuring shoe size versus foot size in this high-risk population. We assessed the prevalence of poorly fitting footwear in individuals with and without diabetic foot ulceration. We evaluated the shoe size of 440 consecutive patients (94.1% male; mean ± SD age, 67.2 ± 12.5 years) presenting to an interdisciplinary teaching clinic. Of this population, 58.4% were diagnosed as having diabetes, and 6.8% ha
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Rathur, H., and S. M. Rajbhandari. "Prevention of diabetic foot ulcers: Holy grail of foot clinics." International Journal of Diabetes and Metabolism 11, no. 3 (2003): 56–61. http://dx.doi.org/10.1159/000497552.

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Diabetic foot ulcer is a common and debilitating complication of diabetes. Often this is preventable by regular screening and addressing risk factors such as regular podiatry, good foot wear and early consultation with health care professionals. General measures such as good glycaemic control, prevention of cardiovascular risk factors and prevention of deformity should be aimed during the early stages of the disease. Diabetic subjects should be encouraged to actively participate in their foot care. Prevention of foot ulcers will reduce the rate of amputation, which is common in diabetic subjec
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Somroo, Jamil Ahmed, Anjum Hashmi, Zafar Iqbal, and Aslam Ghori. "Diabetic Foot Care - A Public Health Problem." Journal of Medicine 12, no. 2 (2011): 109–14. http://dx.doi.org/10.3329/jom.v12i2.7604.

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Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic pa
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Jan, Abdul Waheed, Hanifullah Khan, Ishtiaq Ahmad Ahmad, and Matiullah Khan. "DIABETIC FOOT ULCER." Professional Medical Journal 23, no. 06 (2016): 693–98. http://dx.doi.org/10.29309/tpmj/2016.23.06.1609.

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Objectives: To determine the risk factors contributing to the development ofdiabetic foot ulcers. Study Design: A descriptive observational study. Setting: Unit of surgery,City Hospital Lakki Marwat, Khyber Pakhtunkhwa. Period: 1st July 2013 to 30th June 2015.Patients and Material: One hundred and fifty diabetic patients with foot ulcer were studied.After taking informed consent, detailed history, clinical examination and relevant investigationswere performed according to a devised proforma. All the proformas were analyzed in the endof study. Results: One hundred and fifty patients comprising
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Jain, Amit Kumar C., and Rajagopalan S. "A prospective study of analyzing foot wear practice in patients with diabetic foot problems." International Surgery Journal 5, no. 8 (2018): 2818. http://dx.doi.org/10.18203/2349-2902.isj20183198.

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Background: The aim is to study usage and type of footwear practices in patients with diabetic foot and assess their socioeconomic status of these patients.Methods: A prospective descriptive study was carried out in the Department of Surgery of Rajarajeswari Medical College, Bangalore, India. The study period was for 6 months.Results: A total of 38 patients were included in this study. There were 30 males (78.9%) and 8 females (21.1%). Majority of patients (47.4%) were illiterate and around 31.6% of the patient’s education was less than 10th standard. Only 2.6% of them had completed their degr
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Jayalakshmi, M., and P. Thenmozhi. "Factors associated with wound healing outcome among Diabetic Foot patients- A cross sectional Study." International Journal of AYUSH Case Reports 5, no. 1 (2021): 36–46. http://dx.doi.org/10.52482/ijacare.v5i1.170.

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Diabetic foot ulcer (DFU) has been identified as the leading reason for hospitalization among patients with diabetes. Patients with diabetes are at greater risk of complications, the most important of them are diabetic neuropathy and peripheral vascular disorders leading to the development of foot ulcers. The problem is generally faced and as well is considered as one among the most common complications of diabetes that affect millions of people all over the world. The current study, aimed to document the clinical profile and healing outcome of diabetic foot ulcer management which may become g
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Mitra, Satabdi, Kunal Kanti Majumdar, and Sushanta Bhanja. "Prevalence of diabetic foot ulcers and assessment of foot care knowledge and practice among patients attending diabetic clinic of a tertiary hospital of eastern India." International Journal Of Community Medicine And Public Health 10, no. 7 (2023): 2500–2505. http://dx.doi.org/10.18203/2394-6040.ijcmph20232044.

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Background: Diabetic foot ulcer (DFU) is a dreaded complication holding huge health and socio-economic impacts and negative impacts on quality of life of individual, community and society as a whole yet carrying scope of preventive potential. The objectives were to find out the prevalence of diabetic foot ulcers and to assess gap in knowledge, foot care practices and their determinants. Methods: A cross-sectional study was conducted over three months among 310 diabetic outpatients of a medical college of an eastern Indian state. Data were collected with a validated questionnaire containing soc
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8

Al-Harbi, Nourah Yousef A., Dalia A. Elmaghraby, Sarah S. Aljubair, et al. "Awareness of Foot Care among Diabetic Patients in Eastern Province, Saudi Arabia: A Cross-Sectional Study." Saudi Journal of Medicine 8, no. 09 (2023): 519–31. http://dx.doi.org/10.36348/sjm.2023.v08i09.009.

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Background: The increase in prevalence of diabetes mellitus among Saudi population is being associated with many health consequences among diabetic patients. One of the serious complications is diabetic ulcer. Aim: To assess the awareness, attitudes, practices and risk factors influencing diabetic foot ulcers among diabetes patients in the eastern province of Saudi Arabia. Method: A cross-sectional study consistent of 38 questions conducted in Eastern region of Saudi Arabia, distributed between 8-Feb-2018 to 1-June-2018 through social media. The structured questionnaire was designed to collect
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Ozkara, Adem, Tuncay Delibası, Yusuf Selcoki, and Mehmet Fettah Arikan. "The major clinical outcomes of diabetic foot infections: One center experience." Open Medicine 3, no. 4 (2008): 464–69. http://dx.doi.org/10.2478/s11536-008-0018-x.

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AbstractDiabetes mellitus with its limb and life-threatening complications such as diabetic foot infection and amputation are increasing at epidemic rates all over the world. The objective of this study was to determine the rate of lower extremity amputation, the risk factors and the bacteriologic profile for diabetic foot lesions. The records of all 84 patients with diabetic foot infections of a large general hospital over a 4-year period were retrospectively included. The most commonly isolated pathogens were Staphylococcus aureus (39%), Pseudomonas aeruginosa (14%), Proteus mirabilis (14%),
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10

Shree, Monica M., Brince Maria Joy, and Senthil E. Kumar. "Postural sway and weight distribution in diabetic neuropathy patients: narrative Review." JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 12, no. 2 (2022): 43–54. http://dx.doi.org/10.58739/jcbs/v12i2.8.

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Background: Type 2 Diabetes mellitus is a common metabolic condition increasing in the elderly population which leads to various disabilities and in longtime can cause chronic complications like diabetic neuropathy, diabetic nephropathy, diabetic retinopathy and diabetic cardiopathy. Objective: The aim of this narrative review is to identify the sway in posture and distribution of weight in bilateral stance in diabetic neuropathy patients. Methods: The articles are taken from Google Scholar, PUBMED, and EMBASE MEDLINE. Results: Increased anterior displacement than medial, lateral and posterior
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11

Jamaluddin, Ahmad, and Wahdaniah Wahdaniah. "DSFC Education on Knowledge And Attitude To Prevent Diabetic Foot Ulcer." Jambura Nursing Journal 6, no. 1 (2024): 1–17. http://dx.doi.org/10.37311/jnj.v6i1.23393.

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Background: Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia. As the number of DM increases, the incidence of diabetic ulcers will also increase. Approximately 14-24% of diabetic foot ulcer patients require amputation with 50% recurrence after three years. This may be due to a lack of knowledge and information in carrying out foot care independently. Most DM patients still think that all they need to do is control their blood glucose levels, so they pay less attention to the condition or cleanliness of their feet, don't wear sandals, and don't cut their nails proper
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12

Gericke, Adine, and Mohanapriya Venkataraman. "Thermal and Moisture Management in the Microclimate of Socks for Diabetic Foot Care: The Role of Mohair-Wool Content." Fibers 12, no. 7 (2024): 53. http://dx.doi.org/10.3390/fib12070053.

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In diabetic patients, optimised plantar health necessitates meticulously designed hosiery. These specialised socks facilitate a healthy microclimate at the skin–textile interface. This requires that stable conditions of temperature and humidity are maintained during wear. This study investigated the thermal resistance and moisture management properties of socks for diabetics. Fabrics and socks were evaluated on the Alambeta and thermal foot manikin instruments and in wear trials. A novel in vitro method, mimicking in-use conditions, was employed to validate findings and assess sock performance
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13

P., Shanmuga Raju, Venkata Ramana N., Surya Narayana Reddy V., Bhagya Seela S., and Sachin G. "Prevalence of diabetic complications and risk factors among diabetic foot ulcer patients: a retrospective hospital-based study." International Surgery Journal 5, no. 11 (2018): 3608. http://dx.doi.org/10.18203/2349-2902.isj20184631.

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Background: Diabetic foot ulcer is a painful, demands increased health care utilization, and increases healthcare costs for the patients as well as the health care system. The purpose of this study was to analysis the prevalence of diabetic foot complications and risk factors among diabetic patients at tertiary care Hospital, Karimnagar.Methods: Total 60 sample sizes were included in the study. The study was conducted at General Surgery ward, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar from July 2017 to June 2018. Demographic, complications and risk factors were recorded, and
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14

Zhang, Li-Ying, Qi-Long Liu, Kit-Lun Yick, Joanne Yip, and Sun-Pui Ng. "Analysis of Diabetic Foot Deformation and Plantar Pressure Distribution of Women at Different Walking Speeds." International Journal of Environmental Research and Public Health 20, no. 4 (2023): 3688. http://dx.doi.org/10.3390/ijerph20043688.

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Official guidelines state that suitable physical activity is recommended for patients with diabetes mellitus. However, since walking at a rapid pace could be associated with increased plantar pressure and potential foot pain, the footwear condition is particularly important for optimal foot protection in order to reduce the risk of tissue injury and ulceration of diabetic patients. This study aims to analyze foot deformation and plantar pressure distribution at three different walking speeds (slow, normal, and fast walking) in dynamic situations. The dynamic foot shape of 19 female diabetic pa
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15

Connolly, John E., and James S. Wrobel. "Recognizing the Prevalence of Changing Adult Foot Size." Journal of the American Podiatric Medical Association 104, no. 1 (2014): 118–22. http://dx.doi.org/10.7547/0003-0538-104.1.118.

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Ill-fitting shoes may precipitate up to half of all diabetes-related amputations and are often cited as a leading cause of diabetic foot ulcers (DFU), with those patients being 5 to 10 times more likely to present wearing improperly fitting shoes. Among patients with prior DFU, those who self-select their shoe wear are at a three-fold risk for reulceration at 3 years versus those patients wearing prescribed shoes. Properly designed and fitted shoes should then address much of this problem, but evidence supporting the benefit of therapeutic shoe programs is inconclusive. The current study, perf
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16

Spolaor, Fabiola, Annamaria Guiotto, Alfredo Ciniglio, and Zimi Sawacha. "The Effect of Custom Insoles on Muscle Activity in Diabetic Individuals with Neuropathy." Applied Sciences 13, no. 4 (2023): 2326. http://dx.doi.org/10.3390/app13042326.

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Foot ulcers are amongst the most serious complications of diabetes. Guidelines recommend that people with diabetes wear appropriate footwear or insoles to reduce repetitive stresses. Excessive plantar pressure has been recognized as the major risk factor for plantar ulcers in diabetic individuals; custom insoles are indicated as the gold standard treatment to unload the foot structure. The aim of this study was to investigate the effect of custom insoles on biomechanical and neuromuscular functions in diabetic neuropathic individuals. Ten diabetic subjects walked with and without custom insole
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Narayanamurthy, V. B., Richa Poddar, and R. Periyasamy. "Biomechanical Properties of the Foot Sole in Diabetic Mellitus Patients." International Journal of Biomedical and Clinical Engineering 3, no. 1 (2014): 1–17. http://dx.doi.org/10.4018/ijbce.2014010101.

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This aricle evaluates and quantifies the biomechanical properties of the foot sole like – loss of protective sensation, hardness of the foot sole and pressure distribution parameter called Power ratio (PR) and its alterations, which have a direct effect on ulcer formation. A new parameter PRS Index is developed to understand the interplay between these parameters and its role in ulcer formation. All diabetic subjects attending the Diabetic foot clinic from Dec2003 to June 2007 undergo a standard foot examination.A total of 652 diabetic patients including 57 ulcer patients are taken for our stu
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Narmawan, Narmawan, Syahrul Syahrul, and Kadek Ayu Erika. "THE BEHAVIOR OF FOOT CARE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: APPLYING THE THEORY OF PLANNED BEHAVIOUR." Public Health of Indonesia 4, no. 3 (2018): 129–37. http://dx.doi.org/10.36685/phi.v4i3.209.

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Background: Diabetes mellitus (DM) is a chronic non-infectious disease with complications such as diabetic foot, which has the potential for amputation if left untreated. Theory of Planned Behavior (TPB) is a behavior-based theory that can be applied to DM patients including foot care to minimize risk. Some studies related to TPB particularly about physical activity and diet have been explored, however, studies on foot care are still lacking.Objective: This study aims to apply the Theory of Planned Behavior (Intentions, Attitudes, Subjective Norms and Behavioral Control) on the patient's foot
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Sabapathy, S. Raja, and Madhu Periasamy. "Healing ulcers and preventing their recurrences in the diabetic foot." Indian Journal of Plastic Surgery 49, no. 03 (2016): 302–13. http://dx.doi.org/10.4103/0970-0358.197238.

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ABSTRACTFifteen percent of people with diabetes develop an ulcer in the course of their lifetime. Eighty-five percent of the major amputations in diabetes mellitus are preceded by an ulcer. Management of ulcers and preventing their recurrence is important for the quality of life of the individual and reducing the cost of care of treatment. The main causative factors of ulceration are neuropathy, vasculopathy and limited joint mobility. Altered bio-mechanics due to the deformities secondary to neuropathy and limited joint mobility leads to focal points of increased pressure, which compromises c
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Ehrmann, Dominic, Monika Spengler, Michael Jahn, et al. "Adherence Over Time: The Course of Adherence to Customized Diabetic Insoles as Objectively Assessed by a Temperature Sensor." Journal of Diabetes Science and Technology 12, no. 3 (2017): 695–700. http://dx.doi.org/10.1177/1932296817747618.

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Background: Temperature sensors are an objective way to assess adherence to diabetic footwear. Good adherence is essential for the prevention of diabetic foot problems. Little is known about the long-term course of adherence in patients at risk for diabetic foot problems. Method: A temperature sensor was incorporated into the specialized footwear of patients with type 2 diabetes after their first plantar ulceration. Kaplan-Meier curve was used to analyze when patients started to become nonadherent (not wearing the footwear for two straight weeks). Gender effects on adherence were also analyzed
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Fall, Catherine. "Can Weight Bearing Aerobic Exercise be Done Safely with an Active Diabetic Plantar Foot Ulcer and Can It Improve Healing Time." Diabetes Research – Open Journal 9, no. 1 (2023): 1–16. http://dx.doi.org/10.17140/droj-9-157.

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Introduction Diabetic foot ulcer (DFU) is a huge economic burden on the National Health Service (NHS). Research on the benefits of aerobic exercise on the vascular system in diabetics is vast, however research on the benefits of aerobic exercise on diabetics with active plantar DFU is slim. The purpose of this review is to determine whether weight bearing aerobic exercise can be safely undertaken with an active plantar DFU and whether exercise can in fact improve ulcer healing time. Method Five papers that included patients with active DFU taking part in weight bearing or semi weight bearing a
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22

Khatun, Ashia. "Knowledge of Diabetic Patients about Foot Care." Ibrahim Cardiac Medical Journal 3, no. 1-2 (2015): 27–31. http://dx.doi.org/10.3329/icmj.v3i1-2.52861.

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Objective: The present study was undertaken to determine the level of knowledge and practice of foot care among diabetic patients.
 Methods: This cross-sectional study was conducted in the Faculty of Public Health, Atish Dipankar University of Science & Technology, Dhaka over a period of 6 months. A total of 100 patients of both sexes with type I and type II diabetes for at least six months were the study population. The level of knowledge measured on a 0-4 Likert Scale, where 0 means 'grossly dissatisfied' and 4 'highly satisfied' with 'partially satisfied' 1, 'more or less satisfied
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Najafi, Bijan, Eyal Ron, Ana Enriquez, Ivan Marin, Javad Razjouyan, and David G. Armstrong. "Smarter Sole Survival: Will Neuropathic Patients at High Risk for Ulceration Use a Smart Insole-Based Foot Protection System?" Journal of Diabetes Science and Technology 11, no. 4 (2017): 702–13. http://dx.doi.org/10.1177/1932296816689105.

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Objective: This study examined adherence to alert-based cues for plantar pressure offloading in patients with diabetic foot disease. Method and Design: Participants (n = 17) with in diabetic foot remission (history of neuropathic ulceration) were instructed to wear a smart insole system (the SurroSense Rx, Orpyx Medical Technologies Inc, Calgary, Canada) over a three-month period. This device is designed to cue offloading to manage unprotected sustained plantar pressures in an effort to prevent foot ulceration. A successful response to an alert was defined as pressure offloading, which occurre
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McIntyre, Ian, Cindy Boughen, Elly Trepman, and John M. Embil. "Foot and Ankle Problems of Aboriginal and Non-Aboriginal Diabetic Patients with End-Stage Renal Disease." Foot & Ankle International 28, no. 6 (2007): 674–86. http://dx.doi.org/10.3113/fai.2007.0674.

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Background: There is little information available about the profile of lower extremity morbidity in diabetic patients with end-stage renal disease (ESRD) in the Canadian Aboriginal and non-Aboriginal population. Method: A retrospective review of medical records in 127 diabetic patients on hemodialysis at a tertiary health care center was performed. Patient interviews and physical examinations were performed in 77 of these patients (36 Aboriginal, 41 non-Aboriginal), and followup evaluation was done in 39 patients at an average of 1 year later. Results: Aboriginal patients were an average of 7
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Diniz Freitas, Claudia, Martha Lúcia Katayama, Eduardo Araújo Pires, Carlos Eduardo Roncatto, and Roberto Attílio Lima Santin. "PO 18252 - Advanced surgical salvage therapy for infected diabetic feet." Scientific Journal of the Foot & Ankle 13, Supl 1 (2019): 58S. http://dx.doi.org/10.30795/scijfootankle.2019.v13.1053.

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Introduction: Foot infections are common among diabetic patients with peripheral neuropathy and/or peripheral arterial disease and may be the main factor that leads to major or minor lower-extremity amputation. Most deep infections in diabetic feet are preceded by an unnoticed lesion with local penetration of pathogens into deeper tissues. Knowledge of critical issues for diabetic foot management, such as ischemia, wound-healing principles, immunology and microbiology, has changed the traditional approach to the diabetic foot and has led to new advances. The application of tissue engineering,
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Ghomian, Banafshe, Mojtaba Kamyab, Hassan Jafari, Mohammadebrahim Khamseh, and Aoife Healy. "Rocker outsole shoe is not a threat to postural stability in patients with diabetic neuropathy." Prosthetics and Orthotics International 40, no. 2 (2014): 224–30. http://dx.doi.org/10.1177/0309364614543549.

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Background: Rocker outsole shoes are commonly prescribed to patients with diabetic neuropathy to offload a particular area of the foot sole, thereby decreasing the risk of foot ulceration. Contrary to this, some evidence has reported a postural destabilising effect of these shoes in healthy adults. Objective: To explore the postural stability of patients with diabetic neuropathy who wear a rocker outsole shoe. Study design: Quasi-experimental. Method: In total, 17 patients with diabetic neuropathy (aged 49.29 ± 7.48 years; 7 female, 10 males) participated in this study. A Motor Control Test me
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Armstrong, David G., Patricia L. Abu-Rumman, Brent P. Nixon, and Andrew J. M. Boulton. "Continuous Activity Monitoring in Persons at High Risk for Diabetes-Related Lower-Extremity Amputation." Journal of the American Podiatric Medical Association 91, no. 9 (2001): 451–55. http://dx.doi.org/10.7547/87507315-91-9-451.

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This study evaluated the magnitude and location of activity of diabetic patients at high risk for foot amputation. Twenty subjects aged 64.6 ± 1.8 years with diabetes, neuropathy, deformity, or a history of lower-extremity ulceration or partial foot amputation were dispensed a continuous activity monitor and a log book to record time periods spent in and out of their homes for 1 week. The results indicate that patients took more steps per hour outside their home, but took more steps per day inside their homes. Although 85% of the patients wore their physician-approved shoes most or all of the
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ZHI, Xinrong, Weiping WANG, Bo XU, and Jin ZHOU. "Effectiveness of Pressure-Relieving Shoes/Insoles on Lowering the Plantar Pressure of Diabetic Foot: A Meta-Analysis." Leather and Footwear Journal 20, no. 4 (2020): 361–74. http://dx.doi.org/10.24264/lfj.20.4.3.

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Since current reports demonstrated a higher prevalence of foot ulcers in diabetic patients who suffer from foot complication, the preventing occurrence of foot ulcers were the primary target in foot care. Clinical consensus introduced a variety of pressure-relieving products to diabetic patients and clinicians prescribed these products to their patients and recommended them used in daily life. However, available data were still controversial and whether these products could effectively reduce plantar pressure or not were uncertain. Thereby, this meta-analysis aimed first to summary all relevan
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Neal, Liam, Matthew McCarthy, Paddy Dempsey, et al. "Capturing How the Accelerometer Measured Physical Activity Profile Differs in People with Diabetic Foot Ulceration." Sensors 24, no. 15 (2024): 4875. http://dx.doi.org/10.3390/s24154875.

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Diabetic Foot Ulcers (DFUs) are a major complication of diabetes, with treatment requiring offloading. This study aimed to capture how the accelerometer-assessed physical activity profile differs in those with DFUs compared to those with diabetes but without ulceration (non-DFU). Participants were requested to wear an accelerometer on their non-dominant wrist for up to 8days. Physical activity outcomes included average acceleration (volume), intensity gradient (intensity distribution), the intensity of the most active sustained (continuous) 5–120 min of activity (MXCONT), and accumulated 5–120
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Paton, Joanne S., Elizabeth Stenhouse, Graham Bruce, and Ray Jones. "A Longitudinal Investigation into the Functional and Physical Durability of Insoles Used for the Preventive Management of Neuropathic Diabetic Feet." Journal of the American Podiatric Medical Association 104, no. 1 (2014): 50–57. http://dx.doi.org/10.7547/0003-0538-104.1.50.

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Background Insoles are commonly used to assist in the prevention of diabetic neuropathic foot ulceration. Insole replacement is often triggered only when foot lesions deteriorate, an indicator that functional performance is comprised and patients are exposed to unnecessary ulcer risk. We investigated the durability of insoles used for ulcer prevention in neuropathic diabetic feet over 12 months. Methods Sixty neuropathic individuals with diabetes were provided with insoles and footwear. Insole durability over 12 months was evaluated using an in-shoe pressure measurement device and through repe
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Diniz Freitas, Claudia, Eduardo Araújo Pires, Carlos Eduardo Roncatto, and Roberto Attílio Lima Santin. "PO 18251 - Functional clinical outcome of the conservative treatment of calcaneal fractures in patients with diabetic neuropathy." Scientific Journal of the Foot & Ankle 13, Supl 1 (2019): 57S. http://dx.doi.org/10.30795/scijfootankle.2019.v13.1052.

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Introduction: Calcaneal fractures are potentially serious in diabetic patients with foot insensitivity. The consensus is that surgical treatment involves a high risk of complications in these cases, and conservative treatment is the option of choice because it allows monitoring of the onset of pressure ulcers and the degree of hindfoot collapse, which usually occurs as Charcot arthropathy progresses. Objective: To retrospectively evaluate the mid-term functional clinical outcome of conservative treatment of calcaneal fractures in diabetic patients with advanced peripheral neuropathy associated
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Shalamberidze, Merab, Zaza Sokhadze, and Malvina Tatvidze. "The Design of Individual Orthopedic Insoles for the Patients with Diabetic Foot Using Integral Curves to Describe the Plantar Over-Pressure Areas." Computational and Mathematical Methods in Medicine 2021 (August 6, 2021): 1–11. http://dx.doi.org/10.1155/2021/9061241.

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Identification of over-pressure areas in the plantar side of the foot in patients with diabetic foot and reduction of plantar pressure play a major role in clinical practice. The use of individual orthopedic insoles is essential to reduce the over-pressure. The aim of the present study is to mark the over-pressure areas of the plantar part of the foot on a pedogram and describe them with high accuracy using a mathematical research method. The locally over-pressured areas with calluses formed due to repeated injuries were identified on the patients’ pedograms. The geometric shapes of the over-p
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Finco, M. G., Gozde Cay, Myeounggon Lee, et al. "Taking a Load Off: User Perceptions of Smart Offloading Walkers for Diabetic Foot Ulcers Using the Technology Acceptance Model." Sensors 23, no. 5 (2023): 2768. http://dx.doi.org/10.3390/s23052768.

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People with diabetic foot ulcers (DFUs) are commonly prescribed offloading walkers, but inadequate adherence to prescribed use can be a barrier to ulcer healing. This study examined user perspectives of offloading walkers to provide insight on ways to help promote adherence. Participants were randomized to wear: (1) irremovable, (2) removable, or (3) smart removable walkers (smart boot) that provided feedback on adherence and daily walking. Participants completed a 15-item questionnaire based on the Technology Acceptance Model (TAM). Spearman correlations assessed associations between TAM rati
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Lourenço, Roselene, Silvana Torres Perez, Lara Jansiski Motta, et al. "Effect of photobiomodulation as preventive treatment of diabetic foot ulcer: randomised, controlled, double-blind, clinical trial protocol." BMJ Open 15, no. 1 (2025): e094594. https://doi.org/10.1136/bmjopen-2024-094594.

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IntroductionThe prevention of diabetic foot ulcer (DFU) involves the classification of risk, systemic care, regular examinations, foot care, therapeutic education and adjunct treatments. Photobiomodulation (PBM) has been successfully administered for the healing of DFU and its preventive effects have drawn the interest of researchers.Methods and analysisThe purpose of the study is to assess the effect of PBM for the prevention of DFU through a randomised, controlled, double-blind, clinical trial. Individuals from 18 to 75 years of age of both sexes with type 2 diabetes mellitus (DM) at moderat
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Yick, Kit-lun, Wai-ting Lo, Sun-pui Ng, et al. "Analysis of Insole Geometry and Deformity by Using a Three-Dimensional Image Processing Technique: A Preliminary Study." Journal of the American Podiatric Medical Association 109, no. 2 (2019): 98–107. http://dx.doi.org/10.7547/16-116.

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Background: Accurate representation of the insole geometry is crucial for the development and performance evaluation of foot orthoses designed to redistribute plantar pressure, especially for diabetic patients. Methods: Considering the limitations in the type of equipment and space available in clinical practices, this study adopted a simple portable three-dimensional (3-D) desktop scanner to evaluate the 3-D geometry of an orthotic insole and the corresponding deformities after the insole has been worn. The shape of the insole structure along horizontal cross sections is defined with 3-D scan
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Lu, Difei, Xiaohui Guo, Yun Li, Bo Zheng, and Junqing Zhang. "Insoles Treated with Bacteria-Killing Nanotechnology Bio-Kil Reduce Bacterial Burden in Diabetic Patients and Healthy Controls." Journal of Diabetes Research 2018 (June 28, 2018): 1–6. http://dx.doi.org/10.1155/2018/7678310.

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Our study investigated the effectiveness of bacteria-killing nanotechnology Bio-Kil socks on bacterial burden reduction in diabetic patients and healthy individuals. Four strains of S. aureus and four strains of E. coli were cultured and dropped on Bio-Kil socks and control socks for 0 h, 8 h, and 48 h of incubation. Diluted samples were inoculated and bacterial counts were recorded. Additionally, 31 patients with type 2 diabetes and 31 healthy controls were assigned to wear one Bio-Kil sock on one foot and a control sock on the other for four hours, and then they were told to exchange socks f
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Saltzman, Charles L., Kenneth A. Johnson, Ronald H. Goldstein, and Richard E. Donnelly. "The Patellar Tendon-Bearing Brace as Treatment for Neurotrophic Arthropathy: A Dynamic Force Monitoring Study." Foot & Ankle 13, no. 1 (1992): 14–21. http://dx.doi.org/10.1177/107110079201300103.

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The effects of shoe wear, custom-made inserts, patellar tendon-bearing (PTB) braces, and extra-padded PTB braces on load transmission to neuroarthropathic (Charcot) feet of six diabetic patients were assessed. A PTB brace with a free ankle and an extradepth shoe without external modifications was used. Four distinct anatomical regions were evaluated by an in-shoe technique measuring vertical force. The mean peak force transmitted to the entire foot was higher in the affected than in the unaffected extremity barefoot and shod. The mean peak forces under the midfoot were higher for the affected
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Hsu, Wei-Zan, and Zong-Hong Lin. "Wearable Pressure Sensing System Appliedin Sports Assistive Monitoring and Technological Rehabilitation." ECS Meeting Abstracts MA2024-01, no. 33 (2024): 1608. http://dx.doi.org/10.1149/ma2024-01331608mtgabs.

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In the aging society, chronic diseases have become a very common problem. Many elderly people have at least one chronic disease. Most chronic diseases are caused by poor diet and lack of physical activity. As the body ages, chronic diseases will develop. Therefore, it is important to establish a healthy lifestyle. The best way to prevent chronic diseases is to diagnose them early and self-check your health. In terms of self-check, most hospitals provide good testing equipment for the public to use. However, in Taiwan, most elderly people with chronic diseases are not aware of any abnormalities
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Haris, Fahni, Yih-Kuen Jan, Ben-Yi Liau, et al. "The effects of different inner pressures of air insoles and walking durations on peak plantar pressure." Medicine 102, no. 43 (2023): e35704. http://dx.doi.org/10.1097/md.0000000000035704.

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Background: Exercise reduces chronic complications in individuals with diabetes and peripheral vascular diseases. In clinical practice, the use of air insole may reduce peak plantar pressure (PPP), and risk for diabetic foot ulcers (DFUs). However, there is no guideline on selecting air insole pressure for effectively reducing PPP. Therefore, this study aimed to investigate the effects of different air insole pressure on PPP at different walking durations. Methods: We tested 13 participants using repeated measures study design, including 3 air insole pressures (80, 160, and 240 mm Hg) and 2 wa
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Najafi, Bijan, Gurtej S. Grewal, Manish Bharara, Robert Menzies, Talal K. Talal, and David G. Armstrong. "Can’t Stand the Pressure: The Association Between Unprotected Standing, Walking, and Wound Healing in People With Diabetes." Journal of Diabetes Science and Technology 11, no. 4 (2016): 657–67. http://dx.doi.org/10.1177/1932296816662959.

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Objective: The objective was to report patterns of physical activity and their relationship to wound healing success in patients with diabetic foot ulcers protected with removable or irremovable offloading devices. Methods: Forty-nine people with diabetic foot ulcers were randomized to wear either a removable cast walker (RCW) or an irremovable instant total contact cast (iTCC). Primary outcome measures included change in wound size, physical activities including position (ie, sitting, standing, lying) and locomotion (speed, steps, etc). Outcomes parameters were assessed on weekly basis until
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KHANI, M. M., H. KATOOZIAN, K. AZMA, I. NASEH, and A. H. SALIMI. "HYPER-ELASTIC PARAMETER ESTIMATION OF HUMAN HEEL-PAD: A FINITE ELEMENT AND EVOLUTIONARY BASED ALGORITHM." Journal of Mechanics in Medicine and Biology 12, no. 03 (2012): 1250034. http://dx.doi.org/10.1142/s0219519411004708.

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The heel-pad as a biological shock absorber has an important role in the initial contact phase of gait cycle dissipating the impact forces resulted in locomotion. An axisymmetric finite element model of human heel-pad has been generated and the heel-pad experimental data deduced from a published force-deflection graph of the same specimen (Iain R. Spears, Janice E. Miller-Young), Iterative identification task has been used to extract nonlinear material properties describing hyper-elastic behavior of heel-pad. The genetic algorithm was incorporated into estimation process using an interface pro
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Haris, Fahni, Ben-Yi Liau, Yih-Kuen Jan, et al. "A Review of the Plantar Pressure Distribution Effects from Insole Materials and at Different Walking Speeds." Applied Sciences 11, no. 24 (2021): 11851. http://dx.doi.org/10.3390/app112411851.

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Among people with diabetes mellitus (DM), the two common strategies for decreasing peak plantar pressure (PPP) to reduce diabetic foot ulcers (DFUs) risks are to modify walking speeds and to change insole materials. This study reviewed the PPP reduction based on various walking speeds and insole materials. The articles were retrieved from four major scientific databases and manual search. We identified 1585 articles, of which 27 articles were selected for full-text analysis. We found that in faster walking speeds, the forefoot PPP was higher (308 kPa) than midfoot (150 kPa) and rearfoot (251 k
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Saha, Swati, Sanyal Kumar, Anjani Kumar, and Sanjay Kumar Pandey. "Footwear Modification in Patients with Peripheral Neuropathy by Use of Three-dimensional Force Plate." Indian Journal of Physical Medicine and Rehabilitation 34, no. 2 (2024): 87–93. http://dx.doi.org/10.4103/ijpmr.ijpmr_53_23.

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Abstract Background: Peripheral neuropathy is the most common chronic complication of both type 1 and type 2 diabetes, with an estimated lifetime prevalence exceeding 50%. Loss of cutaneous sensory information from the foot sole is reported to be a critical factor contributing to walking instability, poor balance and falls, in people with diabetic peripheral neuropathy (DPN). Although there is a very little evidence in the literature on the effectiveness of microcellular rubber insoles, they may offer a new rehabilitative approach, which promotes self-management by the user, to improve balance
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Dr., Huma Memon and Dr. Abdul Ghani Rahimoon Dr. Akbar Yousafani. "FREQUENCY AND OUTCOME OF DYSLIPIDEMIA IN DIABETIC FOOT PATIENTS WITH TYPE-II DIABETES MELLITUS." Indo American Journal of Pharmaceutical Sciences 04, no. 10 (2017): 3470–75. https://doi.org/10.5281/zenodo.1001858.

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Objective: The objective of this study was to determine the frequency and outcome of dyslipidemia in diabetic foot patients with type-2 diabetes mellitus Material & Methods: This descriptive case series study was carried out in the department of Medicine, Liaquat University Hospital and Jamshoro/Hyderabad, From January 2010 to July 2010. Total 196 patients were included in the study with age range > 40 years, known/diagnosed cases of diabetes mellitus (type 2), patients with clinical and radiographic diagnosis of diabetic foot; either gender or having abnormal lipid profile were include
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AZIZ, HAMZA, FATIMA HAYAT, MUHAMMAD IBRAHIM, et al. "Evaluation of Awareness levels about foot care and its impact on foot care practices among Diabetic Individuals in Pakistan." Pakistan Journal of Medical and Health Sciences 18, no. 8 (2024): 6–10. http://dx.doi.org/10.53350/pjmhs020241882.

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Background: This research covers a very important topic in today’s time, diabetic foot care. To prevent its complications, an in depth understanding of awareness levels and practices about foot care among diabetic individuals is very important. Aim: To assess awareness levels about foot care and its impact on foot care practices among diabetic individuals. Methods: The population of the study was composed of the diabetic patients coming to outpatient departments in a tertiary care hospital in Rawalpindi. The study was carried out over a period of 6 months from January 2024 to June 2024. The pa
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Suprapti, Tuti, and Asep Aep Indarna. "Pola makan, aktivitas fisik, gula darah, dan risiko luka kaki diabetik pada pasien diabetes melitus." Holistik Jurnal Kesehatan 18, no. 1 (2024): 131–38. http://dx.doi.org/10.33024/hjk.v18i1.217.

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Background: Diabetes mellitus is a chronic metabolic disorder characterized by increased blood glucose (hyperglycemia). The prevalence of diabetes continues to increase until it reaches 578 million in 2030 and 700 million in 2045. Physical activity has an impact on insulin action in people at risk of diabetes mellitus. Lack of activity is one of the factors that plays a role in causing insulin resistance, Purpose: To analyze diet patterns, physical activity, and the risk of diabetic foot injuries in diabetes mellitus patients. Method: Descriptive analytical research using the sampling techniqu
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S. Ali, Mohammed, Murooj Mazen Dahlawi, Rahaf Mohammed Alzahrani, et al. "Awareness and Practices Regarding Diabetic Foot Care Among Diabetic Patients in Saudi Arabia: A Cross‑Sectional Study." Journal of Pioneering Medical Sciences 14, no. 05 (2025): 133–42. https://doi.org/10.47310/jpms2025140520.

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Background: Diabetic foot clinical complex is a common concern for diabetic patients. Typically, it affects patients with suboptimal glycemic control but it is multifactorial in origin. A diabetic foot is a condition that affects the feet of people with diabetes. It can cause skin and bone infections, abscesses, gangrene, ulcers and deformities due to nerve damage, poor blood circulation and a weak immune system. If not identified early and treated properly, it can lead to serious consequences, such as amputation. Objectives: This study assessed the knowledge and awareness levels of diabetic f
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Dr. Hasanain Moayad Husain, Dr. Sadoon Jehad Abdaljabar, and Dr. Shakir Mahmood Abboosh Alsultan. "Diabetic Foot, Conservative Management." Texas Journal of Medical Science 15 (December 24, 2022): 188–96. http://dx.doi.org/10.62480/tjms.2022.vol15.pp188-196.

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Diabetic foot ulcers are serious complications of Diabetes Mellitus and are known to be resistant to conventional treatment; they may herald severe complications and may lead to lower limb amputation if not treated wisely. Objectives: To assess the efficacy of conservative management and LowLevel Laser Therapy (LLLT) in the treatment of diabetic foot ulcers. Setting: Baghdad Teaching Hospital. Time, from January 2015 through April 2020. Patients and methods: A prospective randamised study included (45) patients who were proved to have a diabetic foot ulcer, the ulcers were graded according to
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R, Purnamasari, Safitri A, and Nurmadilla N. "Correlation Between Thrombocyte Amount and Transient Blood Glucose to Diabetic Foot Ulcers." International Journal of Human and Health Sciences (IJHHS) 8, no. 20 (2024): 59. http://dx.doi.org/10.31344/ijhhs.v8i20.705.

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Objectives: Diabetes Mellitus (DM) is a disease that is caused by an increase of blood sugar glucose, this condition have potential to increase the damage of macrovascular and microvascular. One of the main complications of Diabetes Mellitus Type II (DMT2) is diabetic foot ulcer. Hyperglycemia in T2DM is thought to trigger neuropathy which can cause diabetic foot ulcers and also associated with an increase of thromboxane A2 (vasoconstrictor and platelet aggregator agonist), thereby increasing the risk of plasma hypercoagulability. Methods: The research design at this research is analytic descr
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Shukla, Archana, and Sourabh Mishra. "Study of the clinical aspect of diabetic foot ulcers and its surgical management." Journal of the Foot & Ankle 16, no. 3 (2022): 204–8. http://dx.doi.org/10.30795/jfootankle.2022.v16.1652.

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Objective: Diabetes is a global epidemic and a leading cause of death by disease. It is the common underlying cause of foot ulcers, infection, and ischemia, which are among the most serious complications of diabetes. This work aimed to study the clinical profile, surgical management, and outcome of patients with diabetic foot infections. Methods: Prospective study recruiting patients >18 years of age with diabetic foot infections. All patients underwent a detailed history and clinical examination, being distributed as per their different sociodemographic, clinical, and foot ulcer site chara
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