New horizons in the understanding of the causes and management of diabetic foot disease: report from the 2017 Diabetes UK Annual Professional Conference Symposium

Clokie, Martha; Greenway, Alice L.; Harding, Keith; Jones, Nia J.; Vedhara, Kavita; Game, Fran; Dhatariya, Ketan K.

Abstract

Diabetes-related foot disease remains a common problem. For wounds, classic teaching recommends the treatment of any infection, offloading the wound and ensuring a good blood supply, as well as ensuring that the other modifiable risk factors are addressed and optimized. There remain, however, several questions about these and other aspects of the care of diabetes-related foot disease. Some of these questions are addressed in the present report; in particular, the impact of newer technologies in the identification of any organisms present in a wound, as well as the use of novel approaches to treat infections. The use of new remote sensing technology to identify people at risk of developing foot ulceration is also considered, in an attempt to allow early intervention and prevention of foot ulcers. The psychological impact of foot disease is often overlooked, but with an increasing number of publications on the subject, the cause-and-effect role that psychology plays in foot disease, such as ulcers and Charcot neuroarthropathy, is considered. Finally, because of heterogeneity in diabetic foot studies, comparing results is difficult. A recently published document focusing on ensuring a standardized way of reporting foot disease trials is discussed.

Citation

Clokie, M., Greenway, A. L., Harding, K., Jones, N. J., Vedhara, K., Game, F., & Dhatariya, K. K. (2017). New horizons in the understanding of the causes and management of diabetic foot disease: report from the 2017 Diabetes UK Annual Professional Conference Symposium. Diabetic Medicine, 34(3), 305-315. https://doi.org/10.1111/dme.13313

• Journal Article Type: Article
• Acceptance Date: Dec 22, 2016
• Publication Date: Jan 23, 2017
• Deposit Date: May 10, 2017
• Publicly Available Date: May 10, 2017
• Journal: Diabetic Medicine
• Print ISSN: 0742-3071
• Electronic ISSN: 1464-5491
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 34
• Issue: 3
• Pages: 305-315
• DOI: https://doi.org/10.1111/dme.13313
• Keywords: Diabetic foot; Infection; Phage; Remote sensing; Psychology; Healing; Reporting standards
• Public URL: https://nottingham-repository.worktribe.com/output/839350
• Publisher URL: http://onlinelibrary.wiley.com/doi/10.1111/dme.13313/full
• Additional Information: This is the peer reviewed version of the following article: Clokie, Martha and Greenway, Alice L. and Harding, Keith and Jones, Nia J. and Vedhara, Kavita and Game, Fran and Dhatariya, Ketan K. New horizons in the understanding of the causes and management of diabetic foot disease: report from the 2017 Diabetes UK Annual Professional Conference Symposium. Diabet. Med. 34: 305–315 (2017), which has been published in final form at https://doi.org/10.1111/dme.13313. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
• Contract Date: May 10, 2017