Risk factors for foot infections in individuals with diabetes.

Abstract:

OBJECTIVE:To prospectively determine risk factors for foot infection in a cohort of people with diabetes. RESEARCH DESIGN AND METHODS:We evaluated then followed 1,666 consecutive diabetic patients enrolled in a managed care-based outpatient clinic in a 2-year longitudinal outcomes study. At enrollment, patients underwent a standardized general medical examination and detailed foot assessment and were educated about proper foot care. They were then rescreened at scheduled intervals and also seen promptly if they developed any foot problem. RESULTS:During the evaluation period, 151 (9.1%) patients developed 199 foot infections, all but one involving a wound or penetrating injury. Most patients had infections involving only the soft tissue, but 19.9% had bone culture-proven osteomyelitis. For those who developed a foot infection, compared with those who did not, the risk of hospitalization was 55.7 times greater (95% CI 30.3-102.2; P < 0.001) and the risk of amputation was 154.5 times greater (58.5-468.5; P < 0.001). Foot wounds preceded all but one infection. Significant (P < 0.05) independent risk factors for foot infection from a multivariate analysis included wounds that penetrated to bone (odds ratio 6.7), wounds with a duration >30 days (4.7), recurrent wounds (2.4), wounds with a traumatic etiology (2.4), and presence of peripheral vascular disease (1.9). CONCLUSIONS:Foot infections occur relatively frequently in individuals with diabetes, almost always follow trauma, and dramatically increase the risk of hospitalization and amputation. Efforts to prevent infections should be targeted at people with traumatic foot wounds, especially those that are chronic, deep, recurrent, or associated with peripheral vascular disease.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Lavery LA,Armstrong DG,Wunderlich RP,Mohler MJ,Wendel CS,Lipsky BA

doi

10.2337/dc05-2425

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

1288-93

issue

6

eissn

0149-5992

issn

1935-5548

pii

29/6/1288

journal_volume

29

pub_type

杂志文章,多中心研究
  • Role of common sequence variants in insulin secretion in familial type 2 diabetic kindreds: the sulfonylurea receptor, glucokinase, and hepatocyte nuclear factor 1alpha genes.

    abstract:OBJECTIVE:We have demonstrated high heritability of insulin secretion measured as acute insulin response to glucose times insulin sensitivity (disposition index). Furthermore, we showed that obese normoglycemic family members of a type 2 diabetic proband failed to compensate for the insulin resistance of obesity by inc...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.24.3.472

    authors: Elbein SC,Sun J,Scroggin E,Teng K,Hasstedt SJ

    更新日期:2001-03-01 00:00:00

  • Spatiotemporal trends and age-period-cohort modeling of the incidence of type 1 diabetes among children aged

    abstract:OBJECTIVE:We have investigated age-period-cohort effects and spatial and temporal trends for the incidence of type 1 diabetes among 0- to 14-year-old children in Norway. RESEARCH DESIGN AND METHODS:We included children with the diagnosis of type 1 diabetes in Norway during 1973-1982 and 1989-2003. We studied age, cale...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc06-1568

    authors: Aamodt G,Stene LC,Njølstad PR,Søvik O,Joner G,Norwegian Childhood Diabetes Study Group.

    更新日期:2007-04-01 00:00:00

  • Familial aggregation of medial arterial calcification in Pima Indians with and without diabetes.

    abstract:OBJECTIVE:Little is known about medial arterial calcification (MAC) other than its association with age, sex, diabetes, and diabetes complications. Familial aggregation of this disorder was studied to determine the importance of potential genetic factors and to assess whether such familial aggregation was independent o...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.19.9.968

    authors: Narayan KM,Pettitt DJ,Hanson RL,Bennett PH,Fernandes RJ,De Courten M,Rose FA,Knowler WC

    更新日期:1996-09-01 00:00:00

  • Increased plasma levels of endothelin 1 and von Willebrand factor in patients with type 2 diabetes and dyslipidemia.

    abstract:OBJECTIVE:Endothelial markers endothelin 1 (ET-1) and von Willebrand factor (vWF) were assessed in patients with type 2 diabetes and dyslipidemia and in patients with hypercholesterolemia. RESEARCH DESIGN AND METHODS:In this case-control study, plasma ET-and vWF levels were measured by enzyme-linked immunosorbent assa...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.23.9.1395

    authors: Seligman BG,Biolo A,Polanczyk CA,Gross JL,Clausell N

    更新日期:2000-09-01 00:00:00

  • Insulin concentrations and time-action profiles of three different intermediate-acting insulin preparations in nondiabetic volunteers under glucose-controlled glucose infusion technique.

    abstract::This study describes the pharmacokinetics of three intermediate-acting insulin preparations, NPH porcine insulin, NPH human insulin (recombinant DNA), and "Depot-A" insulin, a mixture of 20% regular and 80% NPH human insulin from Eli Lilly and Company. Metabolic healthy normal weight volunteers were selected for the s...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.5.2.s43

    authors: Bottermann P,Gyaram H,Wahl K,Ermler R,Lebender A

    更新日期:1982-11-01 00:00:00

  • Effects of Pemafibrate, a Novel Selective PPARα Modulator, on Lipid and Glucose Metabolism in Patients With Type 2 Diabetes and Hypertriglyceridemia: A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial.

    abstract:OBJECTIVE:Type 2 diabetes is frequently complicated with atherogenic dyslipidemia. This study aimed to evaluate the efficacy and safety of pemafibrate (K-877) in patients with type 2 diabetes comorbid with hypertriglyceridemia. RESEARCH DESIGN AND METHODS:Patients were randomly assigned to three groups and received pl...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2337/dc17-1589

    authors: Araki E,Yamashita S,Arai H,Yokote K,Satoh J,Inoguchi T,Nakamura J,Maegawa H,Yoshioka N,Tanizawa Y,Watada H,Suganami H,Ishibashi S

    更新日期:2018-03-01 00:00:00

  • Effect of topical basic fibroblast growth factor on the healing of chronic diabetic neuropathic ulcer of the foot. A pilot, randomized, double-blind, placebo-controlled study.

    abstract:OBJECTIVE:To assess the efficacy and safety of topical human recombinant basic fibroblast growth factor (bFGF) on the healing of diabetic neurotrophic foot ulcers. RESEARCH DESIGN AND METHODS:Seventeen diabetic patients suffering from chronic neuropathic ulcer of the plantar surface of the foot entered a pilot, random...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.18.1.64

    authors: Richard JL,Parer-Richard C,Daures JP,Clouet S,Vannereau D,Bringer J,Rodier M,Jacob C,Comte-Bardonnet M

    更新日期:1995-01-01 00:00:00

  • Erythromycin derivative improves gastric emptying and insulin requirement in diabetic patients with gastroparesis.

    abstract:OBJECTIVE:To evaluate the effect of the erythromycin derivative EM523L on gastric emptying and postprandial insulin requirement in insulin-dependent diabetic patients with severe gastroparesis. RESEARCH DESIGN AND METHODS:In six IDDM patients with severe gastroparesis (two men and four women, mean age 44.5 years [rang...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/diacare.20.7.1134

    authors: Ishii M,Nakamura T,Kasai F,Baba T,Takebe K

    更新日期:1997-07-01 00:00:00

  • Repaglinide/troglitazone combination therapy: improved glycemic control in type 2 diabetes.

    abstract:OBJECTIVE:This multicenter open-label clinical trial compared the efficacy and safety of repaglinide/troglitazone combination therapy, repaglinide monotherapy, and troglitazone monotherapy in type 2 diabetes that had been inadequately controlled by sulfonylureas, acarbose, or metformin alone. RESEARCH DESIGN AND METHO...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.23.7.979

    authors: Raskin P,Jovanovic L,Berger S,Schwartz S,Woo V,Ratner R

    更新日期:2000-07-01 00:00:00

  • One-year glycemic control with a sulfonylurea plus pioglitazone versus a sulfonylurea plus metformin in patients with type 2 diabetes.

    abstract:OBJECTIVE:The goal was to assess the 1-year efficacy and safety of the addition of pioglitazone or metformin to existing sulfonylurea (SU) therapy in patients with inadequately controlled type 2 diabetes. RESEARCH DESIGN AND METHODS:In this multicenter, double-blind study, patients were randomized to receive either pi...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.27.1.141

    authors: Hanefeld M,Brunetti P,Schernthaner GH,Matthews DR,Charbonnel BH,QUARTET Study Group.

    更新日期:2004-01-01 00:00:00

  • Sodium-Glucose Cotransporter Inhibitors: Effects on Renal and Intestinal Glucose Transport: From Bench to Bedside.

    abstract::Type 2 diabetes is a chronic disease with disabling micro- and macrovascular complications that lead to excessive morbidity and premature mortality. It affects hundreds of millions of people and imposes an undue economic burden on populations across the world. Although insulin resistance and insulin secretory defects ...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/dc15-0642

    authors: Mudaliar S,Polidori D,Zambrowicz B,Henry RR

    更新日期:2015-12-01 00:00:00

  • Non-insulin-dependent diabetes: 10-year outcome in relation to initial response to diet and subsequent sulfonylurea therapy.

    abstract::Thirty-eight non-insulin-dependent diabetic patients within 130% of desirable body weight were given a 100-g oral glucose tolerance test (OGTT) at diagnosis and after at least 1 mo of dietary treatment with energy and carbohydrate restriction. Thirteen "responders" showed an improvement in fasting blood glucose, gluco...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:

    authors: Sönksen PH,Lowy C,Perkins JR,Lim HS

    更新日期:1984-05-01 00:00:00

  • Epidemiology of Diabetes Interventions and Complications (EDIC). Design, implementation, and preliminary results of a long-term follow-up of the Diabetes Control and Complications Trial cohort.

    abstract:OBJECTIVE:The Diabetes Control and Complications Trial (DCCT) demonstrated the powerful impact of glycemic control on the early manifestations of microvascular complications. Contemporary prospective data on the evolution of macrovascular and late microvascular complications of type 1 diabetes are limited. The Epidemio...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.22.1.99

    authors:

    更新日期:1999-01-01 00:00:00

  • Are sulfonylurea and insulin therapies associated with a larger risk of cancer than metformin therapy? A retrospective database analysis.

    abstract:OBJECTIVE:Several meta-analyses of observational studies suggested that metformin use reduces cancer risk in type 2 diabetes. However, this result was not confirmed by the few available randomized controlled trials (RCTs), and many observational studies on metformin and cancer were potentially afflicted with time-relat...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-0977

    authors: Kowall B,Rathmann W,Kostev K

    更新日期:2015-01-01 00:00:00

  • Cardiovascular risk factor control among veterans with diabetes: the ambulatory care quality improvement project.

    abstract:OBJECTIVE:To describe the extent to which hyperglycemia, hypertension, and dyslipidemia are currently detected, treated, and controlled in U.S. veterans with diabetes with and without ischemic heart disease (IHD). RESEARCH DESIGN AND METHODS:A cohort of 3,769 veterans who self-reported diabetes and who received all he...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.27.suppl_2.b33

    authors: Smith NL,Chen L,Au DH,McDonell M,Fihn SD

    更新日期:2004-05-01 00:00:00

  • Long-term Follow-up of Glycemic and Neurological Outcomes in an International Series of Patients With Sulfonylurea-Treated ABCC8 Permanent Neonatal Diabetes.

    abstract:OBJECTIVE:ABCC8 mutations cause neonatal diabetes mellitus that can be transient (TNDM) or, less commonly, permanent (PNDM); ∼90% of individuals can be treated with oral sulfonylureas instead of insulin. Previous studies suggested that people with ABCC8-PNDM require lower sulfonylurea doses and have milder neurological...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-1520

    authors: Bowman P,Mathews F,Barbetti F,Shepherd MH,Sanchez J,Piccini B,Beltrand J,Letourneau-Freiberg LR,Polak M,Greeley SAW,Rawlins E,Babiker T,Thomas NJ,De Franco E,Ellard S,Flanagan SE,Hattersley AT,Neonatal Diabetes Internat

    更新日期:2021-01-01 00:00:00

  • Is type 2 diabetes a different disease in obese and nonobese patients?

    abstract:OBJECTIVE:The main purpose of this work was to study the possible differences in insulin secretion in a large group of type 2 diabetic patients in relation to diabetes duration, obesity, and the presence of secondary failure after treatment with oral hypoglycemic agents. RESEARCH DESIGN AND METHODS:There were 147 nono...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.21.10.1680

    authors: Prando R,Cheli V,Melga P,Giusti R,Ciuchi E,Odetti P

    更新日期:1998-10-01 00:00:00

  • GLP-1 tablet in type 2 diabetes in fasting and postprandial conditions.

    abstract:OBJECTIVE:To examine the absorption of glucagon-like peptide (GLP)-1(7-36) amide from the buccal mucosa of type 2 diabetic patients. Previously, the effects of the peptide have been studied following intravenous and subcutaneous injection. Now, a mucoadhesive, biodegradable buccal GLP-1 tablet (9 mm) containing 119 nmo...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.20.12.1874

    authors: Gutniak MK,Larsson H,Sanders SW,Juneskans O,Holst JJ,Ahrén B

    更新日期:1997-12-01 00:00:00

  • Neural correlates of stress- and food cue-induced food craving in obesity: association with insulin levels.

    abstract:OBJECTIVE:Obesity is associated with alterations in corticolimbic-striatal brain regions involved in food motivation and reward. Stress and the presence of food cues may each motivate eating and engage corticolimibic-striatal neurocircuitry. It is unknown how these factors interact to influence brain responses and whet...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-1112

    authors: Jastreboff AM,Sinha R,Lacadie C,Small DM,Sherwin RS,Potenza MN

    更新日期:2013-02-01 00:00:00

  • Risk factors for coronary heart disease in type 1 diabetic patients in Europe: the EURODIAB Prospective Complications Study.

    abstract:OBJECTIVE:The goal of the study was to examine risk factors in the prediction of coronary heart disease (CHD) and differences in men and women in the EURODIAB Prospective Complications Study. RESEARCH DESIGN AND METHODS:Baseline risk factors and CHD at follow-up were assessed in 2,329 type 1 diabetic patients without ...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.27.2.530

    authors: Soedamah-Muthu SS,Chaturvedi N,Toeller M,Ferriss B,Reboldi P,Michel G,Manes C,Fuller JH,EURODIAB Prospective Complications Study Group.

    更新日期:2004-02-01 00:00:00

  • Random blood glucose measurement at antenatal booking to screen for overt diabetes in pregnancy: a retrospective study.

    abstract:OBJECTIVE:To assess random venous blood glucose (RBG) measurement at antenatal booking to detect "overt diabetes in pregnancy" (ODIP). RESEARCH DESIGN AND METHODS:A retrospective analysis of regional hospital obstetric data from 2004-2008 was performed. Universal RBG screening was included at booking. Oral glucose tol...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-0533

    authors: Church D,Halsall D,Meek C,Parker RA,Murphy HR,Simmons D

    更新日期:2011-10-01 00:00:00

  • Living well with diabetes: 24-month outcomes from a randomized trial of telephone-delivered weight loss and physical activity intervention to improve glycemic control.

    abstract:OBJECTIVE:To evaluate the effectiveness of a telephone-delivered behavioral weight loss and physical activity intervention targeting Australian primary care patients with type 2 diabetes. RESEARCH DESIGN AND METHODS:Pragmatic randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151). Re...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc13-2427

    authors: Eakin EG,Winkler EA,Dunstan DW,Healy GN,Owen N,Marshall AM,Graves N,Reeves MM

    更新日期:2014-08-01 00:00:00

  • Reduction in carotid intima-media thickness after pancreatic islet transplantation in patients with type 1 diabetes.

    abstract:OBJECTIVE:Determine the impact of islet transplantation on carotid intima-media thickness (CIMT), a marker for atherosclerosis, in type 1 diabetes without kidney disease. RESEARCH DESIGN AND METHODS:Consecutive case series of 15 adults (mean age [SD], 49 years [10 years]; 87% female) with type 1 diabetes for ≥5 years ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-0679

    authors: Danielson KK,Hatipoglu B,Kinzer K,Kaplan B,Martellotto J,Qi M,Mele A,Benedetti E,Oberholzer J

    更新日期:2013-02-01 00:00:00

  • Performance of HbA1c and fasting plasma glucose in screening for diabetes in patients undergoing coronary angiography.

    abstract:OBJECTIVE:The performance of glycated hemoglobin (HbA1c) and fasting plasma glucose (FPG) was compared in screening for diabetes by an oral glucose tolerance test (OGTT) in patients undergoing coronary angiography (CAG). RESEARCH DESIGN AND METHODS:Patients without known diabetes admitted for CAG were eligible. OGTT a...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-1434

    authors: Wang JS,Lee IT,Lee WJ,Lin SY,Fu CP,Ting CT,Lee WL,Liang KW,Sheu WH

    更新日期:2013-05-01 00:00:00

  • Intraoral tactile sensitivity in adults with diabetes.

    abstract:OBJECTIVE:The intraoral tactile sensitivity (ITS) of diabetic and nondiabetic subjects was compared. The effects of age, ethnicity, sex, and intraoral site were considered. RESEARCH DESIGN AND METHODS:The sample comprised 589 participants of the Oral Health: San Antonio Longitudinal Study of Aging. A total of 107 subj...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.27.4.869

    authors: Shinkai RS,Hatch JP,Cornell JE,Yeh CK

    更新日期:2004-04-01 00:00:00

  • Diabetes mellitus and its vascular complications in Japanese migrants on the Island of Hawaii.

    abstract::Japanese migrants and their offspring on the island of Hawaii and Japanese living in Hiroshima were examined for diabetes mellitus and its vascular complications. the same methods and investigators were used in both locations. Death certificates of Japanese and Caucasians dying on the island during the past 26 yr were...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.2.2.161

    authors: Kawate R,Yamakido M,Nishimoto Y,Bennett PH,Hamman RF,Knowler WC

    更新日期:1979-03-01 00:00:00

  • Screening for NIDDM in nonpregnant adults. A review of principles, screening tests, and recommendations.

    abstract::The economic burden of diabetes in the U.S. is now more than 90 billion dollars per year (113-115). In the diabetes community, there is a feeling that aggressive measures to detect diabetes in earlier stages may be warranted. Regardless of whether evidence is convincing that there are benefits from early detection of ...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/diacare.18.12.1606

    authors: Engelgau MM,Aubert RE,Thompson TJ,Herman WH

    更新日期:1995-12-01 00:00:00

  • Barriers to eye care among people aged 40 years and older with diagnosed diabetes, 2006-2010.

    abstract::OBJECTIVE We examine barriers to receiving recommended eye care among people aged ≥40 years with diagnosed diabetes. RESEARCH DESIGN AND METHODS We analyzed 2006-2010 Behavioral Risk Factor Surveillance System data from 22 states (n = 27,699). Respondents who had not sought eye care in the preceding 12 months were ask...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-1507

    authors: Chou CF,Sherrod CE,Zhang X,Barker LE,Bullard KM,Crews JE,Saaddine JB

    更新日期:2014-01-01 00:00:00

  • Apolipoprotein E polymorphism and renal function in German type 1 and type 2 diabetic patients.

    abstract:OBJECTIVE:To examine the association of renal function in diabetic patients with apolipoprotein (apo) E polymorphism. RESEARCH DESIGN AND METHODS:Apo E genotypes, lipid and lipoprotein serum levels, creatinine clearance (CCr), and excretion of marker proteins were determined in German type 1 (IDDM; n = 162) and type 2...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.21.6.994

    authors: Werle E,Fiehn W,Hasslacher C

    更新日期:1998-06-01 00:00:00

  • The prevalence and predictors of an abnormal ankle-brachial index in the Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial.

    abstract:OBJECTIVE:To examine ankle-brachial index (ABI) abnormalities in patients with type 2 diabetes and coronary artery disease (CAD). RESEARCH DESIGN AND METHODS:An ABI was obtained in 2,240 patients in the Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) Trial. ABIs were classified as: normal, 0.91...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc10-1734

    authors: Singh PP,Abbott JD,Lombardero MS,Sutton-Tyrrell K,Woodhead G,Venkitachalam L,Tsapatsaris NP,Piemonte TC,Lago RM,Rutter MK,Nesto RW,Bypass Angioplasty Revascularization Investigation 2 Diabetes Study Group.

    更新日期:2011-02-01 00:00:00