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Take care of you feet for a lifetime/ a guide for people with diabetes:intelihealth:"Tips for Proper Footwear
Proper footwear is very important for preventing serious foot problems. Athletic or
walking shoes made of canvas or leather are good for daily wear. They support your
feet and allow them to "breathe."
Never wear vinyl or plastic shoes, because they don't stretch or "breathe."
When buying shoes, make sure they are comfortable from the start and have enough
room for your toes.
Don't buy shoes with pointed toes or high heels. They put too much pressure on your
toes."
http://www.intelihealth.com/IH/ihtIH/WSIHW000/21054/24347/202762.html?d=dmtContent
Vacuum-assited closure an option for ulcers:Dermatology Times:"Chronic, difficult wounds can be treated effectively with vacuum-assisted wound
closure, according to Michael J. Morykwas, Ph.D., director of research, department
of plastic and reconstructive surgery, Wake Forest University, Winston-Salem, N.C.
The subatmospheric pressure technique prevents chronic edema, increases localized
blood flow and enhances formation of granulation tissue, making it a useful
treatment option for difficult-to-treat chronic wounds such as pressure ulcers,
diabetic ulcers, and venous stasis ulcers, according to Dr. Morykwas, who chaired
the meeting, "Vacuum Closure and Management of Wounds, First International
Conference.""
http://www.findarticles.com/cf_dls/m0UMR/10_21/66472580/p1/article.jhtml
ADA: Fragmin (Dalteparin) Injections Help Heal Diabetic Foot Ulcers:Doc's Guide:"Treatment with Fragmin® (dalteparin) promotes healing of chronic foot ulcers in
diabetic patients with peripheral arterial occlusive disease, investigators reported
here this week at the 62nd Scientific Sessions of the American Diabetes Association
(ADA).
Their results also show that the number of foot amputations required because of
ulcers can be reduced by adding dalteparin to a multidisciplinary treatment regimen."
http://www.pslgroup.com/dg/215ca2.htm
Treating diabetic ulcers on the foot:The Jamaica Online Star:"Suitable dressings for the ulcer would include ENZYME DEBRI-DEMENT agents such as
ELASE ointment or SOLCOSERYL cream. SUFREXAL gel is a newer topical agent which
improves the blood supply locally to its area of use, lessens tissue inflammation
and heightens tissue granulation (healing). It is useful in the care of ulcers."
http://www.jamaicastar.com/thestar/20020503/features/features3.html
Clinical Trials: Diabetic Foot Ulcers:Center Watch:"You may want to consider being involved in a clinical trial this site lists what
trials are going on according to state. Clinical trials make it possible to treat
diseases. for more about clinical trials or to view which ones are available visit
centerwatch.com today."
http://www.centerwatch.com/patient/studies/cat229.html
Hyperbaric oxygen (HBO) therapy in treatment of diabetic foot ulcers. Long-term
follow-up.:Pub Med:"The cause of diabetic foot ulcers is multifactorial, e.g., neuropathy and
angiopathy, leading to functional disturbances in the macrocirculation and skin
microcirculation. Adequate tissue oxygen tension is an essential factor in infection
control and wound healing. Hyperbaric oxygen (HBO) therapy, daily sessions of oxygen
breathing at 2.5-bar increased pressure in a hyperbaric chamber, has beneficial
actions on wound healing including antimicrobial action, prevention of edema and
stimulation of fibroblasts"
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12039
398&dopt=Abstract
:oandp.com:"Biotechnology Enhances Treatment of Diabetic Ulcers
Biotechnology research has yielded three new products for the treatment of diabetic
ulcers: living skin equivalents Apligraf and Dermagraft, and healing gel Regranex.
Though these products are more expensive than traditional wound care bandages and
ointments, manufacturers and health-care professionals note that the reduction in
healing time compensates for the added cost."
http://www.oandp.com/facilities/ia/ampro/winter00/winter003.htm
Pressure relieving interventions for preventing and treating diabetic foot ulcers:Mediscope:"There is limited evidence of the effectiveness of orthotic interventions over
removal of callus. There is some evidence evaluating the relative effectiveness of
two types orthotic devices.
There is very limited evidence of the effectiveness of therapeutic shoes.
Treatment
There is very limited evidence of the effectiveness of total contact casts in the
treatment of diabetic foot ulcers.
Overall there is a need to measure the effectiveness of the range of pressure
relieving interventions for the prevention and treatment of diabetic foot ulcers as
there is a small amount of poor quality research in this area."
http://www.mediscope.ch/cochrane-abstracts/ab002302.htm
"Skin equivalent" helps diabetic ulcers heal:trustmed.com:"A "human skin equivalent" that layers new skin cells over wounds can quickly heal
foot ulcers in diabetics, a study shows.
Seven of 10 diabetics saw their foot wounds heal completely after treatment with
Apligraf, a human skin equivalent (HSE) made of layers of cells taken from
circumcised foreskins."
http://www.trustmed.com.tw/news/2000/06/21/20000620017e.html
Healing of Diabetic Foot Ulcers and Pressure Ulcers With Human Skin Equivalent:American Medical association:"In diabetic ulcers and pressure ulcers of various durations, the application of HSE
with the surgical principles used in a traditional skin graft is successful in
producing healing. The high success rate with complete closure in these various
types of wounds suggests that HSE may function as a reservoir of growth factors that
also stimulate wound contraction and epithelialization. If a wound has not fully
healed after 6 weeks, a second application of HSE should be used. If the wound is
not healing, an occult infection is the likely cause."
http://archsurg.ama-assn.org/issues/v135n6/abs/sws9016.html
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