Federal health officials added new safety alerts to the prescribing information for statins, the cholesterol-reducing medications that are among the most widely prescribed drugs in the world, citing rare risks of memory loss, diabetes and muscle pain.
Ensuring adequate vascularity can be critical to facilitating the healing of diabetic foot ulcerations. Accordingly, these authors discuss current mainstay approaches in vascular surgery as well as emerging techniques that could make a difference in the future for limb salvage in patients with diabetes and chronic wounds.
The complications of diabetes can desensitize patients to the effects of onychomycosis and complicate management of the condition. Given the increased prevalence of onychomycosis in this patient population, these authors discuss common pathogens and assess the available treatment options.
Although equinus is reportedly “the most profound causal agent in foot pathomechanics,” the phenomenon has yet to be addressed fully in the diabetic foot. Accordingly, these authors discuss the definition of equinus and offer insights on the efficacy of stretching, night splints, a new bracing option, tendo-Achilles lengthening and gastrocnemius recession.
There may be some good news in regard to amputation rates in patients with diabetes in the United States.
A recent study in Diabetes Care found that nontraumatic lower extremity amputation rates have decreased in patients with diabetes over age 40.1 Lin and colleagues found the amputation discharge rate per 1,000 people with diabetes was 3.9 in 2008 — down from 11.2 in 1996.