SlideShare uma empresa Scribd logo
1 de 15
Baixar para ler offline
Obesity in America

  Obesity in the U.S. has reached epidemic levels and poses a
continued threat to public health. For millions of Americans this
     condition leads to dangerous comorbidities and costly
   treatments. Because there is no single cause of obesity, the
      condition remains difficult to both prevent and treat.
An Epidemic
            of Diabetes
 There is a strong correlation between people who suffer from
obesity and people who develop type 2 diabetes. Consequently,
     as the obesity epidemic has grown in recent years, the
     incidence of type 2 diabetes has also increased across
populations. Those who develop this condition can be affected
  by debilitating complications, and higher health care costs.
A Serious
           Complication
Nearly a quarter of people with diabetes will develop a diabetic
    foot ulcer (DFU). Despite the prevalence and disabling
 consequences of a DFU, many lack awareness of this serious
 diabetic complication. DFUs open the door for infection; the
longer the DFU persists, the greater the risk of hospitalization
and infections like MRSA. Diabetic patients with a DFU are at
  significantly increased risk for amputation and loss of life.
Cost Realities

The magnitude of the challenge is reflected in the high cost of
     treatment. The economic burden of DFUs and the
 complications arising from them are enormous. One of the
 most important cost-saving considerations in caring for the
   patient with a DFU is expeditious and complete wound
           healing to avoid serious complications.
The Chronic Ulcer

   Diabetic foot ulcers often fail to heal because persistently high
 concentrations of pro-inflammatory cytokines in the wound induce
  high concentrations of proteases, which degrade multiple growth
factors, receptors, and matrix proteins that are essential for wound
healing. Even with good, standard wound care, healing neuropathic
     ulcers in patients with diabetes continues to be a challenge.
References
1.    Prevalence of Overweight, Obesity, and Extreme Obesity Among Adults: United States, Trends 1960–1962 Through 2007–2008. Centers for Disease Control website. Available at http://www.cdc.gov/NCHS/data/hestat/obesity_
      adult_07_08/obesity_adult_07_08.pdf. Accessed 8 February 2012.
2.    Obesity Trends Among US Adults between 1985 and 2010. BRFSS, Centers for Disease Control website. Available at http://www.cdc.gov/obesity/downloads/ obesity_trends_2010.ppt. Accessed 25 January 2012.
3.    National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.
      Available at http://www.cdc.gov/diabetes/pubs/pdf/ ndfs_2011.pdf. Accessed 8 February 2012.
4.    F. Xavier Pi-Sunyer MD, MPH and the NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults Clinical Guidelines on the Identification, Evaluation, and Treatment of
      Overweight and Obesity in Adults – The Evidence Report. The National Institutes of Health National Heart, Lung, and Blood Institute. NIH Publication No. 98-4083 September 1998. Available at:
      http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.htm
5.    The Weight-control Information Network (WIN), National Institute of Diabetes and Digestive and Kidney Diseases. Do You Know the Health Risks of Being Overweight? US Department of Health and Human Services. 2007. Available at:
      http://win.niddk.nih.gov/publications/health_risks.htm#type2
6.    The International Diabetes Foundation, IDF Diabetes Atlas, 5th ed.: http://www.idf.org/diabetesatlas/5e/the-global-burden (Accessed 2-23-12)
7.    Adapted from the IDF Diabetes Atlas, 5th ed. International Diabetes Federation, 2011. Available at http://www.idf.org/diabetesatlas/5e/the-global-burden. Accessed 17 January 2012.
8.    Sprangers MA, de Regt EB, Andries F, et al. Which chronic conditions are associated with better or poorer quality of life? J Clin epidemiol. 2000;53:895- 907.
9.    Wee H-L, Cheung Y-B, Shu-Chuen Li1, Kok-Yong Fong K-Y, Thumboo J. The impact of diabetes mellitus and other chronic medical conditions on health-related Quality of Life: Is the whole greater than the sum of its parts? Health and Quality of Life
      Outcomes 2005, 3:2
10.   Leichter S, Faulkner S, Camp J. On the Cost of Being a Diabetic Patient: Variables for Physician Prescribing Behavior. Clinical Diabetes. 2000;18(1):42-3.
11.   Chester B. Good, MD, MPH. Polypharmacy in Elderly Patients With Diabetes. Diabetes Spectrum. 2002;15(4):240-248.
12.   Diabetes Successes and Opportunities for Population-Based Prevention and Control, Centers for Disease Control website. Available at http://www.cdc.gov/ chronicdisease/resources/publications/AAG/ddt.htm. Accessed 8 February 2012.
13.   Economic and Health Costs of Diabetes. U.S. Department of Health & Human Services website. Available at http://archive.ahrq.gov/data/hcup/highlight1/ high1.htm. Accessed 8 February 2012.
14.   Lavery LA, Armstrong DG, Wunderlich RP, et al. Risk factors for foot infections in individuals with diabetes. Diabetes Care. 2006;29:1288-93.
15.   Zhang Y, Hogan P. Cost effectiveness of a human fibroblast-derived dermal substitute for the treatment of diabetic foot ulcers in Medicare and commercially insured populations. Diabetes. 2011;60(suppl 1A):LB15-LB16.
16.   Harrington C, Zagari MJ, Corea J, Klitenic J. Cost Analysis of Diabetic Lower Extremity Ulcers. Diabetes Care. 2000;23(9):1333-1338
17.   Ndip A, Rutter MK, Vileikyte L, et al. Dialysis treatment is an independent risk factor for foot ulceration in patients with diabetes and stage 4 or 5 chronic kidney disease. Diabetes Care. 2010;33:1811-6.
18.   Ramsey SD, Newton K, Blough D, et al. Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care. 1999;22:382-7.
19.   Singh N, Armstrong DG, Lipsky BA. Preventing Foot Ulcers in Patients With Diabetes. JAMA.2005;293(2):217-228
20.   Reiber GE. Epidemiology of foot ulcers and amputations in the diabetic foot. In: Bowker JH, Pfeifer MA, eds. The Diabetic Foot. St Louis, Mo: Mosby; 2001:13-32.
21.   Don Pelto, DPM, Central Massachusetts Podiatry, PC, Worcester, MA. Diabetic Foot Complications: Current Treatments and Advanced Therapies in Treating the Diabetic Foot. http://www.slideshare.net/donpelto/diabetic-foot-lecture-2010-3294772
22.   Yates C, May K, Hale T, et al. Wound chronicity, inpatient care, and chronic kidney disease predispose to MRSA infection in diabetic foot ulcers. Diabetes Care. 2009;32:1907-9.
23.   American Diabetes Association. Consensus development conference on diabetic foot wound care, 7-8 April 1999; Boston, MA. Diabetes Care. 1999;22:1354-60.
24.   Iversen MM, Tell GS, Riise T, et al. History of foot ulcer increases mortality among individuals with diabetes: ten-year follow-up of the Nord-Trøndelag Health Study, Norway. Diabetes Care. 2010;33:2365-9.
25.   Armstrong DG, Wrobel J, Robbins JM. Guest editorial: are diabetes-related wounds and amputations worse than cancer? Int Wound J. 2007;4(4):286-287.
26.   Stockl K, Vanderplas A, Tafesse E, et al. Costs of lower extremity ulcers among patients with diabetes. Diabetes Care. 2004; 27: 2129-34.
27.   Kruse I & Edelman S. Evaluation and treatment of diabetic foot ulcers. Clinical Diabetes. 2006;24(2):91-93.
28.   Margolis DJ, Kantor J, Berlin JA. Healing of diabetic neuropathic foot ulcers receiving standard treatment. A meta-analysis. Diabetes Care. 1999; 22(5):692-695.
29.   Zimny S, Voigt A, Schatz H, Pfohl M. Prediction of Wound Radius Reductions and Healing Times in Neuropathic Diabetic Foot Ulcers. Diabetes Care. 2003;26(3): 959-960.
30.   Sheehan P, Jones P, Caselli A, Giurini JM, Veves A. Percent Change in Wound Area of Diabetic Foot Ulcers Over a 4-Week Period Is a Robust Predictor of Complete Healing in a 12-Week Prospective Trial. Diabetes Care. 2003; 26:1879 –1882.
31.   Falanga V. Wound healing and its impairment in the diabetic foot. Lancet. 2005;366(9498):1736-1743.
32.   Barrientos S, Stojadinovic 0, Golinko MS, et al. Growth factors and cytokines in wound healing. Wound Repair Regen. 2008;16(5):585-601.
33.   Hunt TK, Hopf H, Hussain Z. Physiology of wound healing. Adv Skin Wound Care. 2000;13(Suppl 2):6-11
34.   Menke NB, Diegelmann RF, Ward KR. Non-healing wounds. Emer Med Rep. 2007;28(4):38-48.
35.   Snyder RJ, Kirsner RS, Warriner RA, et al. Consensus recommendations on advancing the standard of care for treating neuropathic foot ulcers in patients with diabetes. Ostomy Wound Manage. 2010;56(4 suppl):S1-S24.
For more information contact:

Mais conteúdo relacionado

Mais procurados

Diabetic foot disease ‫‬
Diabetic foot disease ‫‬Diabetic foot disease ‫‬
Diabetic foot disease ‫‬ismail naameh
 
Management of diabetic foot
Management of diabetic footManagement of diabetic foot
Management of diabetic footRahulkumar5300
 
Diabetic Foot Ulcer
Diabetic Foot UlcerDiabetic Foot Ulcer
Diabetic Foot UlcerSoumar Dutta
 
Diabetic foot
Diabetic footDiabetic foot
Diabetic footjoemdas
 
The diabetic foot in primary care andre sookdar
The diabetic foot in primary care   andre sookdarThe diabetic foot in primary care   andre sookdar
The diabetic foot in primary care andre sookdarAndre Sookdar
 
Diabetic foot ulcer
Diabetic foot ulcerDiabetic foot ulcer
Diabetic foot ulcerhamid soorgi
 
DIABETIC FOOT ULCER
DIABETIC FOOT ULCERDIABETIC FOOT ULCER
DIABETIC FOOT ULCERHaziq Mars
 
The Diabetic Foot: What You Need to Know
The Diabetic Foot: What You Need to KnowThe Diabetic Foot: What You Need to Know
The Diabetic Foot: What You Need to KnowOmar Haqqani
 
Diabetic foot vinay 1
Diabetic foot vinay 1Diabetic foot vinay 1
Diabetic foot vinay 1Vinay Jain
 
Diabetic foot by Dr. Basil Tumaini and Dr. May Shoo
Diabetic foot by Dr. Basil Tumaini and Dr. May ShooDiabetic foot by Dr. Basil Tumaini and Dr. May Shoo
Diabetic foot by Dr. Basil Tumaini and Dr. May ShooBasil Tumaini
 
management Diabetic foot
management Diabetic foot management Diabetic foot
management Diabetic foot Drkabiru2012
 
Approach to diabetic foot
Approach  to diabetic footApproach  to diabetic foot
Approach to diabetic footFaiz Hmoud
 

Mais procurados (20)

Diabetic foot disease ‫‬
Diabetic foot disease ‫‬Diabetic foot disease ‫‬
Diabetic foot disease ‫‬
 
Diabetic foot
Diabetic footDiabetic foot
Diabetic foot
 
Diabetic neuropathy
Diabetic neuropathyDiabetic neuropathy
Diabetic neuropathy
 
Management of diabetic foot
Management of diabetic footManagement of diabetic foot
Management of diabetic foot
 
Diabetic Foot Ulcer
Diabetic Foot UlcerDiabetic Foot Ulcer
Diabetic Foot Ulcer
 
Diabetic foot ulcer
Diabetic foot ulcerDiabetic foot ulcer
Diabetic foot ulcer
 
Diabetic foot
Diabetic foot Diabetic foot
Diabetic foot
 
Diabetic foot
Diabetic footDiabetic foot
Diabetic foot
 
The diabetic foot in primary care andre sookdar
The diabetic foot in primary care   andre sookdarThe diabetic foot in primary care   andre sookdar
The diabetic foot in primary care andre sookdar
 
Diabetic foot ulcer
Diabetic foot ulcerDiabetic foot ulcer
Diabetic foot ulcer
 
DIABETIC FOOT ULCER
DIABETIC FOOT ULCERDIABETIC FOOT ULCER
DIABETIC FOOT ULCER
 
The Diabetic Foot: What You Need to Know
The Diabetic Foot: What You Need to KnowThe Diabetic Foot: What You Need to Know
The Diabetic Foot: What You Need to Know
 
Diabetic foot vinay 1
Diabetic foot vinay 1Diabetic foot vinay 1
Diabetic foot vinay 1
 
Diabetic foot by Dr. Basil Tumaini and Dr. May Shoo
Diabetic foot by Dr. Basil Tumaini and Dr. May ShooDiabetic foot by Dr. Basil Tumaini and Dr. May Shoo
Diabetic foot by Dr. Basil Tumaini and Dr. May Shoo
 
Diabetic foot ulcer
Diabetic foot ulcerDiabetic foot ulcer
Diabetic foot ulcer
 
diabetic foot
diabetic footdiabetic foot
diabetic foot
 
Diabetic Foot
Diabetic FootDiabetic Foot
Diabetic Foot
 
management Diabetic foot
management Diabetic foot management Diabetic foot
management Diabetic foot
 
Approach to diabetic foot
Approach  to diabetic footApproach  to diabetic foot
Approach to diabetic foot
 
Diabetic foot
Diabetic footDiabetic foot
Diabetic foot
 

Semelhante a Diabetic Foot Ulcer Presentation

The grand plan campaign for the prevention of diabetes
The grand plan campaign for the prevention of diabetesThe grand plan campaign for the prevention of diabetes
The grand plan campaign for the prevention of diabetesrapeckham
 
2019 ADA standards of medical care in diabetes
2019 ADA standards of medical care in diabetes2019 ADA standards of medical care in diabetes
2019 ADA standards of medical care in diabetesVinh Pham Nguyen
 
ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION
ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION  ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION
ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION Leonel Ernesto
 
PUBLIC HEALTH ISSUES
PUBLIC HEALTH ISSUESPUBLIC HEALTH ISSUES
PUBLIC HEALTH ISSUESlucascyrus
 
Approach to Support Diabetes through Data Visualization
Approach to Support Diabetes through Data Visualization Approach to Support Diabetes through Data Visualization
Approach to Support Diabetes through Data Visualization DivyaBastola
 
Periodontics And Diabetes
Periodontics And DiabetesPeriodontics And Diabetes
Periodontics And Diabetesshabeel pn
 
Diabetes Prevalence Presentation.pdf
Diabetes Prevalence Presentation.pdfDiabetes Prevalence Presentation.pdf
Diabetes Prevalence Presentation.pdfsdfghj21
 
standards-of-care-2022-ADA.pdf
standards-of-care-2022-ADA.pdfstandards-of-care-2022-ADA.pdf
standards-of-care-2022-ADA.pdfphambang8
 
DM and Heart, What more can we do for patient heart.pdf
DM and Heart, What more can we do for patient heart.pdfDM and Heart, What more can we do for patient heart.pdf
DM and Heart, What more can we do for patient heart.pdfSolidaSakhan
 
Prof-Dennis-Yue-Kellion-Lecture.ppt
Prof-Dennis-Yue-Kellion-Lecture.pptProf-Dennis-Yue-Kellion-Lecture.ppt
Prof-Dennis-Yue-Kellion-Lecture.pptvictorgolubev97
 
STANDARDS OF MEDICAL CARE IN DIABETES—2017
STANDARDS OF MEDICAL CARE IN DIABETES—2017STANDARDS OF MEDICAL CARE IN DIABETES—2017
STANDARDS OF MEDICAL CARE IN DIABETES—2017Yaser Arafath Murichandi
 
STANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.org
STANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.orgSTANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.org
STANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.orgJain hospital,Mahavir Sikshan Sansthan
 

Semelhante a Diabetic Foot Ulcer Presentation (20)

The grand plan campaign for the prevention of diabetes
The grand plan campaign for the prevention of diabetesThe grand plan campaign for the prevention of diabetes
The grand plan campaign for the prevention of diabetes
 
2019 diabete
2019 diabete2019 diabete
2019 diabete
 
2019 ADA standards of medical care in diabetes
2019 ADA standards of medical care in diabetes2019 ADA standards of medical care in diabetes
2019 ADA standards of medical care in diabetes
 
ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION
ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION  ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION
ADA 2019 DIABETES AMERICAN DIABETES ASOCIATION
 
International Journal of Nephrology & Therapeutics
International Journal of Nephrology & TherapeuticsInternational Journal of Nephrology & Therapeutics
International Journal of Nephrology & Therapeutics
 
PUBLIC HEALTH ISSUES
PUBLIC HEALTH ISSUESPUBLIC HEALTH ISSUES
PUBLIC HEALTH ISSUES
 
Approach to Support Diabetes through Data Visualization
Approach to Support Diabetes through Data Visualization Approach to Support Diabetes through Data Visualization
Approach to Support Diabetes through Data Visualization
 
Periodontics And Diabetes
Periodontics And DiabetesPeriodontics And Diabetes
Periodontics And Diabetes
 
Diabetes Prevalence Presentation.pdf
Diabetes Prevalence Presentation.pdfDiabetes Prevalence Presentation.pdf
Diabetes Prevalence Presentation.pdf
 
standards-of-care-2022-ADA.pdf
standards-of-care-2022-ADA.pdfstandards-of-care-2022-ADA.pdf
standards-of-care-2022-ADA.pdf
 
Ajp meffectv discasemgmt
Ajp meffectv discasemgmtAjp meffectv discasemgmt
Ajp meffectv discasemgmt
 
DM and Heart, What more can we do for patient heart.pdf
DM and Heart, What more can we do for patient heart.pdfDM and Heart, What more can we do for patient heart.pdf
DM and Heart, What more can we do for patient heart.pdf
 
Prof-Dennis-Yue-Kellion-Lecture.ppt
Prof-Dennis-Yue-Kellion-Lecture.pptProf-Dennis-Yue-Kellion-Lecture.ppt
Prof-Dennis-Yue-Kellion-Lecture.ppt
 
481 Abstract
481 Abstract481 Abstract
481 Abstract
 
Ada diabetes care 2017
Ada diabetes care  2017Ada diabetes care  2017
Ada diabetes care 2017
 
STANDARDS OF MEDICAL CARE IN DIABETES—2017
STANDARDS OF MEDICAL CARE IN DIABETES—2017STANDARDS OF MEDICAL CARE IN DIABETES—2017
STANDARDS OF MEDICAL CARE IN DIABETES—2017
 
Diabetes care 2017
Diabetes care 2017Diabetes care 2017
Diabetes care 2017
 
Ada guideline 2017
Ada guideline 2017Ada guideline 2017
Ada guideline 2017
 
STANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.org
STANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.orgSTANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.org
STANDARDS OF MEDICAL CARE IN DIABETES—2017 - Shared By diabetesasia.org
 
ADA 2017
ADA 2017ADA 2017
ADA 2017
 

Mais de Donald Pelto

Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA
Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MAHeel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA
Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MADonald Pelto
 
Bunion Presentation
Bunion PresentationBunion Presentation
Bunion PresentationDonald Pelto
 
Preventing falls and amputation prevention april 2013
Preventing falls and amputation prevention april 2013Preventing falls and amputation prevention april 2013
Preventing falls and amputation prevention april 2013Donald Pelto
 
UMass emergency medicine lecture
UMass emergency medicine lectureUMass emergency medicine lecture
UMass emergency medicine lectureDonald Pelto
 
Flat feet and tendonitis
Flat feet and tendonitisFlat feet and tendonitis
Flat feet and tendonitisDonald Pelto
 
Healthcare Guide to Laser Treatment for Toenail Fungus
Healthcare Guide to Laser Treatment for Toenail FungusHealthcare Guide to Laser Treatment for Toenail Fungus
Healthcare Guide to Laser Treatment for Toenail FungusDonald Pelto
 
Plantar fasciitis presentation
Plantar fasciitis presentationPlantar fasciitis presentation
Plantar fasciitis presentationDonald Pelto
 
Comprehensive Diabetic Foot Examination
Comprehensive Diabetic Foot ExaminationComprehensive Diabetic Foot Examination
Comprehensive Diabetic Foot ExaminationDonald Pelto
 
Emergency room presentation - Donald Pelto, DPM
Emergency room presentation - Donald Pelto, DPMEmergency room presentation - Donald Pelto, DPM
Emergency room presentation - Donald Pelto, DPMDonald Pelto
 
Cold Injuries - Donald Pelto, DPM
Cold Injuries - Donald Pelto, DPMCold Injuries - Donald Pelto, DPM
Cold Injuries - Donald Pelto, DPMDonald Pelto
 
Pies Sanos Con Diabetes
Pies Sanos Con Diabetes Pies Sanos Con Diabetes
Pies Sanos Con Diabetes Donald Pelto
 
Unimed Presentation - Dr. Donald Pelto
Unimed Presentation - Dr. Donald PeltoUnimed Presentation - Dr. Donald Pelto
Unimed Presentation - Dr. Donald PeltoDonald Pelto
 
Running without pain
Running without painRunning without pain
Running without painDonald Pelto
 
Amputation Prevention
Amputation PreventionAmputation Prevention
Amputation PreventionDonald Pelto
 
Common Foot Problems - Donald Pelto, DPM
Common Foot Problems - Donald Pelto, DPMCommon Foot Problems - Donald Pelto, DPM
Common Foot Problems - Donald Pelto, DPMDonald Pelto
 
Diabetic Foot Lecture 2010
Diabetic Foot Lecture 2010Diabetic Foot Lecture 2010
Diabetic Foot Lecture 2010Donald Pelto
 
Limb Loss Presentation
Limb Loss PresentationLimb Loss Presentation
Limb Loss PresentationDonald Pelto
 
Diagnosis and management by PCPs of simple podiatric problems
Diagnosis and management by PCPs of simple podiatric problemsDiagnosis and management by PCPs of simple podiatric problems
Diagnosis and management by PCPs of simple podiatric problemsDonald Pelto
 
Diabetic foot lecture 2010
Diabetic foot lecture 2010Diabetic foot lecture 2010
Diabetic foot lecture 2010Donald Pelto
 

Mais de Donald Pelto (20)

Nail injuries
Nail injuriesNail injuries
Nail injuries
 
Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA
Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MAHeel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA
Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA
 
Bunion Presentation
Bunion PresentationBunion Presentation
Bunion Presentation
 
Preventing falls and amputation prevention april 2013
Preventing falls and amputation prevention april 2013Preventing falls and amputation prevention april 2013
Preventing falls and amputation prevention april 2013
 
UMass emergency medicine lecture
UMass emergency medicine lectureUMass emergency medicine lecture
UMass emergency medicine lecture
 
Flat feet and tendonitis
Flat feet and tendonitisFlat feet and tendonitis
Flat feet and tendonitis
 
Healthcare Guide to Laser Treatment for Toenail Fungus
Healthcare Guide to Laser Treatment for Toenail FungusHealthcare Guide to Laser Treatment for Toenail Fungus
Healthcare Guide to Laser Treatment for Toenail Fungus
 
Plantar fasciitis presentation
Plantar fasciitis presentationPlantar fasciitis presentation
Plantar fasciitis presentation
 
Comprehensive Diabetic Foot Examination
Comprehensive Diabetic Foot ExaminationComprehensive Diabetic Foot Examination
Comprehensive Diabetic Foot Examination
 
Emergency room presentation - Donald Pelto, DPM
Emergency room presentation - Donald Pelto, DPMEmergency room presentation - Donald Pelto, DPM
Emergency room presentation - Donald Pelto, DPM
 
Cold Injuries - Donald Pelto, DPM
Cold Injuries - Donald Pelto, DPMCold Injuries - Donald Pelto, DPM
Cold Injuries - Donald Pelto, DPM
 
Pies Sanos Con Diabetes
Pies Sanos Con Diabetes Pies Sanos Con Diabetes
Pies Sanos Con Diabetes
 
Unimed Presentation - Dr. Donald Pelto
Unimed Presentation - Dr. Donald PeltoUnimed Presentation - Dr. Donald Pelto
Unimed Presentation - Dr. Donald Pelto
 
Running without pain
Running without painRunning without pain
Running without pain
 
Amputation Prevention
Amputation PreventionAmputation Prevention
Amputation Prevention
 
Common Foot Problems - Donald Pelto, DPM
Common Foot Problems - Donald Pelto, DPMCommon Foot Problems - Donald Pelto, DPM
Common Foot Problems - Donald Pelto, DPM
 
Diabetic Foot Lecture 2010
Diabetic Foot Lecture 2010Diabetic Foot Lecture 2010
Diabetic Foot Lecture 2010
 
Limb Loss Presentation
Limb Loss PresentationLimb Loss Presentation
Limb Loss Presentation
 
Diagnosis and management by PCPs of simple podiatric problems
Diagnosis and management by PCPs of simple podiatric problemsDiagnosis and management by PCPs of simple podiatric problems
Diagnosis and management by PCPs of simple podiatric problems
 
Diabetic foot lecture 2010
Diabetic foot lecture 2010Diabetic foot lecture 2010
Diabetic foot lecture 2010
 

Último

Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000aliya bhat
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 

Último (20)

Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 

Diabetic Foot Ulcer Presentation

  • 1.
  • 2. Obesity in America Obesity in the U.S. has reached epidemic levels and poses a continued threat to public health. For millions of Americans this condition leads to dangerous comorbidities and costly treatments. Because there is no single cause of obesity, the condition remains difficult to both prevent and treat.
  • 3.
  • 4. An Epidemic of Diabetes There is a strong correlation between people who suffer from obesity and people who develop type 2 diabetes. Consequently, as the obesity epidemic has grown in recent years, the incidence of type 2 diabetes has also increased across populations. Those who develop this condition can be affected by debilitating complications, and higher health care costs.
  • 5.
  • 6.
  • 7. A Serious Complication Nearly a quarter of people with diabetes will develop a diabetic foot ulcer (DFU). Despite the prevalence and disabling consequences of a DFU, many lack awareness of this serious diabetic complication. DFUs open the door for infection; the longer the DFU persists, the greater the risk of hospitalization and infections like MRSA. Diabetic patients with a DFU are at significantly increased risk for amputation and loss of life.
  • 8.
  • 9.
  • 10. Cost Realities The magnitude of the challenge is reflected in the high cost of treatment. The economic burden of DFUs and the complications arising from them are enormous. One of the most important cost-saving considerations in caring for the patient with a DFU is expeditious and complete wound healing to avoid serious complications.
  • 11.
  • 12. The Chronic Ulcer Diabetic foot ulcers often fail to heal because persistently high concentrations of pro-inflammatory cytokines in the wound induce high concentrations of proteases, which degrade multiple growth factors, receptors, and matrix proteins that are essential for wound healing. Even with good, standard wound care, healing neuropathic ulcers in patients with diabetes continues to be a challenge.
  • 13.
  • 14. References 1. Prevalence of Overweight, Obesity, and Extreme Obesity Among Adults: United States, Trends 1960–1962 Through 2007–2008. Centers for Disease Control website. Available at http://www.cdc.gov/NCHS/data/hestat/obesity_ adult_07_08/obesity_adult_07_08.pdf. Accessed 8 February 2012. 2. Obesity Trends Among US Adults between 1985 and 2010. BRFSS, Centers for Disease Control website. Available at http://www.cdc.gov/obesity/downloads/ obesity_trends_2010.ppt. Accessed 25 January 2012. 3. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011. Available at http://www.cdc.gov/diabetes/pubs/pdf/ ndfs_2011.pdf. Accessed 8 February 2012. 4. F. Xavier Pi-Sunyer MD, MPH and the NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults – The Evidence Report. The National Institutes of Health National Heart, Lung, and Blood Institute. NIH Publication No. 98-4083 September 1998. Available at: http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.htm 5. The Weight-control Information Network (WIN), National Institute of Diabetes and Digestive and Kidney Diseases. Do You Know the Health Risks of Being Overweight? US Department of Health and Human Services. 2007. Available at: http://win.niddk.nih.gov/publications/health_risks.htm#type2 6. The International Diabetes Foundation, IDF Diabetes Atlas, 5th ed.: http://www.idf.org/diabetesatlas/5e/the-global-burden (Accessed 2-23-12) 7. Adapted from the IDF Diabetes Atlas, 5th ed. International Diabetes Federation, 2011. Available at http://www.idf.org/diabetesatlas/5e/the-global-burden. Accessed 17 January 2012. 8. Sprangers MA, de Regt EB, Andries F, et al. Which chronic conditions are associated with better or poorer quality of life? J Clin epidemiol. 2000;53:895- 907. 9. Wee H-L, Cheung Y-B, Shu-Chuen Li1, Kok-Yong Fong K-Y, Thumboo J. The impact of diabetes mellitus and other chronic medical conditions on health-related Quality of Life: Is the whole greater than the sum of its parts? Health and Quality of Life Outcomes 2005, 3:2 10. Leichter S, Faulkner S, Camp J. On the Cost of Being a Diabetic Patient: Variables for Physician Prescribing Behavior. Clinical Diabetes. 2000;18(1):42-3. 11. Chester B. Good, MD, MPH. Polypharmacy in Elderly Patients With Diabetes. Diabetes Spectrum. 2002;15(4):240-248. 12. Diabetes Successes and Opportunities for Population-Based Prevention and Control, Centers for Disease Control website. Available at http://www.cdc.gov/ chronicdisease/resources/publications/AAG/ddt.htm. Accessed 8 February 2012. 13. Economic and Health Costs of Diabetes. U.S. Department of Health & Human Services website. Available at http://archive.ahrq.gov/data/hcup/highlight1/ high1.htm. Accessed 8 February 2012. 14. Lavery LA, Armstrong DG, Wunderlich RP, et al. Risk factors for foot infections in individuals with diabetes. Diabetes Care. 2006;29:1288-93. 15. Zhang Y, Hogan P. Cost effectiveness of a human fibroblast-derived dermal substitute for the treatment of diabetic foot ulcers in Medicare and commercially insured populations. Diabetes. 2011;60(suppl 1A):LB15-LB16. 16. Harrington C, Zagari MJ, Corea J, Klitenic J. Cost Analysis of Diabetic Lower Extremity Ulcers. Diabetes Care. 2000;23(9):1333-1338 17. Ndip A, Rutter MK, Vileikyte L, et al. Dialysis treatment is an independent risk factor for foot ulceration in patients with diabetes and stage 4 or 5 chronic kidney disease. Diabetes Care. 2010;33:1811-6. 18. Ramsey SD, Newton K, Blough D, et al. Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care. 1999;22:382-7. 19. Singh N, Armstrong DG, Lipsky BA. Preventing Foot Ulcers in Patients With Diabetes. JAMA.2005;293(2):217-228 20. Reiber GE. Epidemiology of foot ulcers and amputations in the diabetic foot. In: Bowker JH, Pfeifer MA, eds. The Diabetic Foot. St Louis, Mo: Mosby; 2001:13-32. 21. Don Pelto, DPM, Central Massachusetts Podiatry, PC, Worcester, MA. Diabetic Foot Complications: Current Treatments and Advanced Therapies in Treating the Diabetic Foot. http://www.slideshare.net/donpelto/diabetic-foot-lecture-2010-3294772 22. Yates C, May K, Hale T, et al. Wound chronicity, inpatient care, and chronic kidney disease predispose to MRSA infection in diabetic foot ulcers. Diabetes Care. 2009;32:1907-9. 23. American Diabetes Association. Consensus development conference on diabetic foot wound care, 7-8 April 1999; Boston, MA. Diabetes Care. 1999;22:1354-60. 24. Iversen MM, Tell GS, Riise T, et al. History of foot ulcer increases mortality among individuals with diabetes: ten-year follow-up of the Nord-Trøndelag Health Study, Norway. Diabetes Care. 2010;33:2365-9. 25. Armstrong DG, Wrobel J, Robbins JM. Guest editorial: are diabetes-related wounds and amputations worse than cancer? Int Wound J. 2007;4(4):286-287. 26. Stockl K, Vanderplas A, Tafesse E, et al. Costs of lower extremity ulcers among patients with diabetes. Diabetes Care. 2004; 27: 2129-34. 27. Kruse I & Edelman S. Evaluation and treatment of diabetic foot ulcers. Clinical Diabetes. 2006;24(2):91-93. 28. Margolis DJ, Kantor J, Berlin JA. Healing of diabetic neuropathic foot ulcers receiving standard treatment. A meta-analysis. Diabetes Care. 1999; 22(5):692-695. 29. Zimny S, Voigt A, Schatz H, Pfohl M. Prediction of Wound Radius Reductions and Healing Times in Neuropathic Diabetic Foot Ulcers. Diabetes Care. 2003;26(3): 959-960. 30. Sheehan P, Jones P, Caselli A, Giurini JM, Veves A. Percent Change in Wound Area of Diabetic Foot Ulcers Over a 4-Week Period Is a Robust Predictor of Complete Healing in a 12-Week Prospective Trial. Diabetes Care. 2003; 26:1879 –1882. 31. Falanga V. Wound healing and its impairment in the diabetic foot. Lancet. 2005;366(9498):1736-1743. 32. Barrientos S, Stojadinovic 0, Golinko MS, et al. Growth factors and cytokines in wound healing. Wound Repair Regen. 2008;16(5):585-601. 33. Hunt TK, Hopf H, Hussain Z. Physiology of wound healing. Adv Skin Wound Care. 2000;13(Suppl 2):6-11 34. Menke NB, Diegelmann RF, Ward KR. Non-healing wounds. Emer Med Rep. 2007;28(4):38-48. 35. Snyder RJ, Kirsner RS, Warriner RA, et al. Consensus recommendations on advancing the standard of care for treating neuropathic foot ulcers in patients with diabetes. Ostomy Wound Manage. 2010;56(4 suppl):S1-S24.