DM PAD Trial

Status
Not open for further replies.
Used to go to podiatry but then they stopped offering the NHS service to people who did not have diabetes and 'at risk' feet. They used to complain at me for cutting my own toenails between appointments which only occurred every 3 or 4 months whereas my toenails need cutting once a fortnight at the outside - so I could never wait months like they want me to, I tried leaving it but the nail of one toe digs in the flash on the side of the one next door so very painful indeed so I did it myself - ridiculous not to. I did have a Doppler test at the GP nurse foot check once but not since, but at that point I could easily walk a lot further than I now can and they just haven't bothered since really but then they haven't offered anything much for anybody for anything since Covid started - eg the normal flu jab we suddenly got a text message last year to tell us we could come for one 'next Saturday' one week so we rang and said, can't make it this Saturday as we'll be on holiday, what alternatives are there ? and they replied 'None'. So we got an appointment at a Boots shop. Same with our last Covid jabs, got texts telling us they were due so rang the surgery who said they weren't giving them and we'd have to find out where we might be able to go ourselves as they had no info to give us. So we did - local hospital walk in clinic. Also they haven't bothered checking on my emphysema for years but anyway that's just a chat plus a BP test and an oximeter on a finger, because they were banned from using a peak flow meter at the start of Covid.
 
Used to go to podiatry but then they stopped offering the NHS service to people who did not have diabetes and 'at risk' feet. They used to complain at me for cutting my own toenails between appointments which only occurred every 3 or 4 months whereas my toenails need cutting once a fortnight at the outside - so I could never wait months like they want me to, I tried leaving it but the nail of one toe digs in the flash on the side of the one next door so very painful indeed so I did it myself - ridiculous not to. I did have a Doppler test at the GP nurse foot check once but not since, but at that point I could easily walk a lot further than I now can and they just haven't bothered since really but then they haven't offered anything much for anybody for anything since Covid started - eg the normal flu jab we suddenly got a text message last year to tell us we could come for one 'next Saturday' one week so we rang and said, can't make it this Saturday as we'll be on holiday, what alternatives are there ? and they replied 'None'. So we got an appointment at a Boots shop. Same with our last Covid jabs, got texts telling us they were due so rang the surgery who said they weren't giving them and we'd have to find out where we might be able to go ourselves as they had no info to give us. So we did - local hospital walk in clinic. Also they haven't bothered checking on my emphysema for years but anyway that's just a chat plus a BP test and an oximeter on a finger, because they were banned from using a peak flow meter at the start of Covid.

I never had any Doppler, just a quick stab with a pointy stick with the NHS.
Then again, I've never been classed as at risk.
I do have private tests, as I need to be certified as fit to dive, so I have Doppler for that, plus heart and lung tests, and a range of other stuff. It's way over the top for recreational diving, but it's a good check on me, so I'm happy to keep it up.
 
Ah - I've got PAD in legs. (The one trial said Leicester Royal were taking part, not Glenfield but I know they look after different bits of you at the two, not sure what where though as never lived in Leics) Don't understand what is meant by PAD being present on imaging. Er, what imaging? Do they sometimes have to do X rays/scans, if they think it might not only be in your legs?
In the PAD study, I had various tests you will likely be familiar with, including the filament test, manual pulse registrations, plus a doppler and blood pressure readings from arms, my cal and bog toes, then repeated after "stress" (aka 50 heel rises).

Next step, in a couple of weeks is a contrast MRA, just the lower legs.
 
Used to go to podiatry but then they stopped offering the NHS service to people who did not have diabetes and 'at risk' feet. They used to complain at me for cutting my own toenails between appointments which only occurred every 3 or 4 months whereas my toenails need cutting once a fortnight at the outside - so I could never wait months like they want me to, I tried leaving it but the nail of one toe digs in the flash on the side of the one next door so very painful indeed so I did it myself - ridiculous not to. I did have a Doppler test at the GP nurse foot check once but not since, but at that point I could easily walk a lot further than I now can and they just haven't bothered since really but then they haven't offered anything much for anybody for anything since Covid started - eg the normal flu jab we suddenly got a text message last year to tell us we could come for one 'next Saturday' one week so we rang and said, can't make it this Saturday as we'll be on holiday, what alternatives are there ? and they replied 'None'. So we got an appointment at a Boots shop. Same with our last Covid jabs, got texts telling us they were due so rang the surgery who said they weren't giving them and we'd have to find out where we might be able to go ourselves as they had no info to give us. So we did - local hospital walk in clinic. Also they haven't bothered checking on my emphysema for years but anyway that's just a chat plus a BP test and an oximeter on a finger, because they were banned from using a peak flow meter at the start of Covid.

Peak flows and full breathing tests are back in play these days.
 
I never had any Doppler, just a quick stab with a pointy stick with the NHS.
Then again, I've never been classed as at risk.
I do have private tests, as I need to be certified as fit to dive, so I have Doppler for that, plus heart and lung tests, and a range of other stuff. It's way over the top for recreational diving, but it's a good check on me, so I'm happy to keep it up.

You could always sign up for the DM PAD. It's a decent MOT, and if anything is found requiring attention you would be referred.
 
That one seems to have a cut off of Feb this year.

It looks like they have all passed the cut off dates.

Edit - still looking for volunteers, just not updated the web page.
Unfortunately funding is often time limited but they may still be running if they did not make the numbers up. Given the link and trial is still live it might well mean that they are still looking.

Ah sorry missed that bit, definitely try for it, it’s going to help so many of us going forward if equipment gets approved!!!
 
Used to go to podiatry but then they stopped offering the NHS service to people who did not have diabetes and 'at risk' feet. They used to complain at me for cutting my own toenails between appointments which only occurred every 3 or 4 months whereas my toenails need cutting once a fortnight at the outside - so I could never wait months like they want me to, I tried leaving it but the nail of one toe digs in the flash on the side of the one next door so very painful indeed so I did it myself - ridiculous not to. I did have a Doppler test at the GP nurse foot check once but not since, but at that point I could easily walk a lot further than I now can and they just haven't bothered since really but then they haven't offered anything much for anybody for anything since Covid started - eg the normal flu jab we suddenly got a text message last year to tell us we could come for one 'next Saturday' one week so we rang and said, can't make it this Saturday as we'll be on holiday, what alternatives are there ? and they replied 'None'. So we got an appointment at a Boots shop. Same with our last Covid jabs, got texts telling us they were due so rang the surgery who said they weren't giving them and we'd have to find out where we might be able to go ourselves as they had no info to give us. So we did - local hospital walk in clinic. Also they haven't bothered checking on my emphysema for years but anyway that's just a chat plus a BP test and an oximeter on a finger, because they were banned from using a peak flow meter at the start of Covid.
Your diabetes nurse should be checking your feet regularly at your reviews, have you not even had those checks done? Yes podiatry criteria is much stricter now but if you have PAD symptoms and / or neuropathy then you should be being referred over for changed symptoms.
I only get to go when the symptoms change but when worried I speak to the diabetes nurse.
Sounds like you might need to consider a surgery change, is there any others near by?
 
You could always sign up for the DM PAD. It's a decent MOT, and if anything is found requiring attention you would be referred.
Agree, it’s so reassuring and they are looking for patients who can be followed up on with in 12 months so to check for changes and if the new equipment/process is working.
 
Also they haven't bothered checking on my emphysema for years but anyway that's just a chat plus a BP test and an oximeter on a finger, because they were banned from using a peak flow meter at the start of Covid.
I was asked to do a peakflow by practice nurse last year for asthma review. I forget if it was part of my NHS health check appointment, or alongside one of my diabetes follow up appointments
 
I was asked to do a peakflow by practice nurse last year for asthma review. I forget if it was part of my NHS health check appointment, or alongside one of my diabetes follow up appointments

I did one for a rail track medical.
I aced it, even after collapsing coughing and gasping after blowing, with a flu like infection on the day! :rofl:
 
I did one for a rail track medical.
I aced it, even after collapsing coughing and gasping after blowing, with a flu like infection on the day! :rofl:
Infection may limit capacity but not necessarily flow rate of breath. One of the effects of asthma is that it makes it more difficult to breath out, hence lower peak flow. During an asthma attack, someone isn't struggling to breathe because they can't breathe in, it's because they aren't clearing enough air out of their lungs on the breathing out due to bronchospasm, which limits the space available for a new breath in and therefore the oxygen available for oxygen exchange
 
Status
Not open for further replies.
Back
Top