Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
The extent of vascular disease, not the presence of diabetes or the cause of the ulceration, should drive the decision to intervene in a patient with a "diabetic foot," according to Dr. Joshua Beckman.
"When do I intervene on a diabetic foot? When I intervene on all feet: when there?s inadequate blood flow to heal the lesion," he said at the International Symposium on Endovascular Therapy 2013.
When lesions are detected in diabetic patients with PAD, assess for ankle pressures and determine ankle brachial index regardless of whether the lesion is neuropathic, he advised, explaining that, "even if you have a neuropathic initiation for your ulcer, if you have a low perfusion pressure, particularly under 50 mmHg, you?re not going to heal that lesion no matter how it was started."
http://www.clinicalendocrinologynew...disease/1d8170a768d910621b89e3977ca0a0a1.html
"When do I intervene on a diabetic foot? When I intervene on all feet: when there?s inadequate blood flow to heal the lesion," he said at the International Symposium on Endovascular Therapy 2013.
When lesions are detected in diabetic patients with PAD, assess for ankle pressures and determine ankle brachial index regardless of whether the lesion is neuropathic, he advised, explaining that, "even if you have a neuropathic initiation for your ulcer, if you have a low perfusion pressure, particularly under 50 mmHg, you?re not going to heal that lesion no matter how it was started."
http://www.clinicalendocrinologynew...disease/1d8170a768d910621b89e3977ca0a0a1.html