INTRODUCTION: Diabetic foot ulcers (DFUs) are associated with increased morbidity, mortality, and resource utilization. Remote temperature monitoring (RTM) is an evidence-based and recommended component of standard preventative foot care for high-risk populations that can detect the inflammation preceding and accompanying DFUs. OBJECTIVE: This case series illustrates the use of a RTM foot mat for the early detection and prevention of DFUs in patients with a history of DFUs. MATERIALS AND METHODS: Three patients with a history of diabetes, neuropathy, and DFUs were provided a RTM foot mat and instructed in its daily use. Persistent localized temperature differences exceeding 1.75˚C between the left and right feet prompted the clinical staff to call the patient to collect subjective history for further triage. RESULTS: Each patient presented with persistent temperature differences exceeding 1.75˚C. In one case, the patient was instructed to offload, and during a subsequent clinical exam, a callus was debrided and accommodative insoles were issued, resulting in resolution of the temperature differences. In the other 2 cases, the RTM foot mat prompted communication with and examination of the patient when there was damaged tissue deep to callus, resulting in early detection and treatment of uninfected DFUs. CONCLUSIONS: The findings of this case series are consistent with literature supporting the use of RTM for high-risk patients.
INTRODUCTION:Diabetic foot ulcers (DFUs) are associated with increased morbidity, mortality, and resource utilization. Remote temperature monitoring (RTM) is an evidence-based and recommended component of standard preventative foot care for high-risk populations that can detect the inflammation preceding and accompanying DFUs. OBJECTIVE: This case series illustrates the use of a RTM foot mat for the early detection and prevention of DFUs in patients with a history of DFUs. MATERIALS AND METHODS: Three patients with a history of diabetes, neuropathy, and DFUs were provided a RTM foot mat and instructed in its daily use. Persistent localized temperature differences exceeding 1.75˚C between the left and right feet prompted the clinical staff to call the patient to collect subjective history for further triage. RESULTS: Each patient presented with persistent temperature differences exceeding 1.75˚C. In one case, the patient was instructed to offload, and during a subsequent clinical exam, a callus was debrided and accommodative insoles were issued, resulting in resolution of the temperature differences. In the other 2 cases, the RTM foot mat prompted communication with and examination of the patient when there was damaged tissue deep to callus, resulting in early detection and treatment of uninfected DFUs. CONCLUSIONS: The findings of this case series are consistent with literature supporting the use of RTM for high-risk patients.
Authors: Petra Jones; Richard Bibb; Melanie Davies; Kamlesh Khunti; Matthew McCarthy; David Webb; Francesco Zaccardi Journal: J Diabetes Sci Technol Date: 2019-10-09
Authors: Alexander M Reyzelman; Kristopher Koelewyn; Maryam Murphy; Xuening Shen; E Yu; Raji Pillai; Jie Fu; Henk Jan Scholten; Ran Ma Journal: J Med Internet Res Date: 2018-12-17 Impact factor: 5.428
Authors: Lawrence A Lavery; Brian J Petersen; David R Linders; Jonathan D Bloom; Gary M Rothenberg; David G Armstrong Journal: BMJ Open Diabetes Res Care Date: 2019-08-06
Authors: Constantijn E V B Hazenberg; Wouter B Aan de Stegge; Sjef G Van Baal; Frans L Moll; Sicco A Bus Journal: Diabetes Metab Res Rev Date: 2019-12-20 Impact factor: 4.876
Authors: Adam L Isaac; Timothy D Swartz; Mark L Miller; Daniel J Short; Eleanor A Wilson; Jamie L Chaffo; Eric S Watson; Haihong Hu; Brian J Petersen; Jonathan D Bloom; Nicole J Neff; David R Linders; Simon J Salgado; Jessica L Locke; Michael A Horberg Journal: BMJ Open Diabetes Res Care Date: 2020-10