Latest Research

New research on diabetic foot disease is published on an almost daily basis. Keeping track of what is out there and finding the time to read seems a near impossible job at times. DFA aims to provide diabetic foot researchers with the infrastructure to accelerate high quality research, and to support health professionals to improve clinical outcomes.

Can telehealth systems virtually heal diabetic foot ulcers?

Mar 15, 2018

A new randomized controlled trial (RCT) has found that telehealth systems perform just as well as specialist diabetic foot clinics in healing people with diabetic foot ulcers (DFU). This RCT published in Diabetes Care by researchers from Norway found that patients managed in primary care with telehealth support from specialist DFU clinics had the same…

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What is a “diabetic foot attack”?

Mar 9, 2018

A new commentary paper has called for the world to start calling severe presentations of diabetic foot disease (DFD), “diabetic foot attacks”. The paper, published by Professor Mike Edmonds and his team in the International Journal of Lower Extremity Wounds, argues using such a term aligns with similar terms that have “transformed outcomes in myocardial…

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Did the Explorer trial find quicker foot ulcer healing with a sucrose octasulfate dressing?

Mar 2, 2018

A large high-quality randomized controlled trial (RCT) on a new dressing for diabetic foot ulcers (DFUs) has just been published in the world’s leading diabetes journal, The Lancet Diabetes & Endocrinology. The RCT was led by the renowned Professor Mike Edmonds from the UK’s Kings College Hospital and included many of the world’s well-known DFU…

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New Peripheral Artery Disease clinical update published in the British Medical Journal

Feb 15, 2018

A new clinical update summarizing the literature on the assessment and management of Peripheral Artery Disease (PAD) has just been published in the prestigious British Medical Journal (BMJ).  Like we try to do here at DFA, BMJ clinical updates aim to provide practical clinical summaries of the latest evidence on how to assess and manage…

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Increasing diabetic foot service standards = Decreasing amputation rates

Jan 24, 2018

Last year we reported on a Lancet commentary article from Prof William Jeffcoate discussing large variations in regional diabetes-related amputation rates across England. This paper highlighted a huge data analysis showing the critical impact that regional diabetic foot services have on amputation rates. Well Prof Jeffcoate has just published another commentary entitled, “reducing amputation in…

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New Australian guideline on footwear for people with diabetes published by world experts

Jan 17, 2018

The new 2018 Australia guideline on footwear for people with diabetes has just been published in the Journal of Foot and Ankle Research. This new footwear guideline updates the 2013 Australian practical guideline on the provision of footwear for people with diabetes. You may be asking how different can this new 2018 guideline be? We are…

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What happens after 300 infected diabetic foot ulcers walk into your clinic?

Jan 8, 2018

A number of studies have reported the rates and predictors for healing patients who present with a diabetic foot ulcer; combinations of infected and uninfected ulcers. Recently we summarised an Australian study that reported for the first time the rates and predictors of developing an infection in patients who present with an uninfected diabetic foot…

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High plantar pressures in people with diabetic foot ulcers stay high over time

Dec 20, 2017

A new Australian study from one of DFA’s favourite sons Dr Mal Fernando has completed his PhD that investigated the gait and plantar pressures of people with diabetic foot ulcers. We have showcased some of Mal’s previous studies on gait characteristics and plantar pressures right here. Unlike his previous baseline studies, in this study Mal…

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Is a temperature difference of >2.2OC an accurate marker to detect future diabetic foot ulceration?

Dec 16, 2017

Since the 1950s, when Dr Paul Brand observed that feet “heat up before they break down” into ulceration, we have known that temperature may be a marker for detecting impending foot ulceration. In the 2000s, a number of large trials from Profs Larry Lavery and David Armstrong proved that home-monitoring of increasing temperature was very…

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Risk factors for amputations in people with diabetes – a New Zealand study sheds new light

Dec 7, 2017

An enormous number of studies have investigated the risk factors for amputations in people with diabetes. Most risk factors found can be bundled into four groups, factors relating to: i) socio-demographic background (such as age or sex), ii) medical history (such as kidney disease or hyperglycaemia), iii) foot complications (such as peripheral arterial disease or…

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