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.

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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Do antimicrobial wound solutions adequately cleanse biofilms from diabetic foot ulcers?

Dec 1, 2017

Clinicians treating foot ulcers are regularly faced with the decision of what to use on the wound if it has delayed healing. Recently, this decision has become more challenging with our new understandings on biofilm that further delays healing and promotes infection. These understandings have led to the development of new antimicrobial wound solutions backed…

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Indigenous Australians have 3-6 fold increased likelihood of diabetic foot complications

Nov 23, 2017

A number of previous studies have shown that indigenous Australians seem to have higher rates of diabetic foot complications than non-indigenous Australians. Arguably the most famous was a Medical Journal of Australia paper authored by Professor Paul Norman and colleagues that reported indigenous people in certain age groups had up to a 38-fold increased rates…

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Which removable offloading device is better to heal diabetic foot ulcers?

Nov 11, 2017

Non-removable knee-high offloading devices are the globally-recognised gold standard treatment to most effectively heal plantar diabetic foot ulcers. This is because they have been found to be the most effective in reducing plantar pressure and daily activity on the ulcer area, and adherence is enforced. However, these devices are contraindicated in some patients and some…

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Patients with diabetic foot disease have the highest risk of hospitalisation of common diseases

Nov 8, 2017

A new study has found that patients with diabetic foot disease have the highest number of doctor visits, longest doctor visits, highest number of referrals to other doctors and highest risk of hospitalization than all other common diseases studied. This study published in the leading journal Diabetes Care – authored by global diabetic foot experts…

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