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13 Cards in this Set
- Front
- Back
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A multidisciplinary approach including __________,________, and ________has been reported to reduce amputation rate by more than 50%.
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preventative strategies
patient and staff ed effective treatment of foot ulcers |
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Key Strategies for the Prevention of Diabetes Foot Complications
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Diabetes disease management
Annual foot exams Patient and staff education Protective footwear customized for high risk individuals Staged management of foot problems based on a Decision Pathway Prompt management of foot complications using custom off-loading devices |
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General guidlines for diabetes disease management:
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Glycemic control (hemoglobin A1c < 7%)
Moderate aerobic exercise (150 minutes per week) Moderate weight loss (> 7% body weight) Control of BP (< 130/85 mm/hg) and LDL cholesterol (< 100 mg/dl) Smoking cessation |
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T or F, proper control of hyperglycemia (HbA1c<9%) has been shown to prevent many diabetes related complications?
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False,HbA1c<7%
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American Diabetes Association 2008 Exercise Guidelines
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150 min physical activity 3X week @ moderate intensity (50-70% max HR)
Resistive training 3 x week In the presence of neuropathy non-weight bearing activities such as swimming, bicycling or arm exercises |
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T or F, resistance training improves insulin sensitivity to the same extent as aerobic activity?
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True, both aerobic and resistance training lowers A1C values
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Primary Risk Factors for Diabetes Related Foot Ulceration
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Loss of protective sensation
history of previous ulcer/amputation elevated plantar pressure rigid foot deformity |
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simple, inexpensive and effective method to identify loss of protective sensation in the diabetic foot
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nylon filament
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Suspect Ischemic Ulcers when?
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Located on distal non-
plantar Areas Multifocal, irregular shape Necrotic and cool May be painful |
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2 ways to prevent injuries to feet due to a single high stress:
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Never walking barefoot
Check for objects inside the shoe |
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Prevent injuries due to Constant Low Stress
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Breaking-in new shoes (initial wear < 2 hours day)
Inspect and protect the heels and between the toes of high risk patients |
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Prevent Injuries due to Repetitive Walking Stress
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Never walking barefoot or in stocking feet
Only wear prescribed footwear Check your feet daily Promptly report injuries to your foot specialist |
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To prevent further injury to wounds due to infection treatment should consist of?
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Early management and aggressively offloading foot injuries
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