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预防糖尿病足病的新型干预措施综述

A Review on Newer Interventions for the Prevention of Diabetic Foot Disease.

作者信息

Tekale Sanket, Varma Anuj, Tekale Shubhangi, Kumbhare Unnati

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

Department of Pathology, Dr. Ulhas Patil Medical College and Hospital, Jalgaon, IND.

出版信息

Cureus. 2022 Oct 22;14(10):e30591. doi: 10.7759/cureus.30591. eCollection 2022 Oct.

Abstract

Diabetic foot disease (DFD), which includes ulcers on the foot, infections, and gangrene of the foot, is one of the leading causes of disability worldwide. About half of diabetic foot disease (DFD) patients have a recurrence in less than a year. To alleviate the burden of DFD globally, it is essential to give long-term medication to reduce the likelihood of recurrence. The effectiveness of telemedicine, wearable technologies, and sensors in DFD prevention is discussed in this review. Offloading footwear helps to cure and prevent ulcerated diabetic foot by distributing physical stress away from bony prominences. Sensors and wearables can record the temperatures of the foot, blood pressure (BP), and blood sugar levels and estimate lipid profile. These technologies have offered a practical means of reaching individuals in rural areas with a heightened risk of developing DFD. There is less need for in-person consultations with this strategy. This methodology is simple to operate and lessens reliance on patients. The benefits of adopting these remote monitoring approaches have been demonstrated in some studies with DFD-at-risk individuals. It is required to do more analysis to ascertain the effectiveness and value of incorporating different remote monitoring systems as part of an all-encompassing strategy to prevent DFD.

摘要

糖尿病足病(DFD)包括足部溃疡、感染和足部坏疽,是全球致残的主要原因之一。约一半的糖尿病足病(DFD)患者在不到一年的时间内会复发。为减轻全球糖尿病足病(DFD)的负担,长期用药以降低复发可能性至关重要。本综述讨论了远程医疗、可穿戴技术和传感器在糖尿病足病(DFD)预防中的有效性。减负鞋通过将身体压力从骨突处分散开,有助于治愈和预防糖尿病足溃疡。传感器和可穿戴设备可以记录足部温度、血压(BP)和血糖水平,并估算血脂情况。这些技术为接触有较高糖尿病足病(DFD)发病风险的农村地区人群提供了一种切实可行的方式。采用这种策略进行面对面咨询的需求较少。这种方法操作简单,减少了对患者的依赖。一些针对有糖尿病足病(DFD)风险个体的研究已经证明了采用这些远程监测方法的益处。需要进行更多分析,以确定将不同的远程监测系统纳入预防糖尿病足病(DFD)的综合策略中的有效性和价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7394/9682366/f7a54062a233/cureus-0014-00000030591-i01.jpg

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