Stephy
Publishers
Journal of
Cardiology and Current Trends in Surgery
The
Diabetic Foot: New Challenges in Management and Care
Early
diagnosis of diabetic polyneuropathy (DPN) is important for several reasons.
First, careful and regular medical follow-up should be offered to avoid
neuropathic DFUs. Secondly, optimised glycaemic control and correction of other
vascular risk factors (e.g. hypertension, dyslipidaemia etc) should be
diligently pursued. Finally, daily foot hygiene and appropriate footwear are
indispensable. A number of practical bedside clinical tools contribute to
improved early diagnosis, such as the indicator test Neuropad assessing sweat
production in the feet, Vibra Tip, the portable NC-stat DPN Check device and
others. Neuropad has been extensively studied and confirmed as an excellent,
highly reproducible and practical screening tool with very high sensitivity and
negative predictive value for DPN, which renders itself even for patient
self-examination. Vibra Tip is a pocket-sized portable device which measures
vibration perception at the hallux, whose diagnostic utility has recently been
confirmed. NC-stat DPN Check is a special device for automated nerve conduction
study of the sural nerve, which may be used by all health care professional
after minimal training. We have shown that it yields very high diagnostic
performance (sensitivity, specificity, positive and negative predictive value)
in both diabetes types.
https://www.stephypublishers.com/cardiology-and-current-trends-in-surgery/pdf/JCCTS.MS.ID.000501.pdf
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