The below research into diabetes and related issues in podiatry have all been published in the second half of 2022.

#1 Wound care in focus 

The goal of this piece of research was to compare Dehydrated Human Amnion and Chorion Allograft (DHACA) plus the Standard of Wound Care (SOC), with the SOC alone. The result was that using DHACA with SOC is safer and more effective than using SOC alone for Diabetic Foot Ulceration (DFU) patients. You can read more here.

#2 Proximal bone cultures versus superficial wound swabs

This study examined the concordance of microbiological results from proximal bone cultures when compared to results from superficial wound swabs in relation to patient outcomes.

The aim was to determine the utility of routinely obtaining marginal bone specimens.

There was a moderate-high degree of concordance between superficial wound swab results and intra-operative bone sample microbiology in this patient cohort. Discordance was not associated with adverse outcomes.

These results suggest there is little clinical utility in routinely collecting proximal bone as an adjunct to routine wound swabs for culture during minor amputation for an infected diabetic foot ulcer. You can read the details here.

#3 Motivational interviewing in foot self care

This study focused on the role of motivational interviewing (MI) as a means to help providers and patients to improve foot self care. The study aims to observe and analyse the application of MI in consultations carried out by MI-trained and non-MI-trained podiatrists with their patients, and explore podiatrists’ attitudes and experiences towards MI.

Further details are here.


#4 Patient experiences and access to DFU care

This study aimed to understand patients’ personal experiences navigating the healthcare system and the barriers they faced. This is in the context of mechanisms for the observed disparities in diabetes-related amputation being poorly understood and possibly related to access for diabetic foot ulceration care.

Results showed that patients with diabetic foot ulcers face significant barriers in accessing medical care at many levels in the healthcare system and beyond.

These data highlight opportunities to address the effects of diabetic foot complications and the inequitable burden of inadequately managed diabetic foot care. You can read more here.