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Strategies in Preventing Diabetic Amputations


by Guy Pupp DPM
Clinical Director, Southeast Michigan Surgical Hospital
fka Kern Hospital and Medical Center
Warren, Michigan
Sinai – Grace Hospital
Detroit, Michigan


In working with high risk patients for over 20 years, Dr. Pupp relates that “Diabetic Limb Salvage is a most challenging part of the practice of medicine.” He points out the importance of the multidisciplinary approach and the improved patient outcomes that centers realize when they put the team approach into practice. However, the number of lower extremity amputations in patients with diabetes has increased drastically in the US…how do you better prepare yourself to help these challenging patients? How can you use your medical and surgical skills to actually make a difference for these patients?

Dr. Pupp emphasizes four factors in the prevention of amputation in the patient with diabetes: 1. Patient education, 2. Tight glucose control, 3. Vascular assessment, and 4. Pedorthotist intervention. Do’s and Don’ts are well discussed and there is an abundance of truly practical information to gain from this lecture. The information given will help better arm yourself to make a difference for the ‘at risk’ patient when you enter the treatment room next time…
 


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