Prospective cohort study

46 subjects w/DM and foot ulcers, 322 controls at general medicine clinic

225 age-matched subjects w/DM followed at one large diabetes center: 76 cases w/existing foot ulceration or history of foot ulceration, 149 controls from other clinics, not a random sample

356 American Indians w/DM followed in primary care setting

Monofilament, N/A biothesiometer, Achilles tendon reflexes

Biothesiometer N/A

5.07 monofilament 32 months

Absence of Achilles tendon reflexes (adjusted abnormal 5.07 monofilament test TcP02 <30 mmHg) Loss of protective sensation (VPT > 25 V) History of amputation Elevated plantar pressure

>65 N per cm2 >1 subjective symptom of neuropathy Hallux rigidus, hallus valgus, toe deformity Poor diabetes control Duration of diabetes

>10 year Male sex

Insensitivity to 5.07 monofilament

6.48 (2.37-18.06) 18.42 (3.83-88.47) 57.87 (5.08-658.96)

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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