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  1. Counting the cost of preventable diabetes-related lower limb amputations at a single district hospital in KwaZulu-Natal: what does this mean, what can be done?

    Counting the cost of preventable diabetes-related lower limb amputations at a single district hospital in KwaZulu-Natal: what does this mean, what can be done?

    Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: AT Thompson --- , South Africa JL Bruce --- , South Africa VY Kong --- , South Africa DL Clarke --- , South Africa C Aldous --- , South Africa
    Background: Healthcare policy decisions are driven by many factors, including cost, hence the need to show costs of diabetes mellitus-related lower limb amputations (DMLLA) to inform amendments to health care. Substantial decreases in amputation rates are associated with specialised podiatry...
  2. The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review

    The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review

    Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: AT Thompson --- , South Africa B Zipfel --- , South Africa C Aldous --- , South Africa
    Foot posture and function is important in diabetes, particularly as neuropathy in diabetes may present with motor in addition to sensory neural deficits. Examination of the anatomical architecture of the foot can inform on its load-bearing and balancing function. An...
  3. The spectrum of missed lower limb clinical findings at a diabetes clinic in KwaZulu-Natal: red flags for costly complications

    The spectrum of missed lower limb clinical findings at a diabetes clinic in KwaZulu-Natal: red flags for costly complications

    Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: AT Thompson --- , South Africa S Pillay --- , South Africa C Aldous --- , South Africa
    Including a podiatrist in a multidisciplinary team (MDT) has been shown to reduce the incidence of diabetes-related lower limb amputations by at least 56% to as much as 85%. This reflects podiatry’s role in foot screening and assessment, diagnosis, foot...