{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:05:41Z","timestamp":1757617541552,"version":"3.44.0"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The heel pad is essential for cushioning and shock absorption during weight\u2010bearing activities. Its thickness and integrity significantly impact foot health, particularly in diabetics at risk for ulcers due to neuropathy and vascular issues. This study examines heel pad thickness in diabetics and non\u2010diabetics with normal BMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>It was a case\u2010control study conducted in the University Ultrasound Clinic, Green Town, Lahore. The duration of the study was 7\u2009months. A convenient sampling technique was used to collect the data. The study was conducted after the approval from the research ethical committee at the University of Lahore. The sample size was 132, of which 66 were diabetic and 66 were normal. Both males and females aged 16\u201380\u2009years with normal BMI were included in this study. The study found that diabetic individuals had significantly thicker heel pads than non\u2010diabetics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the left foot, the diabetic group had a mean thickness of 15.7\u2009mm without compression and 12.4\u2009mm with compression, versus 10.7 and 8.9\u2009mm in the non\u2010diabetic group. For the right foot, the diabetic group had mean thicknesses of 14.8\u2009mm without compression and 12.6\u2009mm with compression, compared to 10.8 and 9.2\u2009mm in the non\u2010diabetic group. All differences were statistically significant, with <jats:italic>p<\/jats:italic> values of 0.000.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Individuals with diabetes had significantly thicker heel pads than non\u2010diabetics, both with and without compression. Females consistently had thicker heel pads than males across all conditions. Identifying changes in heel pad thickness may contribute to the early detection of foot\u2010related diabetic complications, even in individuals with a normal BMI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.24025","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T03:50:11Z","timestamp":1745898611000},"page":"1497-1503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Prediction of Diabetes by Ultrasonographic Measuring of Heel Pad Thickness: A Case\u2010Control Study"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5768-224X","authenticated-orcid":false,"given":"Syed Muhammad Yousaf","family":"Farooq","sequence":"first","affiliation":[{"name":"Department of Radiography and Imaging Technology Green International University  Lahore 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