{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T12:43:01Z","timestamp":1791031381111,"version":"4.1.0"},"reference-count":40,"publisher":"American Diabetes Association","issue":"1","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2007,1,1]]},"abstract":"<jats:p>OBJECTIVE\u2014The purpose of this study was to evaluate the effectiveness of a temperature monitoring instrument to reduce the incidence of foot ulcers in individuals with diabetes who have a high risk for lower extremity complications.<\/jats:p>\n                  <jats:p>RESEARCH DESIGN AND METHODS\u2014In this physician-blinded, randomized, 15-month, multicenter trial, 173 subjects with a previous history of diabetic foot ulceration were assigned to standard therapy, structured foot examination, or enhanced therapy groups. Each group received therapeutic footwear, diabetic foot education, and regular foot care. Subjects in the structured foot examination group performed a structured foot inspection daily and recorded their findings in a logbook. If standard therapy or structured foot examinations identified any foot abnormalities, subjects were instructed to contact the study nurse immediately. Subjects in the enhanced therapy group used an infrared skin thermometer to measure temperatures on six foot sites each day. Temperature differences &amp;gt;4\u00b0F (&amp;gt;2.2\u00b0C) between left and right corresponding sites triggered patients to contact the study nurse and reduce activity until temperatures normalized.<\/jats:p>\n                  <jats:p>RESULTS\u2014The enhanced therapy group had fewer foot ulcers than the standard therapy and structured foot examination groups (enhanced therapy 8.5 vs. standard therapy 29.3%, P = 0.0046 and enhanced therapy vs. structured foot examination 30.4%, P = 0.0029). Patients in the standard therapy and structured foot examination groups were 4.37 and 4.71 times more likely to develop ulcers than patients in the enhanced therapy group.<\/jats:p>\n                  <jats:p>CONCLUSIONS\u2014Infrared temperature home monitoring, in serving as an \u201cearly warning sign,\u201d appears to be a simple and useful adjunct in the prevention of diabetic foot ulcerations.<\/jats:p>","DOI":"10.2337\/dc06-1600","type":"journal-article","created":{"date-parts":[[2006,12,27]],"date-time":"2006-12-27T11:37:53Z","timestamp":1167219473000},"page":"14-20","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":368,"title":["Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients"],"prefix":"10.2337","volume":"30","author":[{"given":"Lawrence A.","family":"Lavery","sequence":"first","affiliation":[{"name":"Department of Surgery, Scott & White Hospital, Texas A&M University Health Science Center, Temple, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin R.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Xilas Medical, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan R.","family":"Lanctot","sequence":"additional","affiliation":[{"name":"Xilas Medical, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George P.","family":"Constantinides","sequence":"additional","affiliation":[{"name":"Xilas Medical, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben G.","family":"Zamorano","sequence":"additional","affiliation":[{"name":"Xilas Medical, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyriacos A.","family":"Athanasiou","sequence":"additional","affiliation":[{"name":"Department of Bioengineering, Rice University, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Mauli","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Engineering, University of Texas, San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","reference":[{"key":"2022031218344040300_R1","doi-asserted-by":"crossref","unstructured":"Lavery LA, Armstrong DG, Wunderlich RP, Boulton AJM, Tredwell JL: Diabetic foot syndrome: evaluating the prevalence and incidence of foot pathology in Mexican Americans and non-Hispanic whites from a diabetes disease management cohort. Diabetes Care\u200826: 1435\u20131438, 2003","DOI":"10.2337\/diacare.26.5.1435"},{"key":"2022031218344040300_R2","doi-asserted-by":"crossref","unstructured":"Singh N, Armstrong DG, Lipsky BA: Preventing foot ulcers in patients with diabetes. 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