{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T02:27:42Z","timestamp":1794018462474,"version":"4.8.0"},"reference-count":24,"publisher":"American Diabetes Association","issue":"11","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2004,11,1]]},"abstract":"<jats:p>OBJECTIVE\u2014To evaluate the effectiveness of at-home infrared temperature monitoring as a preventative tool in individuals at high risk for diabetes-related lower-extremity ulceration and amputation.<\/jats:p>\n                  <jats:p>RESEARCH DESIGN AND METHODS\u2014Eighty-five patients who fit diabetic foot risk category 2 or 3 (neuropathy and foot deformity or previous history of ulceration or partial foot amputation) were randomized into a standard therapy group (n = 41) or an enhanced therapy group (n = 44). Standard therapy consisted of therapeutic footwear, diabetic foot education, and regular foot evaluation by a podiatrist. Enhanced therapy included the addition of a handheld infrared skin thermometer to measure temperatures on the sole of the foot in the morning and evening. Elevated temperatures (&amp;gt;4\u00b0F compared with the opposite foot) were considered to be \u201cat risk\u201d of ulceration due to inflammation at the site of measurement. When foot temperatures were elevated, subjects were instructed to reduce their activity and contact the study nurse. Study subjects were followed for 6 months.<\/jats:p>\n                  <jats:p>RESULTS\u2014The enhanced therapy group had significantly fewer diabetic foot complications (enhanced therapy group 2% vs. standard therapy group 20%, P = 0.01, odds ratio 10.3, 95% CI 1.2\u201385.3). There were seven ulcers and two Charcot fractures among standard therapy patients and one ulcer in the enhanced therapy group.<\/jats:p>\n                  <jats:p>CONCLUSIONS\u2014These results suggest that at-home patient self-monitoring with daily foot temperatures may be an effective adjunctive tool to prevent foot complications in individuals at high risk for lower-extremity ulceration and amputation.<\/jats:p>","DOI":"10.2337\/diacare.27.11.2642","type":"journal-article","created":{"date-parts":[[2007,3,5]],"date-time":"2007-03-05T17:51:27Z","timestamp":1173117087000},"page":"2642-2647","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":331,"title":["Home Monitoring of Foot Skin Temperatures to Prevent Ulceration"],"prefix":"10.2337","volume":"27","author":[{"given":"Lawrence A.","family":"Lavery","sequence":"first","affiliation":[{"name":"College of Medicine, Texas A&M Health Science Center, Scott and White Hospital, 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":"David G.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine, Chicago, Illinois"}],"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":"C. Mauli","family":"Agrawal","sequence":"additional","affiliation":[{"name":"College of Medicine, Texas A&M Health Science Center, Scott and White Hospital, Temple, Texas"},{"name":"Department of Biomedical Engineering, The University of Texas, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","reference":[{"key":"2022031215353646600_R1","doi-asserted-by":"crossref","unstructured":"Pecoraro RE, Reiber GE, Burgess EM: Causal pathways to amputation: basis for prevention. 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