In working with high risk patients for over 20 years, Dr. Pupp relates that
"Diabetic Limb
Salvage is a most challenging part of the practice of medicine". He points out the importance of the
multidisciplinary approach and the
improved patient outcomes that centers realize when they put the team approach into practice. However, the
number of lower extremity amputations in patients with diabetes has increased drastically in the US.
How do you better prepare yourself to help these challenging patients? How can you use your medical and
surgical skills to actually make a difference for these patients?
Dr. Pupp emphasizes four factors in the prevention of
amputation in the
patient with diabetes: 1. Patient education,
2. Tight glucose control,3. Vascular
assessment, and
4. Pedorthotist intervention. Do's and Don'ts are well discussed and there
is an abundance of truly practical information to gain from this lecture. The
information given will help better arm yourself to make a difference for the
"at risk" patient when you enter the treatment room next time.