Home monitoring of foot skin temperatures to prevent ulceration

Lawrence A. Lavery, Kevin R. Higgins, Dan R. Lanctot, George P. Constantinides, Ruben G. Zamorano, David G. Armstrong, Kyriacos A. Athanasiou, C. Mauli Agrawal

Research output: Contribution to journalArticle

180 Citations (Scopus)

Abstract

OBJECTIVE - To 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. RESEARCH DESIGN AND METHODS - Eighty-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 (>4°F compared with the opposite foot) were considered to be "at risk" 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. RESULTS - The 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 1.2-85.3). There were seven ulcers and two Charcot fractures among standard therapy patients and one ulcer in the enhanced therapy group. CONCLUSIONS - These 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.

Original languageEnglish (US)
Pages (from-to)2642-2647
Number of pages6
JournalDiabetes Care
Volume27
Issue number11
DOIs
StatePublished - Nov 2004
Externally publishedYes

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Skin Temperature
Group Psychotherapy
Foot
Diabetic Foot
Temperature
Amputation
Ulcer
Lower Extremity
Foot Deformities
Thermometers
Physiologic Monitoring
Diabetes Complications
Therapeutics
Research Design
Odds Ratio
Nurses
Inflammation
Education
Skin

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Lavery, L. A., Higgins, K. R., Lanctot, D. R., Constantinides, G. P., Zamorano, R. G., Armstrong, D. G., ... Agrawal, C. M. (2004). Home monitoring of foot skin temperatures to prevent ulceration. Diabetes Care, 27(11), 2642-2647. https://doi.org/10.2337/diacare.27.11.2642

Home monitoring of foot skin temperatures to prevent ulceration. / Lavery, Lawrence A.; Higgins, Kevin R.; Lanctot, Dan R.; Constantinides, George P.; Zamorano, Ruben G.; Armstrong, David G.; Athanasiou, Kyriacos A.; Agrawal, C. Mauli.

In: Diabetes Care, Vol. 27, No. 11, 11.2004, p. 2642-2647.

Research output: Contribution to journalArticle

Lavery, LA, Higgins, KR, Lanctot, DR, Constantinides, GP, Zamorano, RG, Armstrong, DG, Athanasiou, KA & Agrawal, CM 2004, 'Home monitoring of foot skin temperatures to prevent ulceration', Diabetes Care, vol. 27, no. 11, pp. 2642-2647. https://doi.org/10.2337/diacare.27.11.2642
Lavery LA, Higgins KR, Lanctot DR, Constantinides GP, Zamorano RG, Armstrong DG et al. Home monitoring of foot skin temperatures to prevent ulceration. Diabetes Care. 2004 Nov;27(11):2642-2647. https://doi.org/10.2337/diacare.27.11.2642
Lavery, Lawrence A. ; Higgins, Kevin R. ; Lanctot, Dan R. ; Constantinides, George P. ; Zamorano, Ruben G. ; Armstrong, David G. ; Athanasiou, Kyriacos A. ; Agrawal, C. Mauli. / Home monitoring of foot skin temperatures to prevent ulceration. In: Diabetes Care. 2004 ; Vol. 27, No. 11. pp. 2642-2647.
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