Treat type 2 diabetes 'like cancer': How THIS major complication can lead to early death
"Diabetes can be more significant than many forms of cancer," said Dr David G. Armstrong, professor of surgery and director of the Southern Arizona Limb Salvage Alliance at the University of Arizona College of Medicine – Tucson.
"This is a concept that's misaligned right now in medicine.
“As we move toward diseases of decay, as I call them — things like cancer, cardiovascular disease, diabetes — our goal as physicians, surgeons, scientists and policymakers is to delay that decay."
Dr Armstrong focussed on foot ulcers - a prevalent complication for millions of people with diabetes.
Estimates indicate that as many as one-third of people with the disease will develop at least one foot ulcer over the course of their lifetime.
These wounds can lead to further complications such as strokes, heart attacks, infections, loss of limbs and premature death.
The expert said morbidity and mortality directly associated with foot ulcers often go unrecognised by doctors and patients alike.
Currently, the clinical focus is on repairing an ulcer's surrounding tissue and healing the wound.
Instead, physicians and patients need to focus on ulcer remission — that is, extending the time between the formation of ulcers, Dr Armstrong argued.
Armstrong said extending patients' ulcer-free days using treatment and prevention is essential.
"This paper is the first of its kind to call attention to remission," he explained.
"The word 'remission' has been mentioned in the literature over the last few years.
“But this is the loudest call yet, and more than any other work before, (it) lays out d Continue reading