The Potential Role of Sensors, Wearables and Telehealth in the Remote Management of Diabetes-Related Foot Disease

Diabetes-related foot disease (DFD), which includes foot ulcers, infection and gangrene, is a leading cause of the global disability burden. About half of people who develop DFD experience a recurrence within one year. Long-term medical management to reduce the risk of recurrence is therefore import...

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Published inSensors (Basel, Switzerland) Vol. 20; no. 16; p. 4527
Main Authors Golledge, Jonathan, Fernando, Malindu, Lazzarini, Peter, Najafi, Bijan, G Armstrong, David
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 13.08.2020
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Abstract Diabetes-related foot disease (DFD), which includes foot ulcers, infection and gangrene, is a leading cause of the global disability burden. About half of people who develop DFD experience a recurrence within one year. Long-term medical management to reduce the risk of recurrence is therefore important to reduce the global DFD burden. This review describes research assessing the value of sensors, wearables and telehealth in preventing DFD. Sensors and wearables have been developed to monitor foot temperature, plantar pressures, glucose, blood pressure and lipids. The monitoring of these risk factors along with telehealth consultations has promise as a method for remotely managing people who are at risk of DFD. This approach can potentially avoid or reduce the need for face-to-face consultations. Home foot temperature monitoring, continuous glucose monitoring and telehealth consultations are the approaches for which the most highly developed and user-friendly technology has been developed. A number of clinical studies in people at risk of DFD have demonstrated benefits when using one of these remote monitoring methods. Further development and evidence are needed for some of the other approaches, such as home plantar pressure and footwear adherence monitoring. As yet, no composite remote management program incorporating remote monitoring and the management of all the key risk factors for DFD has been developed and implemented. Further research assessing the feasibility and value of combining these remote monitoring approaches as a holistic way of preventing DFD is needed.
AbstractList Diabetes-related foot disease (DFD), which includes foot ulcers, infection and gangrene, is a leading cause of the global disability burden. About half of people who develop DFD experience a recurrence within one year. Long-term medical management to reduce the risk of recurrence is therefore important to reduce the global DFD burden. This review describes research assessing the value of sensors, wearables and telehealth in preventing DFD. Sensors and wearables have been developed to monitor foot temperature, plantar pressures, glucose, blood pressure and lipids. The monitoring of these risk factors along with telehealth consultations has promise as a method for remotely managing people who are at risk of DFD. This approach can potentially avoid or reduce the need for face-to-face consultations. Home foot temperature monitoring, continuous glucose monitoring and telehealth consultations are the approaches for which the most highly developed and user-friendly technology has been developed. A number of clinical studies in people at risk of DFD have demonstrated benefits when using one of these remote monitoring methods. Further development and evidence are needed for some of the other approaches, such as home plantar pressure and footwear adherence monitoring. As yet, no composite remote management program incorporating remote monitoring and the management of all the key risk factors for DFD has been developed and implemented. Further research assessing the feasibility and value of combining these remote monitoring approaches as a holistic way of preventing DFD is needed.
Author Lazzarini, Peter
Fernando, Malindu
G Armstrong, David
Golledge, Jonathan
Najafi, Bijan
AuthorAffiliation 3 School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland 4000, Australia; Peter.Lazzarini@health.qld.gov.au
6 Southwestern Academic Limb Salvage Alliance (SALSA), Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90089, USA; armstrong@usa.net
5 Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA; bijan.najafi@bcm.edu
4 Allied Health Research Collaborative, Metro North Hospital and Health Service, Brisbane, Queensland 4006, Australia
2 The Department of Vascular and Endovascular Surgery, Townsville University Hospital, Townsville, Queensland 4814, Australia
1 Ulcer and wound Healing consortium (UHEAL), Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland 4811, Australia; malindu.fernando@my.jcu.edu.au
AuthorAffiliation_xml – name: 1 Ulcer and wound Healing consortium (UHEAL), Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland 4811, Australia; malindu.fernando@my.jcu.edu.au
– name: 3 School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland 4000, Australia; Peter.Lazzarini@health.qld.gov.au
– name: 4 Allied Health Research Collaborative, Metro North Hospital and Health Service, Brisbane, Queensland 4006, Australia
– name: 5 Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA; bijan.najafi@bcm.edu
– name: 2 The Department of Vascular and Endovascular Surgery, Townsville University Hospital, Townsville, Queensland 4814, Australia
– name: 6 Southwestern Academic Limb Salvage Alliance (SALSA), Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90089, USA; armstrong@usa.net
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Issue 16
Keywords remote patient monitoring
diabetic peripheral neuropathy
peripheral artery disease
sensors
diabetic foot
telehealth
remote-monitoring
prevention
Language English
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Snippet Diabetes-related foot disease (DFD), which includes foot ulcers, infection and gangrene, is a leading cause of the global disability burden. About half of...
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SubjectTerms Ankle
Automation
Blood Glucose
Blood Glucose Self-Monitoring
Blood pressure
Diabetes
Diabetes Mellitus - diagnosis
Diabetes Mellitus - therapy
diabetic foot
Diabetic Foot - diagnosis
Diabetic Foot - therapy
Foot Diseases
Footwear
Glucose
Humans
Infrared imaging systems
Ischemia
Leg ulcers
Lipids
Patients
peripheral artery disease
Plantar pressure
prevention
Remote monitoring
Remote sensors
Review
Risk analysis
Risk factors
Sensors
Severe acute respiratory syndrome coronavirus 2
telehealth
Telemedicine
Ulcers
Wearable Electronic Devices
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Title The Potential Role of Sensors, Wearables and Telehealth in the Remote Management of Diabetes-Related Foot Disease
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