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| Name | Class |
|---|---|
| Chronic Disease Research Centre | UNKNOWN |
| Barbados Diabetes Foundation | OTHER |
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This observational study aims to identify risk factors and molecular mechanisms of impaired wound healing, to guide better foot care in the diabetic population.
Diabetes is linked with vascular complications of the eye, kidney and foot. Barbadians suffer from an unusually high prevalence of diabetic foot complications, which can cause difficult-to-heal foot ulcers and even lead to amputations of the toes or feet.Studies from the CDRC have indicated alarmingly high rates of amputation and mortality due to diabetic foot in Barbados. The goal of this study is to improve early detection of persons at risk of the vascular complications of diabetes through non-invasive scanning and genetic susceptibility tests.
The general hypothesis to be tested in this study is that persons with diabetes (PWD) and non-healing foot ulcers are more likely to have a disturbed mechanism for wound-healing than PWD without this particular complication. If the hypothesis is proven correct, this will empower patients and physicians with the diagnostic tests to make early interventions towards avoiding the complications of diabetes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cases | Persons With Diabetes (PWD) who have current non-healing ulcer(s) | ||
| Controls | Persons With Diabetes (PWD) with no current ulcers and no history of ulcers |
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| Measure | Description | Time Frame |
|---|---|---|
| Genetic Phenotyping (Haptoglobin and TRAPS) | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Reactive Hyperemia Index and Augmentation Index | 18 months | |
| Depression | 18 months | |
| Quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
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Black Barbadians who are clinically diagnosed as type II diabetes mellitus patients
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Andre R Greenidge, BSc | Contact | 246) 426-6416 | andre.greenidge@cavehill.uwi.edu | |
| Robert C Landis, PhD | Contact | 246) 426-6416 | clive.landis@cavehill.uwi.edu |
| Name | Affiliation | Role |
|---|---|---|
| Robert C Landis, PhD | University of the West Indies | Principal Investigator |
| Anselm J Hennis, PhD | Univesity of the West Indies | Study Chair |
| Ian R Hambleton, PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chronic Disease Research Centre | Bridgetown | Saint Michael | BB11115 | Barbados |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15504998 | Background | Hennis AJ, Fraser HS, Jonnalagadda R, Fuller J, Chaturvedi N. Explanations for the high risk of diabetes-related amputation in a Caribbean population of black african descent and potential for prevention. Diabetes Care. 2004 Nov;27(11):2636-41. doi: 10.2337/diacare.27.11.2636. | |
| 18984775 | Background | Hambleton IR, Jonnalagadda R, Davis CR, Fraser HS, Chaturvedi N, Hennis AJ. All-cause mortality after diabetes-related amputation in Barbados: a prospective case-control study. Diabetes Care. 2009 Feb;32(2):306-7. doi: 10.2337/dc08-1504. Epub 2008 Nov 4. |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D009369 | Neoplasms |
| D009336 | Necrosis |
| C536657 | Periodic fever, familial, autosomal dominant |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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Whole blood,Serum,DNA,Urine
| 18 months |
| University on the West Indies |
| Study Chair |
| Andre R Greenidge, BSc | University of the West Indies | Study Director |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |