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The purpose of this pilot study is to compare the dynamic response of microcirculation in the skin on the bottom of the big toe after applying controlled plantar stress in 25 diabetic subjects with a history of foot ulcer and 25 age-matched healthy controls to better understand the role of local hypoxia in neuropathic foot ulceration in subjects with diabetes.
The investigators hypothesize that if they apply a gait simulating load to the plantar foot and measure microvascular function, diabetic individuals will demonstrate an increased delay in reestablishing microvascular flow compared to healthy individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diabetic Test | Diabetic individuals with a history of previous plantar ulcer and a high risk of developing a foot ulceration | ||
| Healthy Controls | Non-diabetic, healthy individuals with low risk of developing a neurogenic foot ulcer |
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| Measure | Description | Time Frame |
|---|---|---|
| Latency time after occlusive loading | The time between removal of occluding pressure and the initiation of the post-occlusive hyperemic response as measured by laser Doppler. | approximately 2.75 minutes after start of collection protocol |
| Measure | Description | Time Frame |
|---|---|---|
| Response time to baseline | The time interval between the start of post-occlusive hyperemic response and when the response curve reaches the baseline, or reference, flow level as measured by laser doppler. | 2.75 seconds after start of collection protocol |
| Response time to Maximum Flow |
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Inclusion Criteria:
Exclusion Criteria:
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A community sample
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| Name | Affiliation | Role |
|---|---|---|
| Jinsup Song, DPM, PhD | Temple University | Study Director |
| James A Furmato, DPM, PhD | Temple University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Temple University School of Podiatric Medicine Gait Study Center | Philadelphia | Pennsylvania | 19107 | United States |
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| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
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The time interval between the start of the post-occlusive hyperemic response and the time to reach maximum flow as measured by laser doppler |
| At least 2.75 seconds after the start of collection protocol. |
| D007871 |
| Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |