Diabetic foot ulcer (DFU) is a worldwide burden in the management of patients with diabetes. Peripheral neuropathy has a key role in the physiopathology of DFU. Others factors as skin vulnerability to plantar pressure, glycation of skin protein, articular rigidity, vascular component and abnormal foot plantar pressure are also important to take into account. The aim of the study is to assess prospectively different factors involved in DFU pathogenesis notably the neurovascular response to non noxious pressure.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
200
Measure of cutaneous microcirculation in response to a local application of pressure, to local heating and to the iontophoretic administration of acetylcholine
service d'endocrinologie, Centre Hospitalier Lyon Sud
Pierre-Bénite, France
RECRUITINGthe rate of incidence of diabetic foot ulcer
A diabetic foot ulcer is defined as a breakdown in the skin under malleolus
Time frame: At any time during a 3 years follow-up
Neurovascular response to pressure
Receiver Operating Characteristic (ROC) analysis for neurovascular response to predict foot ulcer. Results are expressed in arbitrary unit.
Time frame: At the end of the 3-year follow-up
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