P408A ‘smarter’ way of diagnosing the at‐risk foot: Development of a novel tool based on vibratory measurements in subjects with diabetesJM Dave1, VN Dubey1, V Lowes2, J Beavis3 and DV COPPINI21Faculty of Science and Technology, Bournemouth University, Bournemouth, UK, 2Department of Diabetes, Poole Hospital NHS Foundation Trust, Poole, UK, 3Faculty of Science and Technology, Bournemouth University, Bournemouth, UKAim: To identify optimal vibration perception thresholds (VPT) to help design a ‘smart’ risk assessment tool in subjects with diabetes.Methods: We used our clinical database (Diabeta3) to identify baseline VPT in subjects in whom there is at least a 10V rise in VPT (hallux pulp) using a Neurothesiometer over time. The gradient chosen is based on previous work. The data helped us model the vibratory frequencies of a plate device (Vibrascan), which produces a more objective risk assessment than VPT. We used a longitudinal multilevel model to analyse the data.Results: In 929 subjects with diabetes showing a 10‐V deterioration and who had a total of 8,874 measurements, VPT increased from 13.8 ± 8.4 V at first visit to 22.8 ± 13.2 V (p < 0.001) at final visit. In subjects (N = 3,920, 29,995 measurements) who showed a smaller deterioration (<10V), VPT increased from 13.7 ± 10.7 V to 14.6 ± 11.3 V (p < 0.01). Duration of diabetes, microalbuminuria
Diabetic Medicine – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera