Increased Frequency of Diabetic Foot experiments they clearly support the latest lower extremity. In the 5 years 1992 Publications recommendations concerning the to 1996, a total of 1090 papers were published of which 3.8 % 42 related nutritional management of patients with Diabetic foot disease is a major contribudiabetes mellitus of the Diabetes and to the foot/lower extremity-a 2.2tor to the morbidity of patients with Nutrition Study Group of the EASD 6 fold increase. diabetes and is a significant and increasing according to which 'most dietary intake 5. The abstract books for the American contributor to inpatient costs. 1 It has been should come from a combination of Diabetes Association annual meeting suggested that half the number of diabetic carbohydrates and monounsaturated fatty were reviewed to determine the total foot lesions will occur with the improved acids with a cis-configuration'.
numbers of abstracts and the percent education of health professionals than by The reduction of high triglyceride levels of those that related to the foot. For education of the patient. 2 Bailey et al. 3 may also be important in view of the the 9 years 1980 to 1988, a total of found very low rates of examination of recent demonstration that high triglyceride 6663 abstracts were published, of the foot in a diabetes clinic. As this work levels enhance monocyte binding to endo-which 0.36 % 24 related to the foot. was carried out in 1982, it would be thelial cells in non-insulin-dependent dia-For the 8 years 1989 to 1996, there expected that the interest and understandbetes mellitus (an early event in the were a total of 9017 abstracts, with ing by health professionals of foot probdevelopment of atherosclerotic lesions). 7 1.18 % 106 related to the foot-a 3.3lems in diabetes to have improved since fold increase. then. G. Michailidou, D. Perea, N. These reviews show an increased fre-The American Diabetes Association Katsilambros quency of publications in the literature added a Foot Council as one of its First Department of Propaedeutic related to the diabetic foot. These should, professional sections in 1986. Two Inter-Medicine, Athens University School of at least, lead to a better subjective undernational Symposiums on the Diabetic Foot Medicine, Laiko General Hospital, standing by health professionals involved have been held in Amsterdam in 1991 GR 11527 Athens, Greece with diabetic patients to understand and and 1995 4 with the 1995 meeting being manage the problem in a more optimal attended by over 500 participants from way. 46 countries. A biennial Diabetic Foot conference and workshop has been held C. Payne in Malvern 5 since 1984. An annual Dia-References Lipid and Diabetes Research Group, betic Foot Update is now held in San Christchurch Hospital, New Zealand Antonio each year. 1. Patsch JR, Miesenbock