Preventing Amputation in Patients with Diabetes

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Handouts/Brochure

Speaker

Mark Hinkes, DPM, FACFAS, FAPWCA, DABFAS Related seminars and products

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Mark Hinkes, DPM, FACFAS, FAPWCA DABFAS is a podiatrist who is board certified by the American Board of Foot and Ankle Surgery and by the American Professional Wound Care Association. His experience includes 40+ years providing foot health services in nearly 200,000 patient visits, 20 years in private practice, and 20 years in the Veterans Affairs Medical System as former Chief of Podiatry Section and Chair of the Preservation Amputation Care Treatment (PACT) Program. Dr. Hinkes has a passion for excellence in prevention of the comorbidities of diabetes, especially amputation prevention.

 

Speaker Disclosures:
Financial: Dr. Mark Hinkes is a consultant with Cardiovascular Systems, Inc., Johnson & Johnson Wound Management, and Novartis Pharmaceuticals. He receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Dr. Mark Hinkes is a blogger with Podiatry Today Magazine and is a member of the American Limb Preservation Society, English Diabetes Footcare Network, the American Podiatric Medical Association, the American Diabetes Association, the Association for the Advancement of Wound Care, and the American Professional Wound Care Association.

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Objectives

1. Analyze the relationship between preventing foot ulcers and preventing infections, hospitalizations and amputations.
2. Determine the methods of taking the A1c and the value of the collected data.
3. Identify the necessary components of a short, focused history and thorough comprehensive diabetic foot assessment without taking shortcuts or skipping steps in the exam.
4. Identify peripheral artery disease (PAD), loss of protective sensation (LOPS) and pedal deformities of bone, soft tissue and nails.
5. Analyze four risk categories of the IWGDF for the diabetic foot and the value of each category for population health.
6. Explain the strategy to prevent “category creep.”

Outline

• Why and how do the comorbid conditions develop?
• Risk factors for developing a foot ulcer
• Tips and approaches for A1c test … finger stick vs. CGM monitor … what does the data mean?

• Role in evaluating and managing the diabetic foot
• Guiding principles of care for people with or at risk for developing diabetes
• Business model of medicine … development and management of comorbid diabetic conditions with a focus on the diabetic foot

• Prediabetes/Type 1/Type 2
• Reversing and preventing prediabetes … risk factors for type 1 and type 2 diabetes
• Insulin resistance as a precursor to type 2 diabetes … and how to reverse it

• IWGDF risk stratification scheme
• Why categorize patients into one of the four risk groups?
• Preventing “category creep”

• Causes of DFU and the relationship between DFU and amputations
• Charcot foot
• Neuropathy, Loss of protective sensation (LOPS), PAD, traumatic triggering events, and pedal deformities

• Future of ulcer and amputation prevention

Target Audience

• Registered Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants
• Physical Therapists
• Physical Thearpist Assistants
• Occupational Therapists
• Occupational Thearpist Assistants
• Speech-Language Pathologists
• Social Workers
• Counselors
• Nursing Home Administrators