12. Retinopathy, Neuropathy, and Foot Care: Standards of Care in Diabetes—2023
Open accessAbstract
The American Diabetes Association (ADA) "Standards of Care in Diabetes" includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA's clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
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In a single randomized clinical trial of 94 patients, hyperbaric oxygen therapy improved healing at 1 year compared with sham (61% vs 27%; P = .009).
“Hyperbaric oxygen therapy Adjunct therapy in neuroischemic or ischemic diabetic foot ulcers when standard of care alone has failed Improved healing in a single randomized clinical trial of 94 patients receiving hyperbaric oxygen therapy vs sham at 1 year (61% vs 27%; P = .009),70”
From Diabetic Foot Ulcers (2023) · cites this paper as [70]
The Treatment section reports one positive randomized trial with increased healing at 12 months compared with controls. It does not give the trial size, identify the control as sham, or report the 61% versus 27% rates or P = .009, so those specifics are not supported by our copy. (LLM, conf=0.87)
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New Evidence-Based Therapies for Complex Diabetic Foot Wounds
Boulton, A., Armstrong, D., Londahl, M., Frykberg, R., Game, F., Edmonds, M., Orgill, D., Kramer, K., Gurtner, G., Januszyk, M., et al. (2022) · ADA Clinical Compendia · doi:10.2337/db2022-02 · Cited by 66 · see citing works
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Gubitosi‐Klug, R., Sun, W., Cleary, P. A., Braffett, B. H., Aiello, L. P., Das, A., Tamborlane, W. V., & Klein, R. (2015) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2015.4606 · Cited by 56 · see citing works
Widyaputri, F., Rogers, S., Kandasamy, R., Shub, A., Symons, R. C. A., & Lim, L. L. (2022) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2022.0050 · Cited by 56 · see citing works
Carter, M. J., Frykberg, R. G., Oropallo, A., Sen, C. K., Armstrong, D. G., Nair, H. K. R., & Serena, T. E. (2023) · Advances in Wound Care · doi:10.1089/wound.2022.0041 · Cited by 55 · see citing works
Effects of lipid-lowering agents on diabetic retinopathy: a Meta-analysis and systematic review
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Hyperbaric oxygen therapy for nonischemic diabetic ulcers: A systematic review
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Serum lipidomic determinants of human diabetic neuropathy in type 2 diabetes
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Dietary weight loss in people with severe obesity stabilizes neuropathy and improves symptomatology
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Orthostatic Hypotension Associated With Baroreceptor Dysfunction: Treatment Approaches
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Nutritional management of gastroparesis in people with diabetes
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The At-Risk Diabetic Foot: Time to Focus on Prevention
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People with diabetes do not learn and recall their diabetes foot education: a cohort study
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Armstrong, D. G., Tan, T.-W., Boulton, A. J. M., & Bus, S. A. (2023) · JAMA · doi:10.1001/jama.2023.10578 · Cited by 1,658 · see citing works
- Authors
- ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Gibbons, C. H., Giurini, J. M., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M. L., Prahalad, P., Pratley, R. E., Seley, J. J., Stanton, R. C., Sun, J. K., & Gabbay, R. A.
- ORCID
- ElSayed, Nuha A.
- Aleppo, Grazia
- Aroda, Vanita R.
- Bannuru, Raveendhara R.
- Brown, Florence M.
- Bruemmer, Dennis
- Collins, Billy S.
- Gibbons, Christopher H.
- Giurini, John M.
- Hilliard, Marisa E.
- Isaacs, Diana
- Johnson, Eric L.
- Kahan, Scott
- Khunti, Kamlesh
- Lyons, Sarah K.
- Perry, Mary Lou
- Prahalad, Priya
- Pratley, Richard E.
- Seley, Jane Jeffrie
- Stanton, Robert C.
- Sun, Jennifer K.
- Gabbay, Robert A.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2022-12-12
- Volume
- 46
- Issue
- Supplement_1
- Pages
- S203-S215
- ISSN
- 0149-5992 (ISSN-L)
- PMC
- PMC9810462
- OpenAlex
- W4311158230
- Cited by
- 169
- References
- 111
- Citations by year
- 2026: 23 · 2025: 38 · 2024: 71 · 2023: 37
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetic Foot Ulcer Assessment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Keywords
- diabetic retinopathy, diabetic neuropathy, diabetic foot care, diabetes complications, clinical guidelines, quality of care
- MeSH terms
- Diabetes Mellitus, Endocrinology, Humans, Peripheral Nervous System Diseases, Reference Standards, Retinal Diseases, Societies, Medical, Standard of Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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