Feet on the ground
Diabetic foot activities in the regions
Africa
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[title] => Dakar — D-Foot Sub-Saharan African regional meeting, 24-26 October
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The D-Foot Sub-Saharan African regional meeting took place in Dakar, Senegal, from 24-26 October, jointly with the IDF Africa and Société Francophone Africaine de Diabétologie et d’Endocrinologie (SFADE) training, which is organised every 2 years for GPs and paramedics.
The meeting gathered 156 participants from 7 French-speaking African countries: Congo, Ivory Coast, Gabon, Guinea, Mali, Mauritania and Senegal.
This was the opportunity to train participants on the diabetic foot wounds and healing.
A large part was dedicated to prevention and early diagnosis of mechanisms leading to foot ulcers.
D-Foot President José Luis Lázaro Martínez's address was highly appreciated, especially the fact that he pointed out the need to take Africa’s specificities and special context into consideration in the elaboration of guidelines.
At the end of the meeting, top priorities and barriers to proper foot care in Africa were identified. In summary
Main Barriers :
- Limited financial resources and infrastructures for diabetes in general and footcare in particular
- Lack of diabetes specialists, and no podiatrist at all in SSA
- Difficulties to disseminate and implement guidelines that are not adapted to our context
Priorities :
- Data collection
- Advocacy directed to
- patients for awareness-raising and adoption of preventative measures
- healthcare professionals for early diagnosis and referral
- decision-makers
- Collaborative approach to adopt local solutions for diabetic foot management
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The 7th National Congress of Diabetic Neuropathy and Diabetic Foot, with international participation, which took place on 10-12 October 2019, in Bucharest, Romania, started with the Debating-conference “Stop amputations! Act now!” This scientific event was organized by the Diabetic Neuropathy Society from Romania.
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International and national key opinion leaders with expertise in diabetic neuropathy and diabetic foot highlighted the news and progress concerning the management of these two most severe complications of diabetes.
The diabetic foot section brought forth a large array of topics:
- The GLP1-RA - a game changer in diabetic foot?
- New 2019 Guideline of IWGDF;
- The application of medical thermography in diabetic foot disease;
- The approach of diabetic foot before and after interventional treatment;
- A therapeutic approach of the diabetic foot - The view of the orthopaedic surgeon;
- Skin manifestations in the diabetic foot;
- Management of diabetic foot in a day patient admission;
- Diabetic foot ulceration – single lesion, multiple approaches;
- Proposal of Protocol for diabetic foot exam in patients at risk of a plantar foot ulcer. A physical therapy and biomechanical approach;
- Frequency of clinical features of the diabetic foot examined with the MNSI diagnostic test - in patients with diabetes over 10 years.
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Middle East and North Africa
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[title] => Abu Dhabi — Train-the-Foot-Trainer Middle East, 18-22 January 2020
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[introtext] =>
Quality education goes a long way when it comes to significantly reducing the number of lower-limb amputations due by diabetes. One of D-Foot’s main projects is training foot experts around the world how to set up education programmes for local primary care professionals and other foot specialists.
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Each Train-the-Foot-Trainer course trains up to 50 participants in foot care best practice, teaching methodology and how to set up a diabetic foot centre. Graduates then go out and train thousands of doctors and nurses in their own regions.
The benefit for the hundreds of thousands of people with diabetes who may no longer have to worry about amputation is incalculable.
Our future plan is to offer Train-the-Foot-Trainer workshops in those regions where we have not been yet.
The next Train-the-Foot-Trainer course will be organised in the Park Arjan by Rotana hotel in Abu Dhabi from 18-22 January 2020.
•
Course objective
The objective of the Marrakech Train-the-Foot-Trainer course is to train experts in diabetic foot disease to deliver effective, well structured, sustainable training programmes with demonstrable outcomes.
This training course is not just to teach skills and knowledge about diabetes foot disease. It is a training programme which teaches course structure, organisation delivery methods and evaluation skills.
It is a course run for experts to train others to become experts in clinical and education skills and knowledge.
Target outcomes
To integrate the International Consensus Guidance Document on the Diabetic Foot into local foot care provision utilising the Step-by- Step training programme.
To help develop local, regional and national networks and study/working groups.
To facilitate structured diabetic foot care infrastructure that includes:
Sustainability of service and education
Service development and referral pathways
Driving and implementing policy making
To provide a support mechanism for local champions.
To have a sustainable impact on service provision and clinical outcomes.
To undertake minimum dataset collection to drive change and support research. To encourage the development of further national training programs with a national faculty to meet local needs.
Programme
Workshops focused on teaching methods and skills
. Components of Step by Step
. Key messages
. Presentation skills
How to implement the Step-by-Step programme locally, nationally and regionally
. Fundraising
. Organisation
. Support structures
. Networking
. PR
. Sustainability
Data collection and follow-up
. Data collection with the DIAFI system
. Strategic implementation planning
. Goal setting for the next two and a half year
Reporting
Reporting after 6, 12, 24 and 36 months.
ttft-middle-east.pdf
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D-Foot International and the Latin American Diabetes Association (ALAD), in partnership with the General Plaza de la Salud Hospital (HGPS) in the Dominican Republic celebrated World Diabetes Day and launch the ”Leaving Footprints in Latin America” programme.
The programme promotes education aimed at the patient in order to improve knowledge about foot care and their attitude towards any injury. Its main objective is to empower the patient of basic skills that reduce the incidence of ulcers and amputations.
Simultaneously, it is replicated with the opinion leaders in diabetic foot in Argentina, Brazil, Costa Rica, El Salvador, Honduras, Mexico, Panama, Paraguay and Puerto Rico. More than 3,000 patients participated in different activities during the month of diabetes. They proudly showed their photos and paper prints, featuring the logos of ALAD, D-Foot and the local organisations.
The footprint is a symbol of firm steps in education and prevention of foot ulcers, showing that doctors, nurses and patients all support prevention and the initiative of taking care of our feet among. Let everyone hold that footprint with pride. Leaving footprints for prevention!
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Kuala Lumpur, Malaysia.
The first meeting of the D-Foot Western Pacific Regional Council took place last October, chaired by our Regional Chair Gulapar Srisawasdi. D-Foot National Representatives from the Philippines, Singapore, Indonesia, Hong Kong, Malaysia, Australia and Vietnam were present. Observers from Cambodia and Australia attended. We were generously hosted by Urgo Medical, our corporate partner.
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The meeting was held in conjunction with the 16th Asia Pacific Conference on Diabetic Limb Problems and the 2nd Global Wound Conference, organised by Prof Dr Harikhrishna K. R. Nair which was attended by the Director-General of Health, Malaysia and over 800 delegates from all over the Asian Pacific region. During the conference, D-Foot projects such as FLIRT-Bird, The POINT Project and Train-the Foot Trainer were presented and well received by the participants.
The Western Pacific Regional Council Regional Council was officially opened and all National Representatives were invited to join. Gulapar Srisawasdi introduced the D-Foot structure and the roles of the Council were discussed. Each country gave a presentation upon the strengths and challenges they were each facing in providing diabetic footcare in their respective countries.
Some very exciting new projects for 2020 were proposed and agreed to be supported by Urgo Medical in response to the highlighted issues which were unanimously agreed.
1. Education and training of patients and healthcare professionals.
2. Data collection to find out what is the burden of diabetic foot ulceration for patients and society.
Our next meeting will take place in association with the Asia Pacific Association on Diabetic Limb Problems (APADLP) meeting in the Philippines in 2020 and we will report on the outcomes of our Western Pacific Region D-Foot projects in the New Year.
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