Dermal thermometer helps prevent amputation. I breathed a sigh of relief when I heard this news because now diabetics can check the temperature of their feet and consequently monitor their condition. Instead of putting the thermometer under the tongue; it is placed in the bottom of the feet.

Using this Temp Touch which is in the form of a wand can help prevent foot ulcers. How? One can tell if something is wrong from the differences in the readings. This is great help because diabetics lose sensation to their feet so it takes a while to find the problem. By the time it is discovered, it is sometimes too late to save the foot.

A lot of the clinical trials have been conducted that prove monitoring the temperature of the skin will considerably decrease foot ulcers among those who have diabetes. These people have consequently lost sensation to their feet due to neuropathy. There is therefore a need for a dermal thermometer to make sure there is no infection in the feet.

Dr. David Armstrong who is the director of Scholl College CLEAR which is acronym for Center for Lower Extremity Ambulatory Research, started using the dermal thermometer 15 years ago on his patients in order to prevent ulcers. He has advised his patient to buy this fancy, expensive tool that will help save the feet.

The diabetics can use this before they start the day and will be warned if the temperature spikes up. This will be an alert that an infection is coming. They can then stay off their feet until the ulcer threat has gone down. Dr. Armstrong explained that before the skin breaks, the wound will heat up first. Therefore, one can detect the infection by comparing the temperature of one foot versus the other or comparing one toe with another toe’s temperature.

Foot problems among diabetics cause one-third of admission to the hospital. The result of the most recent clinical tests shows that those who used the Temp Touch were three times less prone to develop ulcers than their counterparts who were taught to inspect their feet.

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Xilas Medical, a company based in San Antonio, holds the patent for this weapon to fight foot ulcers. Its president, Ruben Zamorano, said the cost to treat diabetic foot ulcers is $14,000 per person in the first year. When the patient develops foot ulcer, it may be healed by a physician but then the problem recurs. Prevention therefore is the key.

Xilas received a million dollar grant from Texas in 2006 and the company donated foot thermometers, 5000 in all, to Texas Medicaid patients. They are now contacting insurance companies in New York and Tennessee. They face real challenge with insurance companies who pay lip service to prevention but are reluctant to cover the cost.

Hopefully more diabetics will start using this hand-held tool like the Temp Touch which improves in the ease of use and in the cost as well. The $150 cost for this may go down as they become cheaper to make and as more insurance companies reimburse the cost. It is hoped that in treating the diabetic foot, the tool that will become standard is the dermal thermometer.

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