Abstract
Background
Diabetic foot neuropathy is one of the complications of diabetes that affects around 50% of diabetic people. Because peripheral neuropathy involves nerve loss around the foot areas, patients with diabetic neuropathy frequently lose sensation in their feet while walking or standing. Furthermore, since sensory nerves are damaged, the area that holds the majority of the foot pressure and temperature is at high risk of injury. If not diagnosed and treated properly, it can cause foot injury and eventually lead to edema, gangrene, ulcers, amputation, and even death. There are now several techniques of detecting diabetic neuropathy, but they are limited in their availability, cost-effectiveness, and complexity.
Aims
The primary goal of this research was to develop devices for early detection and treatment of diabetic foot neuropathy.
Methods
The proposed device combines a foot pressure monitoring method and a foot temperature measurement method to diagnose diabetic neuropathy early on, with red light therapy added as a treatment method. For 2 weeks, the device measures the patient’s foot pressure and temperature, and light therapy is provided if a change in pressure or temperature at a specific area is observed.
Results
The device prototype was successfully developed, and numerous tests were carried out in accordance with the design specifications. For pressure measurement and temperature measurement, measurement accuracy of 99.05% and 99.30%, respectively, were attained.
Conclusion
The early detection and treatment device developed in this study could be used at home by diabetic patients as well as in hospitals to test for and treat diabetic foot neuropathy at an early stage. The device incorporates two different methods of diabetic foot neuropathy detection with high measurement accuracy which makes it suitable for use in resource-limited areas at low cost. The incorporation of red light therapy together with the two methods of diabetic neuropathy detection gives another unique feature for our device.
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Abbreviations
- DFN:
-
Diabetic foot neuropathy
- DPN:
-
Diabetic peripheral neuropathy
- LCD:
-
Liquid crystal display
- LED:
-
Light emitting diodes
- IR:
-
Infrared
References
Lin X et al (2020) Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Sci Rep 2020 101 10(1):1–11. https://doi.org/10.1038/s41598-020-71908-9
Cho NH et al (2018) IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract 138:271–281. https://doi.org/10.1016/J.DIABRES.2018.02.023
Iqbal Z et al (2018) Diabetic peripheral neuropathy: epidemiology, diagnosis, and pharmacotherapy. Clin Ther 40(6):828–849. https://doi.org/10.1016/J.CLINTHERA.2018.04.001
Cardoso CRL, Salles GF (2008) Predictors of development and progression of microvascular complications in a cohort of Brazilian type 2 diabetic patients. J Diabetes Complications 22(3):164–170. https://doi.org/10.1016/J.JDIACOMP.2007.02.004
Lee CC et al (2015) Peripheral neuropathy and nerve dysfunction in individuals at high risk for type 2 diabetes: the PROMISE cohort. Diabetes Care 38(5):793–800. https://doi.org/10.2337/DC14-2585/-/DC1
Weledji EP, Fokam P (2014) Treatment of the diabetic foot - to amputate or not?. BMC Surg 14(1):1–6. https://doi.org/10.1186/1471-2482-14-83/FIGURES/1
Fu XL, Ding H, Miao WW et al (2019) Global recurrence rates in diabetic foot ulcers: a systematic review and meta-analysis. Diabetes Metab Res Rev 35(2019). https://doi.org/10.1002/DMRR.3160
Sen P, Demirdal T, Emir B (2019) Meta-analysis of risk factors for amputation in diabetic foot infections. Diabetes Metab Res Rev 35(7). https://doi.org/10.1002/DMRR.3165
Petropoulos IN, Ponirakis G, Khan A et al (2018) Diagnosing diabetic neuropathy: something old, something new. Diabetes Metab J 42(4):255. https://doi.org/10.4093/DMJ.2018.0056
Nebuchennykh M, Løseth S, Lindal S, Mellgren SI (2009) The value of skin biopsy with recording of intraepidermal nerve fiber density and quantitative sensory testing in the assessment of small fiber involvement in patients with different causes of polyneuropathy. J Neurol 256(7):1067–1075. https://doi.org/10.1007/S00415-009-5065-Y
Jiang MS, Yuan Y, Gu ZX, Zhuang SL (2016) Corneal confocal microscopy for assessment of diabetic peripheral neuropathy: a meta-analysis. Br J Ophthalmol 100(1):9–14. https://doi.org/10.1136/BJOPHTHALMOL-2014-306038
Ahmed A et al (2012) Detection of diabetic sensorimotor polyneuropathy by corneal confocal microscopy in type 1 diabetes: a concurrent validity study. Diabetes Care 35(4):821. https://doi.org/10.2337/DC11-1396
Shiferaw WS, Akalu TY, Work Y, Aynalem YA (2020) Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis. BMC Endocr Disord 20(1):1–9. https://doi.org/10.1186/S12902-020-0534-5/FIGURES/5
Yeboah K et al (2018) Arterial stiffness is associated with peripheral sensory neuropathy in diabetes patients in Ghana. J Diabetes Res 2018. https://doi.org/10.1155/2018/2320737
Al Washali AY, Azuhairi AA, Hejar AR, Amani YW (2014) Prevalence and associated risk factors of diabetic peripheral neuropathy among diabetic patients in National Center of Diabetes in Yemen. Int J Public Heal Clin Sci 1(1):141–150
Kamei N et al (2005) Effectiveness of Semmes-Weinstein monofilament examination for diabetic peripheral neuropathy screening. J Diabetes Complications 19(1):47–53. https://doi.org/10.1016/J.JDIACOMP.2003.12.006
Tan LS (2010) The clinical use of the 10 g monofilament and its limitations: a review. Diabetes Res Clin Pract 90(1):1–7. https://doi.org/10.1016/J.DIABRES.2010.06.021
Burgess J et al (2021) Early detection of diabetic peripheral neuropathy: a focus on small nerve fibres. Diagnostics 2021 11(2):165. https://doi.org/10.3390/DIAGNOSTICS11020165
Nithyaa AN, Premkumar R, Dhivya S, Vennila M (2013) A real time foot pressure measurement for early detection of ulcer formation in diabetics patients using labview. Procedia Eng 64:1302–1309. https://doi.org/10.1016/J.PROENG.2013.09.211
Fawzy OA, Arafa AI, El Wakeel MA, Abdul Kareem SH (2014) Plantar pressure as a risk assessment tool for diabetic foot ulceration in Egyptian patients with diabetes. Clin Med Insights Endocrinol Diabetes 7:31. https://doi.org/10.4137/CMED.S17088
Van Netten JJ, Prijs M, Van Baal JG et al (2014) Diagnostic values for skin temperature assessment to detect diabetes-related foot complications. Diabetes Technol Ther 16(11):714–721. https://doi.org/10.1089/dia.2014.0052. Epub 2014 Aug 6. PMID: 25098361
Kim MS, Cho YI, Kook MS et al (2015) Effect of 660 nm light-emitting diode on the wound healing in fibroblast-like cell lines. Int J Photoenergy 2015(916838):9. https://doi.org/10.1155/2015/916838
Acknowledgements
We would like to acknowledge the School of Biomedical Engineering, Jimma Institute of Technology, Jimma University and individuals who supported us and motivated us during this work.
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HD and SN are the overall coordinators of this study, and they conceptualized, designed, and implemented in collaboration with the main investigators HT, LG, LT, SA, and WF. All authors contributed to the preliminary study, the design, prototyping, and testing. The article was drafted by HD, considering the comments and suggestions of the coauthors in the process. All authors reviewed the manuscript.
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Kumsa, H.T., Abdisa, L.G., Tolessa, L.T. et al. Early detection and treatment device for diabetic foot neuropathy. Ir J Med Sci 192, 143–148 (2023). https://doi.org/10.1007/s11845-022-02958-3
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DOI: https://doi.org/10.1007/s11845-022-02958-3