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Question of the Week | Understanding Ankle Brachial Index – What is True?

Question of the Week Diabetes Education Services

People of color living with diabetes are at increased risk of lower extremity complications and amputations. Ankle-Brachial Index (ABI) measures lower extremity vessel disease in individuals with diabetes and is an important tool to evaluate risk of future complications.  

Which of the following is true regarding ABI?

  1. ABI result of less than 0.90 indicates peripheral arterial disease.
  2. ABI compares brachial systolic blood pressures between left and right arms.
  3. People with bounding pulses in lower extremities benefit from ABI testing.
  4. ABI testing can only be conducted by a vascular specialist.

Want to learn more about this question?

Join us live on August 1st for our

3 Steps to DeFeet Amputation

Level 4 | Advance Specialty Topics

Webinar: 3 Steps to DeFeet Amputation

Coach Beverly will walk participants through the 3-Step Process to Save Feet; Assess, Screen, & Report.  She will provide simple and clear instructions on how to assess and inspect feet, along with risk assessment & action steps. We will share free teaching tools, strategies, & documentation forms adapted from the Lower Extremity Prevention Program (LEAP) that you can immediately implement in your practice setting.

Objectives:

  1. Describe steps involved in effective foot assessment made easy.
  2. Demonstrate how to use a monofilament to assess sensation.
  3. Discuss the use of screening forms to report findings.

According to a 2019 article published in Diabetes Care, the rate of amputations in the U.S. is increasing. Each year, people with diabetes experience approximately 200,000 non-traumatic amputations. African Americans are 4 times more likely to experience diabetes-related amputation than whites. In the United States, every 17 seconds someone is diagnosed with diabetes, and every day 230 Americans with diabetes will suffer an amputation.

We can make a difference and help reverse this trend.  Basic foot care assessment and education can reduce the risk of amputation by over 50 percent. By assessing and screening for loss of protective sensation with a monofilament, diabetes healthcare professionals can immediately identify high-risk feet and take steps to protect lower extremities

We are excited to share this life-saving information with our community of diabetes advocates.

Learning Outcome:

Diabetes team members will gain the skills and knowledge needed to provide a basic lower extremity assessment and provide individualized education to protect against lower extremity complications in diabetes.

Target Audience:

This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research. 

CDR Performance Indicators:

  • 9.6.7
  • 9.6.8
  • 10.3.1

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.

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AccreditationDiabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | 3 Steps to DeFeet Amputation; Assess, Screen, & Report awards 1.0 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Sign up for Diabetes Blog Bytes!

We post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Form Heading

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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