Comparative Roles of Microvascular and Nerve Function in Foot Ulceration In Type 2 Diabetes
Response to Williams, Norman, and Stacey
- Singhan T.M. Krishnan, MRCP and
- Gerry Rayman, MD, FRCP
- From the the Ipswich Diabetic Foot Unit and Diabetes Centre, Ipswich Hospital National Health Service Trust, Ipswich, U.K
- Address correspondence to G. Rayman, MD, FRCP, the Ipswich Diabetes Centre, Ipswich Hospital National Health Service Trust, Heath Road, Ipswich, U.K. E-mail: gerry.rayman{at}ipswichhospital.nhs.uk
We value the comments of Williams, Norman, and Stacey (1) in their letter regarding our article (2) on the comparative roles of microvascular and nerve function in foot ulceration in type 2 diabetes. We agree that ankle brachial pressure indexes (ABPIs) should be interpreted with caution in people with diabetes, as medial calcification is common. However, Brooks et al. (3) have shown that toe brachial pressure index does not …
