IngentaConnect Vascular Sonographers and Diabetes Mellitus: Diagnostic Pitfalls,...

Abstract:

Diabetes mellitus is now ubiquitous in all countries and cultures. Intense, ongoing efforts are directed at limiting the systemic damage caused by this disease as well as further identifying and defining diabetic manifestations, risk factors for development of diabetes, and effective treatments for both the disease itself as well as its effects. Noninvasive vascular diagnostic methods generally are viewed as the appropriate, first line of inquiry aimed at determining the presence, extent, and severity of vascular problems associated with diabetes. Both macro- and microvascular diagnostic instruments and their use are common and, when properly applied, can often provide a wealth of information sufficient to preclude use of invasive diagnostic methods.

Noninvasive vascular diagnostic methods are, however, highly user dependent and, in unskilled hands, may result in diagnostic errors that can effectively deny diabetic patients the opportunities for timely medical and/or surgical intervention. It is, therefore, incumbent upon vascular sonographers to fully understand the manifestations of diabetic disease processes, other conditions that can mimic diabetic vascular problems, and the limitations of noninvasive vascular diagnostic procedures in this patient cohort. With the increasing incidence of diabetes worldwide, and the unimaginable, escalating costs associated with diagnosis and treatment, expert performance and use of noninvasive test results can provide effective identification and surveillance of the vascular problems associated with diabetes.

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Vascular Sonographers and Diabetes Mellitus: Diagnostic Pitfalls, Limitations, and Opportunities