Continuous Internet-based activity monitoring provides a surrogate marker for nocturnal polyuria in persons with diabetes mellitus at high risk for foot ulceration

Diagnostics, theragnostics, and the personal health server: fundamental milestones in technology with revolutionary changes in diabetic foot and wound care to come

Over the past generation, significant advances in care have led to reductions in amputation worldwide. However, it may be argued that the most potent advances in healing have been in organization of care. Technologies are now emerging that may allow further enhancements of organization and integration of care while also bringing in much needed bedside, chairside, and in-home diagnostics to identify key points in healing and potential early warning signs for recurrence. This article reviews what are believed to be 6 key areas of change over the next generation. These include portability, durability, automation, intelligence, ubiquity, and afford-ability, all yielding specific advances in wound diagnostics. The authors believe that devices will be organized into personal health servers in cloud-synchronized devices already existing in the home (eg, a scale), the clinic, and on (or in) the patient.

Computerized activity monitoring preoperatively and postoperatively

One of the central goals of reconstructive foot and ankle surgery is restoration of or improvement in the quality of physical activity. Until recently, objective assessment of how well this goal has been attained has been elusive at best. Recent advances in activity monitoring have advanced sufficiently to help many clinicians and researchers objectively measure and potentially modulate activity. In this brief article, we describe our current experience with computerized activity monitoring. Use of modalities such as these may ultimately be able to monitor and dose levels of activity just as we do with a drug.