Temperature Monitoring for Diabetic Foot Care is the Gold Standard

May 7, 2021

Remote patient monitoring (RPM) has brought to light a new preventative care option for people living with neuropathy and diabetic foot ulcers, both complications of diabetes. Without proper care, these conditions progress to deteriorating conditions like Charcot, or even worse, amputation of the affected limb.

Research shows that temperature monitoring in conjunction with regular visual exams can improve outcomes related to diabetic foot ulcers.(1) Temperature monitoring is the gold standard for diabetic foot care.

Preventing Diabetic Foot Ulcers with Remote Patient Monitoring (RPM)

Adopting strategies to prevent foot complications plays an increasingly important role in the management of patients with diabetes. The rapid expansion of remote patient monitoring opens the door for many physicians to introduce crucial limb-saving preventative care options.

“Preventing ulcers is very important in diabetic patients. Poorly healing ulcers, infected ulcers, and ulcers with poor circulation can lead to limb amputation,” says Dr. Puja Uppal, board-certified physician. “Many times ulcers may not hurt because the patient has loss of feeling due to neuropathy or vascular disease; thus, the patient might not be aware of a growing infection from an ulcer until it may be too late.”

“The prevention of ulcers in patients with diabetes is crucial because it prevents the onslaught of a host of other potentially serious health problems,” says Dr. Beverly Yates ND, an internationally acclaimed diabetes expert. “Ulcers in the feet of a diabetic can lead to gangrene and loss of the affected limb or infections that can become systemic (an infection that starts at the area of ulceration can spread from being local in the foot to the whole body, i.e. starting in a bone in the affected foot).”

In order to reduce costs and prevent poor patient outcomes, healthcare practitioners are quickly turning to Siren Socks’ remote temperature monitoring to help people with diabetes avoid foot ulcers and amputations.


Recognizing Inflammation Promptly

Inflammation is one of the first signs of an ulcer, which can be recognized early by identifying increased temperature to localized areas on the feet. Siren Socks are designed to improve patient outcomes related to diabetic foot ulcers and other diabetes complications.

This wearable device is embedded with micro-sensors that recognize temperature changes in the feet, offering rapid detection of inflammation and injury. Through Siren’s unique RPM platform, trained nurses can swiftly coordinate care with the patient’s doctor, improving the outcomes for many suffering from diabetic foot complications.

Patients wear their Siren Socks daily, which measure foot temperature at six locations to determine if inflammation occurs. When foot temperature goes up, this indicates early signs of inflammation and a licensed nurse calls the patient to check on any symptoms and maybe ask for photos. This is a crucial tool in ensuring patients with neuropathy receive guidance at the first signs of an ulcer—before it leads to more serious complications or amputation.

Clinical Results of Siren Socks

According to a study conducted by Dr. David G. Armstrong, professor of clinical surgery at Keck School of Medicine of USC, “skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients”.

This study looked at the data from 225 participants with diabetes who were at high risk for ulcerations. Each participant was assigned to one of two treatment groups, one of which used infrared temperature scans to check foot temperature. Over the course of this 18-month study, participants were monitored for a foot temperature difference greater than 4 degrees Fahrenheit. The results concluded that “High temperature gradients between feet may predict the onset of neuropathic ulceration and self-monitoring may reduce the risk of ulceration.” This clinical evidence sheds light on a new preventative approach that can substantially improve patient outcomes.

Temperature Monitoring: The New Gold Standard

Research demonstrates that temperature monitoring is a breakthrough diagnostic technology that can prevent ulcers from forming. The guidelines established by the International Working Group on the Diabetic Foot for foot ulcer prevention acknowledge that temperature monitoring can reduce and prevent the occurrence of ulcers in diabetic patients. Through prompt diagnosis and treatment, we can begin to take the necessary steps to prevent these ulcers from progressing into infection.

Managing diabetes and avoiding foot ulcers can be complex and requires daily care and maintenance from the patient. Remote patient monitoring with Siren Socks can help simplify the life of these patients while reducing the risk for diabetes-related infection that may lead to amputation. With remote patient monitoring (RPM), clinicians can track and treat diabetic foot ulcers at the onset — while relieving some of the burden to the patient. Through proper patient education and guidance, providers can improve patient compliance and create a more efficient system for the prevention and management of diabetic foot complications.

For some, RPM with Siren Socks can help ensure your diabetes and neuropathy are controlled. Siren Socks track your foot temperature and recognize inflammation at the onset. Trained nurses continuously monitor this data and coordinate care with your doctor when signs of inflammation or injury are detected. This reduces the risk of long-term injury associated with diabetes, peripheral neuropathy, and Charcot.

Interested in learning more about Siren Socks?

Siren Socks help patients and doctors find early signs of potential diabetic foot ulcers. Don’t take our word for it. Talk to your doctor about prescribing Siren Socks today!



Smoking and Diabetes

February 5, 2019

A 2018 study published in the journal Radiology shows that diabetes and smoking cigarettes have something in common. Specifically, both conditions increase risk for brain calcifications.


Calcification is a buildup of calcium that occurs in different parts of the body. The same way calcium contributes to the hardness of teeth and bones, it can also harden soft tissue and arteries.

This study showed both smoking and diabetes can lead to calcification in the brain. Specifically, they affect the hippocampus, the part of the brain linked to memory.

One of the reasons this finding is concerning is that damage to the hippocampus can lead to Alzheimer's disease.


It's safe to say that if you have diabetes, it's a good idea to quit smoking.

Of course, that's easier said than done.

Something simple you can do is visit your doctor for regular blood tests to evaluate your calcium levels.

Also, ask your doctor if medications you're taking might be increasing your calcium levels. Request personalized advice on your diet and optimal calcium intake.


Are you currently smoking? What are your thoughts on this study?

To read more about diabetes health, check out Is Diabetic Neuropathy Linked to Back Pain? and Prevention of Foot Ulcers: What Can I Do?


OECD Calls For Immediate Action To Prevent Lower Limb Amputations

In a recent study, the OECD calls for immediate action on a global scale to prevent lower limb amputations caused by diabetes.

Diabetes can be a burden for a lot of people, and also comes at a great cost to society. One of the most common – and dangerous – complications, are diabetic foot ulcers and the risk of amputations they cause. We believe that these foot complications can be prevented.

In this new series of blog posts, we highlight the latest research on diabetic foot related problems. We hope that decision-makers, physicians, insurers and others recognize the urgent need for a solution and that those solutions are in fact at hand. Ulcers and amputations can be prevented.

In this week’s blog, we look at a recent study published by a major international think tank, the OECD, the Organization for Economic Cooperation and Development. Their study was published in the October issue of Acta Diabetelogica, a leading scientific journal that publishes reports of experimental and clinical research on diabetes.

In their study, ‘Lower extremity amputation rates in people with diabetes as an indicator of health systems performance´, Carinci, Massi Benedetti, Klazinga and Uccioli compare trends and variations of amputations across multiple countries. Here are some of their findings:

Alarming statistics from OECD about diabetic foot ulcers and amputations

In the chart below you can see that amputation rates in the US are higher than in many other countries and well above average.

Statistics about lower extremity amputations caused by diabetes

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