Diabetic Foot Care

Diabetes effects many parts of the body. One part of the body that often is affected are the feet. Losing feeling and experiencing numbness in the feet can occur over time. This is sometimes the result of  diabetic neuropathy which can occur because of high blood sugar injuring nerve fibers in the feet.

One  type of diabetic neuropathy is called peripheral neuropathy. This is the most common type and most often affects the feet and legs. Some of the symptoms of diabetic neuropathy are often experienced and are worse in the evenings. According to information from the Mayo Clinic, symptoms include:

• Numbness or reduced ability to feel pain or temperature changes.

“The CDC says the occurrence of diabetes related foot and lower-leg amputation has decreased by 65 percent since 1996.”Dr. Frank Spinosa, President, American Podiatric Medical Association

• Increased sensitivity to touch — for some people, even the weight of a bed sheet can be agonizing.

• Serious foot problems, such as ulcers, infections, deformities, and bone and joint pain.

Pro-actively taking steps to monitor key health indicators, experts agree that it’s possible to prevent some of the most severe risks of diabetes, including lower limb amputation.

People ages 20 and older who are living with diabetes account for about 60 percent of non-traumatic lower-limb amputations, according to the Centers for Disease Control and Prevention’s 2014 National Diabetes Statistics Report.

A foot mirror canbe very helpful.  See this related post.

http://suddenlydiabetic.com/vas-34-telescoping-foot-inspection-mirror-illuminated-aids-diabetics-in-inspection-for-foot-sores/

People with diabetes may be less aware of cuts or wounds on their feet due to the nerve damage related to their disease, Spinosa points out. “Regular and vigilant foot care can help catch problems before they develop into a health crisis.”

Inspect your feet daily, checking the entire foot and all 10 toes for cuts, bruises, sores or changes to the toenails, such as thickening or discoloration.  Treat wounds immediately and see your podiatrist if a problem persists or infection is apparent.

 

Exercise by walking, which can help you maintain a healthy weight and improve circulation. Be sure to wear appropriate athletic shoes appropriate for the type of exercise you’re doing.

When you buy new shoes, have them properly measured and fitted. Foot size and shape can change throughout time, and ill-fitting shoes are a leading cause of foot pain and lesions. Certain types of shoes, socks and custom orthotics are available for people with diabetes, and they may be covered under Medicare. You can find a list of podiatrist-approved footwear and products for people with diabetes on the APMA website.

Keep your feet covered and never go barefoot even at home. The risk of cuts and infection is too great.

See a podiatrist to remove calluses, corns or warts – don’t tackle them yourself and don’t ask a unlicensed nonprofessional to do it. Over-the-counter products can burn your skin and injure your foot. Podiatrists are specially trained to address all aspects of foot health for people with diabetes.

Get checkups twice a year. An exam by your podiatrist is the best way to ensure your feet stay healthy.

“For people with diabetes, taking charge of your own foot health can help you avoid foot-related complications like amputation,” Spinosa said. “Work with today’s podiatrist to help you safeguard your foot health.”

To learn more about foot care for people with diabetes or to find a podiatrist, visit http://www.apma.org.

8- Week Blood Sugar Diet Review

This is a review of the popular book by Dr. Michael Mosley. New York Times Bestselling Author, Author of The Fast Diet

This is Dr. Mosely’s diet plan he used to go from being a raging type II diabetic to now having normal blood sugar numbers. He became curious upon observing an observation by Dr. Roy Taylor of individuals who had bariatric surgery and the huge drop in their bad blood sugar numbers. This worked because of the surgery creates a much smaller stomach which reduces the amount of food one can consume which resulted in weight loss. Dr. Taylor believes that insulin resistance is the result of fat surrounding and overwhelming the pancreas and liver and losing this fat allows the pancreas and liver to recover.

Prediabetes rates in the UK have went from 10% to 35% of the population in the past 10 years.
86 Million Americans are Prediabetic. Losing that excess fat particuarly in your midsection quickly can often return your blood sugar numbers back to normal. In my opinion and Dr. Mosely’s that much better than taking diabetes medication.

In the book, Dr. Mosely accomplishes this by an 800 calorie daily diet. Cutting sugar and low quality carbs with over 50 recipes included and the science behind the diet is thoroughly explained.

One thing I liked is Dr. Mosely explains who this plan is not for for instance pregnant women or woman breatfeeding, anyone with a history of eating disorders, on blood pressure medication or taking diabetes medication without close supervision by your doctor, moderate or severe retinopathy, psychiatric disorders, epilepsy, taking warfarin, a BMI below 21, under 18 years old or in generally poor health.

Another thing I like our the quizes included about your level of risk for becoming a type II diabetic and Are you addicted to carbs?

From my own personal experience rapidly losing my excess weight by watching my sugar and carb intake reduced my blood sugar numbers back down to a normal level and I have managed to keep the weight off.

Dr. Mosley’s book appears to be well researched and gives you the information you need.

You can pick up the book here

66% of folks ordering on Amazon gave it a 5 star rating.

Here is one reader’s experience after 8-weeks on the diet.

 

New Insulin Delivery Device – Avoid Shots …

A new insulin delivery device is helping people keep their diabetes in check.

New insulin delivery device lets diabetes patients avoid shots … – WXYZ

Sat, 01 Apr 2017 13:55:10 GMT

A new insulin delivery device is helping people keep their diabetes in check.

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Photo by .:[ Melissa ]:.

How ESPN’s radio host Mike Golic controls his type 2 diabetes – Fox News

As a former NFL player, ESPN’S Mike Golic is used to talking sports news and game drama on his radio show Mike and Mike in the Morning. Now, he’s discussing a more serious topic, type 2 diabetes. Since being diagnosed with the disease 12 years ago,

Golic has been on a mission to raise awareness and help people learn how to manage their blood sugar

“My advice to people with type 2 diabetes is get everybody involved in your life. It’s not something to run from, hide from, [and] keep it a secret from everybody else. You’ve been diagnosed with it, you have to deal with it,” Mike Golic, now 54, told Fox News.

Golic admitted that during his time as a defensive lineman he never thought anything could be physically wrong with him other than a few bruises or tears. But in the back of his mind, he knew his father had type 2 diabetes, which raised his risk.

“While it was a, ‘Oh man’ there was like a ‘Yeah, OK, my dad was right about this age when he was diagnosed,’ so while it was surprising it wasn’t shocking,” he said.

According to the National Institute of Health (NIH), having a parent or sibling with the disease can increase your risk. Other risk factors include being overweight, having an unhealthy diet and high blood pressure.

Growing up, Golic said his father kept his condition to himself and didn’t talk about it with his family.

“It was just kind of his thing to deal with,” he said. “But I wanted to be very proactive and involve my wife, involve my family, I have three kids [and] two boys are large football players whose grandfather had type 2 diabetes and I have type 2 diabetes, so I wanted to keep them in the loop on this and what needed to be done.”

After teaming up with Janssen Pharmaceuticals, Golic and his doctors came up with a game plan to keep his blood sugar levels in check. Type 2 diabetes can be treated with a variety of different medications. He turned to INVOKANA® (canagliflozin), a prescription medicine his doctor recommended.

In addition to medicine, eating healthy and regularly exercising can also help manage the disease.

If left untreated, type 2 diabetes can cause serious and even deadly complications.

“You can have retinopathy or eye disease, you can have kidney disease and ultimately it can lead to kidney failure and you can have neuropathy which is a disease of the nerve ending which ultimately can cause amputations,” Dr. John Anderson, a board-certified Internist at Frist Clinic in Nashville, Tenn., told Fox News. “You’re also a 2- to 3-fold increase risk of heart attack and stroke.”

Early diagnosis should be accessible during routine exams or physicals when physicians check a patient’s blood sugar level. But other signs and symptoms may include thirst, frequent urination, blurred vision, fatigue and weight loss, Anderson said.

“We have about 89 million people in the country with prediabetes, that means their numbers are not quite in the range that you’d diagnose diabetes but they’re on their way,” Anderson who is a long-time volunteer for the American Diabetes Association (ADA), and has served as Chair of National Advocacy said. “That’s why you need to be seeing your health care  professional, getting your screenings, getting your glucoses checked, being proactive.”

Today, Golic gets his A1C1 test, a blood test that measures the average level of glucose in the blood, every three-to-four months and has kept his diabetes under control.

“This is a situation that can have some complications in your life if you don’t treat it the right way, so why not get people involved, why not start with your doctor— ‘OK this is the game plan,’ and then you go to the people in your family— ‘this is the game plan my doctor gave me, this is what I need to do and I need all your help to do it,’” Golic said.

Prediabetes: Are you at risk?-A light hearted wake up call

Prediabetes is a serious threat to your health but this funny commercial is one way to point someone you love to look at their risk and to get help.

For more information go to : http://www.doihaveprediabetes.org/

Or see this related post: http://suddenlydiabetic.com/pre-diabetes-diagnosis-be-thankful/

 

Diabetic retinopathy: Tim’s story

I’ve always grown up with diabetes. It’s just become part of my life. But I’ve never really thought about side-effects. They had always been something you could get but I wouldn’t get, or something I might get in the future when I was really old rather than now. There’s loads of them, blindness, amputations, kidney failure, an increase in heart disease, there’s an increase in most things if you’ve got diabetes. And you’re like, “Yeah, yeah, yeah. It’s never gonna happen to me.” In 2004, I was asked to go for a routine eye test at a hospital in Ealing. So I turned up and it was a full-on eye test. The old eye tests had not really done much investigation, whereas this was an actual photograph of the back of my eye. What they do is take a photograph of your retina. So you put your chin on a ledge and they put the lens literally next to your eyeball.

Big flash and they take a photograph. They blow it up on a screen and they can see all the detail of your eye, all the blood vessels. Then they can work out where there’s a problem, if there is a problem. And they found out that I had retinopathy from that photograph. My understanding of retinopathy is that it’s a problem with the blood vessels in the retina, where they’re leaking and it’s that leak that has to be sorted out, because if it gets near the centre of vision then it can become dangerous and can make you go blind.

So with retinopathy you have to try and stop the leaking blood vessels. It was actually quite far gone, which was the scary thing, so if I’d gone five years earlier, or two years earlier maybe, it could have been better, because they would have caught it sooner. But I was a heavy smoker at the time, I was partying and drinking a lot, smoking a lot and having fun. And the consultant said to me, “Unless you give up smoking, you will go blind.” I was like, “What?!” It was a really stunning thing to be told. It’s just all down to me. To improve your eyesight you just have to make lifestyle changes. I gave up the smoking, obviously, which was the really big thing. And it’s all about getting your HBA1C long-term blood sugar down a bit.

I’ve had no other treatment at all, it’s just been a case of watching what I eat and living a slightly better life than I was before. I’ve still got background retinopathy but it’s under control. But if I went back to my old ways, then it would reappear very quickly, which is why you have an eye test every six months. Because six months is quite a long time in the health of an eye..

As found on Youtube

How To Read A Food Label– for people with diabetes

Wondering how to read a food label. Once you get the hang of it, labels are easy to read because you don’t actually have to read the whole thing. There are just a few key pieces of information you need to find to help you understand how what’s inside  will affect your blood glucose. So, let’s  take alook at a typical label… The first thing you want to consider is the serving size. All the information  is based on this particular serving size. Servings per container is also listed at the top and that shows how many servings are in the whole bag, can or bottle. This is important, because the container is probably more than one serving. For example you’d probably eat this bag of chips in a single sitting but according to the label, the bag has three servings in it.

So if you’re going to eat the whole bag of chips and you want to know how many calories or carbs you are eating, you’ll have to multiply the number on the label by three. The calories are listed here and they’re important to keep an eye on as you’re planning meals and snacks.

Here are some general calorie guidelines for people with diabetes. The most common mistake people with diabetes make when reading labels is to focus on the line labeled sugar, but that only tells part of the story. If you want to know how a food will actually affect your blood glucose, you need to look at the Total Carbohydrate count, right here.

That number includes the grams of sugar, and the higher the Total Carb count is, the more that food or drink will raise your blood glucose. In general, a woman shouldn’t have more than 45 grams of carbs in an entire meal and a man shouldn’t have more than 60 grams of carbs in a meal. Ask your doctor or diabetes educator what is right for you. Think of that number as your “carb budget” for the meal. In a lot of ways, it’s like a household budget—you only have so much money and you have to pay your rent, the light bill, the gas bill and so on. To budget your carbs, you need to look at each part of your meal.

Does your drink have carbs? Your main dish? Your dessert? Add them up. If you are over budget, reduce the serving size of some of your items, or substitute a lower carb item for one of the higher carb items. And that’s how to read a label. To wrap up, what you need to check on a label are the serving size, the calories and the carb count. The higher the Total Carbohydrate number, the more the food will raise your blood glucose. You can use your recommended carb budget to budget your carbs and lower the blood glucose impact of your meals. Thanks for watching—see you next time..

As found on Youtube

Sugar Free, Gluten Free, And Vegan Are NOT Carb Free !

Diabetes can pose a number of challenges to those with the diagnosis.

With a heavy emphasis on foods, content and the impacts of those choices, understanding nutrition labels can be a daunting task.

“There’s a lot of label confusion, so we’re here to help,” said Patricia Zimmerman, a registered dietitian and a certified diabetes educator with the Diabetes Support Group through Monongahela Valley Hospital.

“A lot of people have questions about better choices,” said Zimmerman. “We also have questions from people about whether they need supplements.”

Zimmerman said a common misconception is associated with sugar-free items.

“Sugar-free doesn’t mean lower carbs. They forget there’s other forms of carbs,” she said. “We want to steer them in the right direction.”

McClain said one of the keys to success is going with, and sticking to, a shopping list.

“Don’t shop when you’re hungry,” McClain said. “And stick to the perimeter of the store. There’s where the dairy, meats, fruits and veggies are located.”

“If you have to go into the inner aisles, get what you need and get out,” she added with a laugh. “It’ll also cut back on impulse buying.”

McClain also stressed the importance of understanding labels, noting that basic label reading can help people eat less, lose weight and focus on the food’s contents to help blood sugar controls.

“Most of us eat on autopilot. We eat because it’s there in front of us, whether we need it or not,” she said. “Label reading will make you more aware. It’s the first step.”

Pantry items include canned vegetables, rice, tuna, pasta and nuts.

Remember Gluten Free or Vegan does not mean carbohydrate free .  It is important to look at the number of carbs, grams of sugar, grams of fiber per serving and the number of servings in the container. If the food is in a package get in the habit of looking at these numbers and evn when your tempted to eat those peasnut butter cups or cookies one look at the label should shock you back into reality.  

Educate the public about diabetes | Letters To The Editor … – LancasterOnline

Mar 2017 04:33:29 GMT

 

Educate the public about diabetes | Letters To The Editor ... - LancasterOnline Educate the public about diabetes | Letters To The Editor … – LancasterOnline

 

 

Mark’s Note: This nurse’s comments in a local paper ring true.  One of the drivers of our sky high medical costs is the Diabetes epidemic in our country.  She is correct also that the newsmedia needs to pay more attention and help educate the public. Use caution when purchasing used test strips.

I am writing in regard to the Feb. 24 online article “Diabetic test strip prices spur shady secondhand market.” As a registered nurse, I wish to commend you on  on your diligence to shed light on a public health issue. 

Diabetes mellitus is a huge concern in Lancaster County and the surrounding areas; roughly 15 percent of people in Lancaster have diabetes. Diabetes is a multifocal problem. Patients are more likely to have high blood pressure, a stroke, heart disease, blindness, poor circulation to the lower extremities, and even mortality.

Per 100,000 people in Lancaster, 362 will die as a result of diabetes. When diabetes is poorly managed, the risks for complications greatly increase. It is extremely important for diabetics to always have the supplies they need to control their blood sugars.

As your article mentioned, supplies are often too costly to buy. This leaves patients buying cheaper, expired supplies that may be faulty.

Nationally, we spend $174 billion annually on diabetic care. This number will continue to rise as more people are diagnosed with diabetes. I urge you to continue to write well-informed articles on diabetes, obesity and high blood pressure. We can bring more awareness to the disease by sharing these alarming statistics.

Rather then just writing on the cost of the disease, I encourage you to increase the knowledge of Lancaster residents. The newspaper is a prime opportunity to educate people who are at high risk for diabetes and how they can decrease their risk. We must try to decrease our rates of countywide diabetes or we will continue to see these problems.

 

Attacking Diabetes with Tech and Low Carb Diet

Can Silicon Valley Cure Diabetes With Low Carbs And High Tech? - Forbes Can Silicon Valley Cure Diabetes With Low Carbs And High Tech? – Forbes

Wed, 08 Mar 2017 08:00:32 GMT

Imagine a treatment for Type 2 diabetes that requires neither surgery, medication nor calorie restriction, but rather relies on adherence to a low-carbohydrate, high-fat diet, tracked by regular finger-stick checks of blood chemistry, and guided …

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