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Posts Tagged ‘Diabetic Neuropathy’

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information”

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November is Diabetes Awareness Month

Diabetes is a very common diagnosis in our community…and also in my family. My mother has diabetes, my maternal grandmother had diabetes, my father is teetering close to a diagnosis and my paternal grandmother has diabetes, with a foot ulcer (sore) that is very, very slow to heal. The buck stops with that generation…type 2 diabetes can be prevented! Why are healthcare providers so concern about diabetes?

  • Diabetes is the # 1 cause of blindness in adults 20-74yo
  • Diabetes is the #1 cause of chronic kidney disease, that may lead to Dialysis
  • Diabetes is the #1 cause of foot amputation
  • Neuropathy (numbness in fingers & toes) and much more…
Common locations of Diabetic foot ulcers

Common locations of Diabetic foot ulcers

Diabetes is one of the leading causes of disability and death in the United States. One in 11 Americans have diabetes — that’s more than 29 million people! And, another 86 million adults in the United States are at high risk of developing type 2 diabetes: Pre-diabetes3Diabetes statistics is 1 in 3. Are you pre-diabetic?

  • If you are overweight,
  • If you have high blood pressure, or
  • If you are age 45 or older, you are at higher risk of developing type 2 diabetes.

The good news is that making healthy changes can greatly lower your risk. To help prevent type 2 diabetes:

  • Watch your weight
  • Eat healthy
  • Get more physical activity

Read more HERE – Soo, I’m Diabetic, what’s the big deal about my feet?

Read more HERE – sugar, the bitter side of sweet

10 Ways to Prevent Diabetes

Pre-Diabetes stats

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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From the Physician’s Desk – Weekly Blog!

Dr. Rolle, Guest Blogger

Monique Rolle, M.Ed., DPM – Guest Blogger

Please meet Dr. Rolle, our guest blogger for this week. She is our Podiatrist Guru! She currently practices in Northern Virginia!  

As a diabetic, your feet are very different than those who do not have diabetes. How is it different?  I am glad you asked. Firstly, there is something called diabetic neuropathy. This happens due to blood sugars being elevated for long periods of time which affect the nerves. Your feet can become less sensitive to light touch, pressure and even pain. Neuropathy can also effect the motor function–effecting gait (the way you walk) as well.

DM fwalk on  CoalThe neuropathy can be so profound that one could literally walk barefoot over hot coals or even a bed of vertically positioned needles and feel absolutely nothing at all. This could lead to ulcerations and even loss of a digit or foot due to lack of sensation. Often when neuropathy is profound, wounds, blisters or even foreign bodies are detected much later and damage is so far gone often surgery is the only option to eradicate the problem.

DM GangreneAlso, another part of the long term sequela of diabetes mellitus is small vessel disease. As the vessels become smaller and smaller as they travel further from the heart, they become very tiny. The areas to the fingers, toes, kidneys and eyes receive very little blood which in turn can lead to “gangrene” – see picture.

DM NeuropathyDiabetes can also cause “microangiopathy” in the long-term. In this case, high blood glucose levels become deposited on the blood vessels (glycoprotein) causing the membrane to grow thicker and unfortunately weaker – they can bleed, leak protein, and slows the flow of blood through the body.  Additionally, the nerves are also affected!  If not sufficiently supplied with blood (which brings oxygen), they are also damaged which may lead to loss of function due to this neuropathy.

Diabetes also can cause person to become more prone to infection due to the compromise of the immune system. Most wounds (sores) in a diabetic have multiple organisms present. This would be quite apparent when one these wound are cultured and were  sent to a microbiology lab.

The possibilities of what could potentially go wrong with the feet of a person with diabetes can seem overwhelming. Not to fear! This is why you need to see a podiatrist and make them a part of your team on a regular basis.  Your podiatrist will inspect your feet for all the issues mentioned above! PLUS He or she will check your pulses. Yes! You do have pulses in your feet! Also your feet will be inspected for blisters, foreign bodies, punctures, calluses, corns, blisters, bony prominences such as bunions, hammertoes or anything that could lead to skin breakdown.

You are not able to control all of the above on your own…Prevention is the Key! See your Podiatrist today!

Monique Rolle, M.Ed., DPM

Please click below to watch.

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