FROM OUR EXPERTS
When you consider how many of us have problems with our feet, you might expect to find lots of resources full of good advice. Then, when you reflect that peripheral neuropathy is one of the most serious complication of diabetes, you could hope to find a book that could help you to keep the legs you stand on.
Until now I have looked in vain for such a book. But I just read it.
Dr. Mark Hinkes, a podiatrist and amputation prevention specialist, wrote Keep the Legs You Stand On and sent me a copy . This big book -- 537 pages -- is the definitive guide for those of us with diabetes who want to keep both of our legs.
The publisher is Nightengale Press . and the book lists for $22.95. However, Amazon offers it for about $16 or $17. It came out March 1, and the ISBN-13 is 978-1933449715.
As the chief of podiatry services and director of podiatric medical education at the Veterans Affairs Medical Center in Nashville, Tennessee, Dr. Hinkes has seen far too ...
Noninsulin-dependent diabetes; Diabetes - type 2; Adult-onset diabetes
Often, people with type 2 diabetes have no symptoms at first. They may not have symptoms for many years.
The early symptoms of diabetes may include:
Bladder, kidney, skin, or other infections that are more frequent or heal slowly
The first symptom may also be:
Pain or numbness in the feet or hands
Signs and tests
Your health care provider may suspect that you have diabetes if your blood sugar level is higher than 200 mg/dL. To confirm the diagnosis, one or more of the following tests must be done.
Diabetes blood tests:
Fasting blood glucose level
-- diabetes is diagnosed if it is higher than 126 mg/dL two times
Hemoglobin A1c test
Home Management Monitoring Glucose (Blood Sugar) Levels Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern, especially for patients who take insulin. Blood glucose levels are generally more stable in type 2 diabetes than in type 1, so doctors usually recommend measuring blood levels only once or twice a day. For patients who have become insulin-dependent, more intensive monitoring is necessary. Patients should aim for the following measurements: Pre-meal glucose levels of between 70 - 130 mg/dL Post-meal glucose levels of between less than 180 mg/dL Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions. Finger-Prick Test . A typical blood sugar test includes the following: A drop of blood is obtained by pricking the finger. The blood is then applied to a chemically treated strip. Monitors read and provide results. Home monitors are about 10 - 1...
You should know
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