Since Joseph had a family history of diabetes, he knew the importance of checking his feet regularly for diabetic foot ulcers. But despite giving careful attention to his health, he still needed to have one of his toes amputated.
Limb salvage expert Dr. Jeffrey Niezgoda of the Center for Comprehensive Wound Care in Wisconsin was able to save the rest of his foot by using a new treatment called Graftjacket . This treatment helps our body to repair the wound quickly by providing immediate coverage to the wound and a way to rebuild the area of missing tissue. The graft incorporates itself into the wound until it gradually converts into the patient's own tissue.
If we have poor circulation and decreased sensation to pain, we sometimes overlook small cuts, blisters, or ingrown toenails. But when they become infected, they can turn into an open wound that's called a diabetic foot ulcer.
One in four people with diabetes who get a foot ulcer will require a lower limb amputati...
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 ...
A recent diabetes report, Achievement of Goals in U.S. Diabetes Care 1999–2010 , examined how people with diabetes said they are doing. The participants had been enrolled in two big U.S. surveys, the National Health and Nutrition Examination Survey and the Behavioral Risk Factor Surveillance System , and who had self-reported that they had diabetes. (Unfortunately, whether the participants had type 1 or type 2 diabetes was not ascertained).
The researchers looked at a huge amount of data relating to diabetes, such as daily glucose monitoring, A1C levels, blood pressure, LDL cholesterol, tobacco use, coronary artery disease, eye, dental, and foot exams, flu shots, and pneumococcal vaccinations, and compared the results to various guidelines for diabetes care goals established by the ADA or the National Quality Forum .
The goals the authors used were variable, depending on what the researchers were examining. Exact target numbers for some of the tests wer...
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