FROM OUR EXPERTS
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...
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...
Pain - foot
Apply ice to reduce pain and swelling. Do this just after an activity that aggravates your pain.
Elevate your painful foot as much as possible.
Reduce activity until the problem improves.
Wear foot pads in areas of friction or pressure. This will prevent rubbing and irritation.
Take over-the-counter pain medicine, like ibuprofen or acetaminophen. Try this for 2 to 3 weeks (unless you have a history of an ulcer, liver disease, or other condition that does not allow you to take one of these drugs).
For plantar warts, try an over-the-counter wart removal preparation.
For calluses, soak in warm water and then rub them down with a pumice stone. Do NOT cut or burn corns or calluses.
For foot pain caused by a stress fracture, an extended rest period is often necessary. Crutches may be used for a week or so to take the pressure off, if your foot is particularly painful.
For foot pain due to plant...
You should know
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