Fascinating Article on the Remission of Type 2 Diabetes allowing the Withdrawal of Medications

https://www.medscape.com/viewarticle/985111?src=WNL_dne1_221207_MSCPEDIT&uac=399573HX&impID=4956793

A, B, Cs of Diabetes

A simple, but important, reminder for diabetic patients, and those trying to avoid diabetes. 

http://www.januvia.com/sitagliptin/januvia/consumer/diabtes-abc/index.xhtml

Slideshow on Diabetic Foot Problems and Treatments

http://www.rxlist.com/diabetes_foot_problems_slideshow/article.htm

Lipitor and its Link to Diabetes

Diabetes is on such a rise in the United States with all it's harmful complications. Unfortunately, for those of you who need Lipitor for high cholesterol you may not have a choice. But, it is worth a talk with your internist. 

http://www.hngn.com/articles/38841/20140812/lipitor-causes-diabetes-in-women-pfizer-faces-lawsuits.htm

Lower Diabetic Foot Ulcerations with Orthotic Devices: Article

http://lowerextremityreview.com/issues/august/amputation-reulceration-rates-fall-after-two-years-of-orthotic-therapy

Video on Importance of HbA1c Test for Diabetes and Stability of Diabetes

Good Food for Type II Diabetes

As a podiatrist, I am always trying to help patients with Diabetes keep their feet healthy. Here is a list of 9 foods that patients with Type II Diabetes should be helped by. They are:

1. Beans
2. Oatmeal
3. Fish (in general)
4. Nonfat Yogurt
5. Almonds
6. Nonstarchy Veggies
7. Wild Salmon
8. Egg Whites
9. Avocado

http://www.everydayhealth.com/type-2-diabetes-pictures/joy-bauer-foods-for-diabetes.aspx?xid=aol_eh-endocs_8_20121217_&aolcat=APS&icid=maing-grid7%7Cmain5%7Cdl25%7Csec1_lnk2%26pLid%3D249070#/slide-9

Diabetes Encouraged to Wear Compression Hose

Diabetics Should Wear Compression Socks: FL Podiatrist Diabetes so dramatically affects the body’s circulatory system that the feet become far more vulnerable than they otherwise would be. What’s more, explains Boca Raton podiatrist Dr. Bret Ribotsky, “Because of the decreased circulation to the feet, diabetics can’t rely on their pain sensors to alert them that something might be wrong.” Therefore, any wound, skin irritation or other foot abnormality has the potential to mushroom into a dire situation if not caught early. Dr. Bret Ribotsky Diabetics should strongly consider wearing “compression” socks to aid their circulation (Dr. Ribotsky calls such footwear “bras for your feet”). They help prevent swelling in the feet, as well as the formation of varicose veins. Without the compression, edema and stretching of the skin can happen, and sometimes the skin tears, which can leave an ulceration that’s vulnerable to infection. Source: Palm Beach Post [4/19/12]

Don't think I have ever heard compression hose being referred as "bras for the feet"!! Leave it to a guy to coin that one, although quite accurate! Dr Blake

5.6% of What??? could mean Diabetes

http://care.diabetesjournals.org/content/34/4/944.abstract

Hemoglobin A 1c is a great marker for Diabetes. Over 5.6% in laboratory testing means the patient probably has diabetes, so it is one of the best lab screening tests for this terrible disease. For our Diabetic patients, we need them to own their number and we desperately try to keep it below 7.0. Over 7.0 and healing goes way down. Read the short article summary above and get tested if you have a family history of diabetes, have sores that are slow to heal, get chronic infections somewhere in your body, are constantly thirsty, and/or have frequent urges to urinate. The test results just could save your life.

APMA Sponsored Video on Diabetes

The American Podiatric Medical Association sponsored this video on Diabetes. Very important for diabetics to always stay diligent about their foot care. Check their feet daily. See their podiatrist regularly. Take every sore or pain seriously. Monitor their blood sugars. Know your HbA1c.

Diabetes: A Handy Link for Great Information

If you have any family members and/or friends with diabetes, unfortunately a rapidly growing disease in our society, please let them know about the website from my national association. The American Podiatric Medicine Association (APMA) is a strong fighter of this disease and every patient with diabetes should have a relationship a podiatrist. The link has information in both english and spanish. I hope this information can save many lives!!
http://www.apma.org/diabetes

Diabetes: Take Off The Other Shoe Principle

A wonderful patient whom I saw 22 years ago came into our very busy office with complaints of pain in her right Achilles tendon from walking her very big dog. She thought since she always held the leash with her right hand she must of pulled the right Achilles somehow. Very smart observation! She had only taken off her right shoe when I came into the room. I was very busy that day running late with all of my patients. After examining her Achilles, her diagnosis and treatment plan seemed straight forward. I turned to leave the room to get our physical therapist to put her on the proper icing and stretching regimen, but something told me to have her take off the other shoe. Golden Rule of Foot (for practitioners): Always look at both feet.

When she took off the other shoe, it was evident that she would never see the physical therapist that day. This patient turned out to be a brittle diabetic with an infected ulcer on the left big toe. We became good friends as I visited her twice daily in our hospital over the next 3 weeks. I still see her monthly. As an adult-onset diabetic, she never really owned/accepted her disease. Her blood sugars were terrible with the bacteria feeling very happy like kids in a candy store. On that day, the statistics for a diabetic to survive more than 5 years when presenting with an infected ulcer were very small. Statistically, she should have definitely lost her leg. 22 years later she is still going strong, both legs and all. See the link below for Diabetes Self Care and Footsmart catalog for ordering a floor mirror.

Having her take off the other shoe may have saved her life that day. But I hope this message of checking both feet saves thousands from amputations and death. Let's be very greedy. Diabetes is a killer, but owning your diabetes, can allow you to have a great life.

Golden Rule of Foot: Diabetics should daily exam the bottoms of their feet. I think back on that day almost every time I see this patient. Relatively new to the practice of medicine, I learned a valuable lesson. The rush of medicine nowadays will allow this scenario to play out over and over again in various forms. Patients must become more responsible for their own health.

I do not know why I took off the other shoe that day. I was in a rush, way behind. But I did and I am proud that I try to continue to take the extra time. Patients all have a story when they come through our doors. The stories add wonderful color to the practice of medicine. Let’s get better at listening to these stories.

Diabetic Foot Care Guidelines
Dec 18, 2009 ... Diabetes can be dangerous for feet; to avoid serious foot problems follow these guidelines.

www.foothealthfacts.org/footankleinfo/diabetic-guidel... - Similar

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