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Diabetes & Your Feet: 5 Things You Need To Do Right Now To Prevent Ulcers, Infection, Amputation

Diabetes & Your Feet: 5 Things You Need to Do Right Now to Prevent Ulcers, Infection, Amputation

Diabetes & Your Feet: 5 Things You Need to Do Right Now to Prevent Ulcers, Infection, Amputation

If you have type 1 or type 2 diabetes, your doctor has undoubtedly told you to pay special attention to your feet, since they are prone to infections, ulcers and worse. While it probably seems like enough work to track your blood sugar levels, keeping your feet healthy is crucial, too.
If you're not convinced, consider these scary statistics:
• Foot ulcers, common in those with diabetes, may heal but are very likely to reoccur.
• The risk of an uninfected diabetic foot ulcer becoming infected is about 40%.
• The Charcot foot, a condition of severe deformity linked with diabetes, can lead to amputation—and three months or more of difficult movement. Other diabetes-related foot problems can also lead to amputation.1
• Every 30 seconds, a lower limb is lost as a consequence of diabetes. 1,2
As somber as those facts are, patients can be proactive about foot health with a number of simple steps, according to podiatric specialists talking at a seminar on the Diabetic Foot at the American Diabetes Association 77th Scientific Sessions in San Diego. Here are five suggestions.
#1. Understand Neuropathy
Diabetic peripheral neuropathy is, unfortunately, common in those with diabetes. It's defined as damage to nerves in your feet, lower legs, hands and elsewhere.
However, patients often don't truly understand what neuropathy is, says Andrew J.M. Boulton, FRCP, professor of medicine at the University of Manchester. "They have a strong vascular connotation, so they think it must have to do with circulation," Dr. Boulton tells Endocrine Web. They think, ''My foot is warm, it does Continue reading

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Eight Life-Changing Diabetes Breakthroughs

Eight Life-Changing Diabetes Breakthroughs

The year 2016 was eventful in diabetes care and treatment. Breakthroughs in medications and methods of glucose monitoring made headlines.
The American Diabetes Association (ADA) noted that, “An individual diabetes care plan is a core tenet of our Standards of Care and woven throughout the Association’s guidelines. With each health-care device and medication, people with diabetes get access to new options that help them manage their diabetes more effectively, providing opportunities to improve quality of life and health outcomes. 2016 offered a number of key advancements in the tools available to people with diabetes.”
Insulin pump makes dosing decisions
The Food and Drug Administration (FDA) for the first time approved a continuous glucose monitoring (CGM) device that could make medication-dosing decisions automatically using the CGM data. Before, the monitor’s results required confirmation using a fingerstick glucometer before the patient made any insulin decisions.
The Medtronic MiniMed 670G automated insulin delivery pump (AIDP) combines an insulin pump with a sensor measuring a person’s blood glucose level. The device then automatically adjusts basal insulin coverage as needed.
“Some call it a ‘bionic pancreas’; while it isn’t that, the 670G does represent a big leap forward from a regulatory perspective,” said John Buse, MD, PhD, director of the Diabetes Center at the University of North Carolina School of Medicine at Chapel Hill. “This is the first time the FDA has allowed a device to actually administer insulin without human intervention.”
Usu Continue reading

Kefir and Diabetes - Cultured Food Life

Kefir and Diabetes - Cultured Food Life


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Captain of your ship and the master of your destiny. Were shaped by the light we let through us.
I remember that day quite vividly. It was over fifteen years ago. It was February and bitter cold outside. I made myself a breakfast that I thought was healthy high-fiber cereal and skim milk. Thirty minutes later a terrible feeling came over me, one that I recognized from having gestational diabetes with the pregnancy of my daughter. I had a blood sugar meter that I could test my blood sugar with, Continue reading

The lifestyle changes that can cut type 2 diabetes risk

The lifestyle changes that can cut type 2 diabetes risk


The lifestyle changes that can cut type 2 diabetes risk
By Dr Rangan Chatterjee Doctor in the House
These are external links and will open in a new window
Type 2 diabetes affects approximately 3.5 million people in this country and is thought to cost the UK around 20bn per year in both direct and indirect costs.
This is a staggering amount of money spent on a condition largely caused by our lifestyle choices and environment.
On Doctor in the House, I try to help 39-year-old La-Vern. Her mother, Doreen, already has type 2 diabetes and is worried that La-Vern is going down the same route.
La-Vern is a busy, single mother who does two jobs and, as a result, is exhausted and stressed.
She has not yet crossed our diagnostic threshold where we would say she has type 2 diabetes, but her blood sugar and fasting insulin levels are not "normal" either. Her results suggested that she was on the road towards type 2 diabetes.
This is an ideal opportunity to practise true preventive medicine. Type 2 diabetes is a late event. By the time you get a diagnosis, things will have been going wrong in your body for many years.
La-Vern's symptoms of fatigue have already affected her quality of life. However, her lifestyle is not only causing her to feel unwell, but is driving her towards a type 2 diabetes diagnosis further down the line.
This is one of the big problems in medicine today - things are often said to be black or white, normal or abnormal - but what about optimal?
I am an advocate for trying to recognise problems before they happen. Why should we wait for people to get a Continue reading

Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study

Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study


, Volume 60, Issue9 , pp 16681677 | Cite as
Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study
The aim of this prospective nationwide study was to examine antenatal pregnancy care and pregnancy outcomes in women with type 1 and type 2 diabetes, and to describe changes since 2002/2003.
This national population-based cohort included 3036 pregnant women with diabetes from 155 maternity clinics in England and Wales who delivered during 2015. The main outcome measures were maternal glycaemic control, preterm delivery (before 37weeks), infant large for gestational age (LGA), and rates of congenital anomaly, stillbirth and neonatal death.
Of 3036 women, 1563 (51%) had type 1, 1386 (46%) had type 2 and 87 (3%) had other types of diabetes. The percentage of women achieving HbA1c<6.5% (48mmol/mol) in early pregnancy varied greatly between clinics (median [interquartile range] 14.3% [7.722.2] for type 1, 37.0% [27.346.2] for type 2). The number of infants born preterm (21.7% vs 39.7%) and LGA (23.9% vs 46.4%) were lower for women with type 2 compared with type 1 diabetes (both p<0.001). The prevalence rates for congenital anomaly (46.2/1000 births for type 1, 34.6/1000 births for type 2) and neonatal death (8.1/1000 births for type 1, 11.4/1000 births for type 2) were unchanged since 2002/2003. Stillbirth rates are almost 2.5 times lower than in 2002/2003 (10.7 vs 25.8/1000 births for type 1, p=0.0012; 10.5 vs 29.2/1000 births for type 2, p=0.0091).
Stillbirth rates among women with ty Continue reading

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