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You are browsing the archive for Diabetes News Archives - Diabetes Community Action Coalition of Fulton County. Since 2015, all private health plans must offer smoking cessation treatments to adult smokers as a preventive service required by the Affordable Care Act. For those Georgians covered by Medicaid, a free 12-week supply of certain smoking cessation medications is available.  To learn more, see Medicaid coverage in Georgia.
For those without health insurance, it is possible to buy over-the-counter smoking cessation products at a discount when prescribed by a doctor by using one of several drug discount cards.  See Discount Card for OTC Medications.
Why is it important to make tobacco cessation products available as a free preventive benefit? Don’t use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet. Use quality lotion to keep the skin of your feet soft and moist, but don’t put any lotion between your toes.
Click Picture to EnlargeDid you know… Nearly 6% of the population has diabetes and the numbers continue to grow.
We also specialize in diabetic and wound care Our goal is to relieve pain, correct deformity and prevent the devastating consequences of loss of limb. Diabetes mellitus is a chronic disease that affects the lives of about 16 million people in the United States, 5.4 million of whom are unaware that they even have the disease.
Symptoms of hyperglycemia may include frequent urination, excessive thirst, extreme hunger, unexplained weight loss, tingling or numbness of the feet or hands, blurred vision, fatigue, slow-to-heal wounds, and susceptibility to certain infections. According to a recent survey, about 86,000 lower limbs are amputated annually due to complications from diabetes. Diabetes is the leading cause of end-stage kidney disease, accounting for about 40 percent of new cases. No one knows why people develop diabetes, but once diagnosed, the disease is present for life. African Americans are 1.7 times more likely to have diabetes than the general population, with 25 percent of African Americans between the ages of 65 and 74 diagnosed with the disease.
Hispanic Americans are almost twice as likely to develop type 2 diabetes, which affects 10.6 percent of that population group. Native Americans are at a significantly increased risk for developing diabetes, and 12.2 percent of the population suffers from the disease. Of all the risk factors, weight is the most important, with more than 80 percent of diabetes sufferers classified as overweight. Because diabetes is a systemic disease affecting many different parts of the body, ideal case management requires a team approach.
In addition to these check ups, there are warning signs that you should be aware of so that they may be identified and called to the attention of the family physician or podiatrist.
Ulceration is a common occurrence with the diabetic foot, and should be carefully treated and monitored by a podiatrist to avoid amputations. A diabetic foot ulcer is an open sore or wound that most commonly occurs on the bottom of the foot in approximately 15 percent of patients with diabetes.
Diabetes is the leading cause of non traumatic lower extremity amputations in the United States, and approximately 14 to 24 percent of patients with diabetes who develop a foot ulcer have an amputation. Ulcers form due to a combination of factors, such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes. Vascular disease can complicate a foot ulcer, reducing the body’s ability to heal and increasing the risk for an infection.
Not all ulcers are infected; however if your podiatric physician diagnoses an infection, a treatment program of antibiotics, wound care, and possibly hospitalization will be necessary. Appropriate wound management includes the use of dressings and topically-applied medications. Tightly controlling blood glucose is of the utmost importance during the treatment of a diabetic foot ulcer. A majority of noninfected foot ulcers are treated without surgery; however, when this fails, surgical management may be appropriate.


Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. The best way to treat a diabetic foot ulcer is to prevent its development in the first place. Reducing additional risk factors, such as smoking, drinking alcohol, high cholesterol, and elevated blood glucose are important in the prevention and treatment of a diabetic foot ulcer. Learning how to check your feet is crucial in noticing a potential problem as early as possible. Of the sixteen million Americans with diabetes, 25% will develop foot problems related to the disease, and may be at risk for serious complications. Check out the selection of shoes available on display and ask your doctor for more information. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands. Diabetics must constantly monitor their feet or face severe consequences, including amputation. Any redness, swelling, sores, blisters or any change in appearance call the office immediately. Every day, 2,200 new cases of diabetes are diagnosed, and an estimated 780,000 new cases are identified each year. People who have any of these symptoms and have not been tested for diabetes are putting themselves at considerable risk and should see a physician without delay. The costs have been estimated at $98 billion annually, about $44 billion of which are direct costs from the disease with $54 billion indirectly related. The World Health Organization (WHO) expects the number of new diabetes cases to double in the next 25 years from 135 million to nearly 300 million. With a proper diet, exercise, medical care, and careful management at home, a person with diabetes can keep the most serious of the consequences at bay and enjoy a long, full life. It is a hereditary disorder, and certain genetic indicators are known to increase the risk of developing diabetes.
The podiatric physician, as an integral part of the treatment team, has documented success in the prevention of amputations. Poorly fitted shoes, or something as trivial as a stocking seam, can create a wound that may not be felt by someone whose skin sensation is diminished. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication. Native Americans, African Americans, Hispanics and older men are more likely to develop ulcers.
Patients who have diabetes for many years can develop neuropathy, a reduced or complete lack of feeling in the feet due to nerve damage caused by elevated blood glucose levels over time. Elevations in blood glucose can reduce the body’s ability to fight off a potential infection and also retard healing. Foot ulcers in patients with diabetes should be treated for several reasons such as, reducing the risk of infection and amputation, improving function and quality of life, and reducing health care costs.
These devices will reduce the pressure and irritation to the ulcer area and help to speed the healing process. These range from normal saline to advanced products, such as growth factors, ulcer dressings, and skin substitutes that have been shown to be highly effective in healing foot ulcers.
Working closely with a medical doctor or endocrinologist to accomplish this will enhance healing and reduce the risk of complications. Protective footwear can help in the fight to prevent a large percentage of the 68,000 diabetic amputations that occur each year. With a diabetic foot, a wound as small as a blister from wearing a shoe that’s too tight can cause a lot of damage. If you have Charcot foot, the cast controls your foot’s movement and supports its contours if you don’t put any weight on it.
The disease is marked by the inability to manufacture or properly use insulin, and impairs the body’s ability to convert sugars, starches, and other foods into energy.


Testing your blood and then treating high blood sugar early will help you to prevent complications.
Diabetes is the sixth leading cause of death by disease in the United States, and individuals with diabetes are two to four times as likely to experience heart disease and stroke.
Much of this growth will occur in developing countries where aging, unhealthy diets, obesity, and sedentary lifestyles will contribute to the onset of the disease. Type 1, previously known as insulin-dependent diabetes mellitus or juvenile-onset diabetes, afflicts five to ten percent of diagnosed cases of diabetes. The key to amputation prevention in diabetic patients is early recognition and regular foot screenings, at least annually, from a podiatric physician.
Left unattended, such ulcers can quickly become infected and lead to more serious consequences.
People who use insulin are at a higher risk of developing a foot ulcer, as are patients with diabetes-related kidney, eye, and heart disease. The nerve damage often can occur without pain and one may not even be aware of the problem. We know that wounds and ulcers heal faster, with a lower risk of infection, if they are kept covered and moist. He or she can determine if you are at high risk for developing a foot ulcer and implement strategies for prevention.
Each time you visit a health care provider, remove your shoes and socks so your feet can be examined.
There were nearly 90,000 major amputations in the United States last year as the result of diabetes.
The long-term effects of elevated blood sugar (hyperglycemia) are damage to the eyes, heart, feet, kidneys, nerves, and blood vessels.
This type occurs most frequently in children and adolescents, and is caused by the inability of the pancreas to produce the insulin needed for survival. Your podiatric physician knows how to treat and prevent these wounds and can be an important factor in keeping your feet healthy and strong. Being overweight and using alcohol and tobacco also play a role in the development of foot ulcers. Your podiatric physician can test feet for neuropathy with a simple and painless tool called a monofilament. The use of full strength betadine, peroxide, whirlpools and soaking are not recommended, as this could lead to further complications.
However, it has been estimated that nearly 85% of limb loss can be prevented through educations and patient care plans. Type 2, previously called non insulin-dependent diabetes mellitus or adult-onset diabetes, affects the other 90-95 percent of all diagnosed cases of diabetes, many of whom use oral medication or injectable insulin to control the disease. New to the science of wound healing are remarkable products that have the appearance and handling characteristics of human skin.
It warps the shape of your foot when your bones fracture and disintegrate, and yet you continue to walk on it because it doesn’t hurt. The vast majority of those people (80 percent or more) are overweight; many of them obese, as obesity itself can cause insulin resistance. These living, skin-like products are applied to wounds that are properly prepared by the podiatric physician. Diabetic foot ulcers and early phases of Charcot fractures can be treated with a total contact cast. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts and nail problems.



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