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14.05.2014

Foot problems diabetes type 2,what causes a corns on your foot,foot support for sandals - And More

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Diabetic Neuropathy – Diabetic neuropathy occurs when there is damage to the nerves due to high blood sugar levels.
Athlete’s foot is a type of Tinea Fungal infection, the fungus start thriving on the skin of your feet. Diabetes results in insufficient supply of blood to the feet, when the supply is minimal wounds or cuts require more time to heal. Good diabetes management and regular foot care help prevent such foot diseases that are difficult to treat and may require amputation. In addition the following foot care tips will help you prevent most of the diseases.
Wash Your Feet Regularly: Washing your foot once a day in warm water helps you keep your foot clean. Diabetes is certainly a disease not to be ignored and the Foot not be forgotten as it takes the most in daily physical stress.
The NYC Department of Health and Mental Hygiene report, dated November 10, 2010 “Public Health in Jamaica, Queens that “Diabetes” is a primary health concern in that the death rate due to diabetes is higher in Jamaica than in Queens and NYC overall.
National and State of New York reports support CWCOA healthcare initiative for developing an integrated delivery model including a “Diabetes Center of Excellence”, and establish a continuum of care program for the early detection and treatment of diabetes.
Community Wellness Centers of America, LLC (CWCOA) goal in developing a “Diabetes Center of Excellence” is to bring into the community an integrated private sector and government approach that significantly improves current health disparities throughout the community and addresses the chronic diabetes health issues prevalent with Queens County. Establishing a strategic partnership with national programs whose main focus is closing the gap in healthcare disparities with a focus on Minority Health Diabetes.
The cost of diabetes in the United States has soared from $174 billion in 2007 to a staggering $245 billion dollars in 2012, according to a new study released today by the American Diabetes Association. Diabetes, an abnormal condition characterized by excessive amounts of sugar in the blood and urine, affects millions of Americans and is particularly prevalent among African-Americans, Asians and Hispanics, the three groups that are predominantly treated at Queens Hospital Center.
Queens residents are slightly more likely than New York State residents overall to experience a preventable hospitalization for a condition related to diabetes. Hospitalizations for uncontrolled diabetes and short-term complications of diabetes are well above statewide norms. Overall, preventable hospitalizations are less likely in Queens, but diabetes-related and a few other hospitalizations offer opportunities to conserve hospital beds.
Type 1 Diabetes, previously called insulin-dependent diabetes mellitus or juvenile-onset diabetes, may account for 5% to 10% of all diagnosed cases of diabetes.
Type 2 Diabetes, previously called non-insulin-dependent diabetes mellitus or adult-onset diabetes, may account for about 90% to 95% of all diagnosed cases of diabetes. Treatment of Type 1 Diabetes: Treatment requires a regimen that typically includes a carefully monitored diet, planned physical activity, routine home blood glucose testing, and insulin injections. Treatment of Type 2 Diabetes: Treatment typically includes diet control, regular physical activity, medications taken by mouth or by injection, and for some, routine home blood glucose testing.
Unless they take steps to control weight and increase physical activity, most people with pre-diabetes will develop type 2 diabetes. New York is experiencing an epidemic of diabetes, and the disease is most common among ethnic minorities. In New York State there is no system for conducting public health surveillance on undiagnosed Diabetes.
Designed to enroll a representative sample of the US civilian population, estimate that in 2005-2006, 5.1% of adults above the age of 20 had undiagnosed diabetes.
Prediabetes is a condition in which an individual’s blood glucose levels are higher than normal, but not high enough to be diagnosed as diabetes. Of Black non-Hispanic New Yorkers surveyed, 12.3% said they had been diagnosed with diabetes.
Introduction Diabetes is a chronic disease defined by higher than normal blood glucose (sugar) levels. The development of CWCOA “Diabetes Center of Excellence” in South East Queens, Jamaica will provide critical and essential medical services for the treatment and prevention of diabetes predominately affecting African Americans and other minority populations. Type II diabetes occurs when the body cannot effectively use the insulin that the pancreas produces.
The frequency of diabetes in adult African-Americans is influenced by the same risk factors that are associated with type II diabetes in other Americans. Higher than normal fasting insulin concentrations, what is known as hyperinsulinemia, are associated with a greater risk of developing type II diabetes. Besides the degree of obesity, the place where the excess weight is found determines the risk of developing type II diabetes. Compared to white Americans with diabetes, African-Americans are more likely to have complications from diabetes. Diabetic retinopathy is a disease caused by deterioration of the blood vessels in the retina, which is the back part of the eye. African-Americans with diabetes suffer from renal failure, also called end-stage renal disease, approximately four times more often than white Americans. In every age group, both in men as well as in women, the death rates in diabetic African-Americans were greater than in diabetic whites. With proper medical care, a healthy diet, exercise and weight control, African- Americans with diabetes can significantly lower their risk of complications and live healthy for a long time. As previously indicated, Queens’s residents are slightly more likely than New York State residents overall to experience a preventable hospitalization for a condition related to diabetes.
Overall, preventable hospitalizations are less likely in Queens, but reducing diabetes-related hospitalizations and other associated medical services through CWCOA “Diabetes Center of Excellence” will offer the State of New York a real opportunity to reduce costs and establish a model program for the entire State.


CWCOA strategy to reduce PPR and PQI hospitalizations will rely on well-tested interventions addressing the underlying conditions (like diabetes and obesity) or target specific clusters of patients (as part of targeted discharge planning with the “Diabetes Center of Excellence”). The State of New York DOH continues to examine those important questions and CWCOA will integrate their patient care data with the State’s monitoring program facilitating and recording best patient care practices, improved population health status relating to diabetes, and lastly, but equally important, financial savings realized by our Integrated Diabetes Center of Excellence.
CWCOA “Diabetes Centers of Excellence” will establish a model diabetes healthcare center, integrated with community medical support services, and hospitals in Queens and the surrounding counties. Diabetic boils are infections which are caused by the weakening of the immune system due to diabetes.
Check the blood sugar levels regularly if you have diabetes and make sure that you keep it in check. Diabetes mellitus causes many diseases where high blood glucose of sugar levels may do damage to the kidney, eyes, nerves as well as blood vessels.
Because of constriction of blood vessels and the harm to the immune system from the diabetes, the wounds have problems healing.
There are several risk factors which can increase the individual with diabetes chances for developing foot problems as well as diabetic infections of the feet and legs. Those diabetics with diabetes that is poorly controlled or have had the disease for a long time have the risk of developing peripheral neuropathy which is nerve damage. Athlete’s foot which is a fungal infection of the toenails or skin can lead to more serious bacterial infections.
Pain, swelling or redness surrounding a toenail – could be an ingrown toenail which is the main cause of foot infections as well as amputation for diabetics. Alteration in mental status – confusion – can be a sign of life-threatening infection which can lead to loss of a leg or foot especially if associated with a foot ulcer or a leg wound. Diabetes control – A diabetic needs to follow a regimen prescribed by a physician of diet, medications, and exercising.
Referral to wound care center – Some community hospitals have wound care centers specializing in treatment of diabetic wounds in lower extremity as well as ulcers along with other difficult to treat wounds. Referral to podiatrist or orthopedic surgeon – You might be referred to a foot specialist if there is bone-related problems, toenail problems, calluses or corns, hammertoes, bunions, flat feet, heel spurs, arthritis or difficulty with finding shoes which fit well. Home health care – A home health nurse or aide may need to help with wound care and dressing, monitor blood sugar as well as help the diabetic with antibiotics as well as other medications. TweetDiabetes mellitus, commonly referred to as sugar diabetes, is a growing problem globally largely associated with a more sedentary lifestyle and obesity. Diabetes mellitus can drastically reduce the quality of life if left untreated and eventually lead to life-threatening complications. The complications of diabetes mellitus does not occur overnight – it develops gradually over years and decades. Diabetes mellitus can lead to nerve dysfunction and damage which is known as diabetic neuropathy..
Diabetes mellitus contributes to high blood pressure and hyperlipidemia (increased blood fats) which damages the walls of the blood vessels.
The impaired blood flow and nerve damage associated with diabetes mellitus, as discussed above, impacts the most on the lower limbs.
Most cases of gestational diabetes (pregnancy diabetes) are mild and medication is not necessary. The signs and symptoms of untreated diabetes mellitus or poorly managed diabetes mellitus depends on the conditions that arise. Some of the symptoms can be attributed to diabetic complications but cannot be easily differentiated from the clinical presentation of diabetes mellitus itself.
People with diabetes are at greater risk for developing foot problems, often because of two complications of diabetes: nerve damage, known as neuropathy, and poor circulation.
Diabetes occurs when the hormone – Insulin is not produced in sufficient quantities or is defective. When people with Diabetes have excess of glucose in their blood for a long duration of time it tends to make them prone to serious complications, including foot problems. Diabetes is a serious illness that is increasing rapidly in New York City and around the country and In just the past 10 years, the number of people with diabetes has doubled with 1 in 8 adult New Yorkers (about 800,000 people) have diabetes and a third of them don’t know it yet. When you review death rates by race, the statistics are alarmingly disproportionate to African Americans whereby the underlying problem in part due to access of quality healthcare, and the early detection and preventative measures which can be instituted will have a positive effect for minorities.
Risk factors are less well defined for type 1 diabetes than for type 2 diabetes, it is believed to happen after the body is exposed to an environmental trigger which then causes the body to attack the cells in the pancreas that make insulin. In addition, quitting smoking is very important for people with diabetes since the majority of people with diabetes die from heart disease and stroke. This is a wake-up call–a chance to make some changes in eating and exercise and avoid a lifetime of diabetes. These national estimates can be applied to give a general estimate of the prevalence of undiagnosed diabetes in the New York State population (760,000 adults). Healthy People 2020 includes an objective to increase the percentage of adults with diabetes whose condition has been diagnosed. This type of diabetes generally appears in adulthood and is due to the body’s resistance to the action of insulin. There are two main risk factors that increase the likelihood of developing type II diabetes.
Research suggests that there is a strong genetic component in developing both type I as well as type II diabetes. These levels are not high enough for a diagnosis of diabetes, but are higher than the normal levels that are expected in non-diabetic individuals.


Compared to white Americans of the same age, socioeconomic status and degree of obesity, African-Americans have a higher incidence of diabetes.
Researchers suspect that lack of exercise is one of the factors that contribute to African-Americans having a high incidence of diabetes. They are caused by the staphylococcus aureus bacteria which often enter the skin through wounds and cuts. Unfortunately diabetes can wreck havoc on the immune system and lead to a number of health problems including certain skin complications as well.
The presence of diabetes mellitus even when well managed increases the risk of many other serious diseases.
Therefore the effects of untreated diabetes mellitus is actually the complications that arise, usually in the long term. However, severe hyperglycemia (high blood glucose levels) or hypoglycemia (low blood glucose levels) has immediate effects known as diabetic emergencies.
The onset of these conditions is largely individualistic meaning that one diabetic may experience certain complications sooner compared to another diabetic.
This causes a host of problems in the foot in particular and is therefore known as diabetic foot. Dietary changes and moderate exercise may be sufficient to manage the diabetes which often resolves after childbirth. Firstly the symptoms of diabetes mellitus itself worsens so it is important to be familiar with these signs and symptoms.
The ADA considers diabetes a national epidemic, stating that 26 million Americans already have diabetes and that up to 79 million people have prediabetes, meaning that they are at high risk to eventually develop the disease. However, this estimate does not take into consideration how the population of New York adults differs from adults in the rest of the US population or how rates of diagnostic testing for diabetes differ in New York as compared to other States. Type 1 diabetes, an autoimmune disease, most often appears during childhood and adolescence. The risk of developing type I diabetes appears to be related to certain genes that affect the immune system. Impaired glucose tolerance may be an early stage of diabetes, and people with this condition are at greater risk of developing type II diabetes than people whose blood glucose concentrations are normal.
Although the glucose and insulin concentrations in these women return to normal after pregnancy, approximately 50% develop type II diabetes later on in life. Our focus in addressing diabetes in concert with Hospitals will undoubtedly have a significant positive effect on the population as a whole integrated with our CCHIT certified Electronic Health Record technologies. This is because certain immune suppressing medicines used for boils treatment can complicate the problem further.
Since diabetes is largely asymptomatic in the early stages and eventually presents with several mild symptoms, there is a misconception that it is not a dangerous condition.
The most severe complications in diabetes is seen in long term cases that are poorly controlled but there are several diabetic emergencies that can suddenly arise which can be equally as dangerous even in a person who has been diabetic for just a short period of time. Even a person who has well managed diabetes mellitus is at risk of developing these complications. Injury to the foot is often the trigger event that then progresses to more severe complications as a result of poor wound healing and weakened immune activity.
Type 2 diabetes, which is linked to obesity and physical inactivity, usually develops in adults over the age of 40 years, but it is now being diagnosed in younger adults and adolescents.
In type I diabetes, these islet cells stop producing insulin and the result of this is insulin deficiency. Diabetes can be associated with serious complications and early death, but people with diabetes can take measures to lower these risks. A small number of African-Americans (between 5 to 10%) have type I diabetes, which generally appears before the age of 20 and is always treated with insulin. Insofar as type II diabetes, there may be genes that affect insulin secretion and insulin resistance.
Should medication not be commenced in diabetes mellitus or used as prescribed, and if a person does not undertake dietary changes and start exercising, the blood glucose levels are out of control. However, these emergencies are more likely to arise in a person with poorly managed diabetes mellitus or with incorrect use of diabetes medication.
The narrowed arteries and weakened veins especially to the legs leads to sluggish circulation with a host of problems that subsequently develops in the legs and feet. Diabetes increases the risk of developing a wide range of foot problems including wounds or ulcers, skin problems, bunions and hammertoes, and a condition called Charcot’s neuroarthopathy. We perform a thorough podiatric evaluation, including a detailed medical history, foot examination, and evaluation of the blood supply with Doppler ultrasound, to evaluate the blood flow in the foot.
We also do a simple test, called a Semmes-Weinstein test, in the office to check if there is neuropathy or numbness in the foot.
Regular check-ups in addition to controlling diabetes with medication and lifestyle is the best way to minimize diabetic foot complications and amputations.



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