Over the years, oxidative stress has been implicated with causing many of the complications of diabetes. Although diabetes and increased blood sugars are the true cause, oxygen free radicals are usually the mechanism for causing the damage to blood vessels, nerves and cells. Some studies even implicate oxidative stress for heart disease.
Oxidative Stress: As the cells go through the normal oxygen cycle, active oxygen species are produced that are usually reduced by the enzymes of the body. If the reactive oxygen species are produced in higher amounts than the body can reduce, we get free radicals. These free radicals react with tissues and produce the stress that causes tissue to malfunction. This malfunctioning is called oxidative stress.
Antioxidants have long been utilized to reduce the free radicals and improve oxidative stress. A new study states that Vitamin C may improve complications of diabetes, consistent with the antioxidant benefits. Although this study was run using vitamin C at a dosage injected into the blood stream, it shows that antioxidants may be a valuable option to reduce complications of diabetes. More is to come......
Tuesday, June 29, 2010
Tuesday, June 1, 2010
Aerobics Trumps Walking for Health Benefits
I found this article very interesting. We always prompt our diabetic patients to start a walking program, but perhaps we should be encouraging them to go to the gym and start an aerobic exercise program! Things that make you say "Hmmmm!."
Aerobics Trumps Walking for Health Benefits
Aerobics Trumps Walking for Health Benefits
Sunday, April 25, 2010
Diabetic Foot Surgery
When discussing surgery with patients, I often hear "I'm diabetic, is it safe for me to have surgery?". There are several factors to consider when you are diabetic and contemplating foot surgery. There are times when surgery is not an option, when it is necessary due to infection to prevent limb loss. But there are times when foot surgery is needed to prevent pressure areas that can become ulcers. And as I have discussed previously, ulcers when not treated lead to amputation.
The first thing to know when discussing foot surgery is do you have enough blood flow to the foot to heal the surgery. If your pulses cannot be easily felt by hand then a noninvasive test can be performed to give us a picture of how much blood is reaching the foot. If there is a significant decrease, then a referral to a vascular surgery is necessary before surgery is performed.
Second, understand that you are at higher risk for infection post op due to your diabetes. If your diabetes is not controlled this increases your risk even further. You will be given an antibiotic immediately preop and depending on the procedure may even take an antibiotic for a few days post op to reduce your risk of infection.
Third, are you healthy enough to undergo surgery and the post op requirements? A complete physical needs to be performed to make sure your heart, lungs and kidneys are working properly and there are no surprises.
So, it is ok for foot surgery in diabetic patients. A complete work up should be done before your surgery and you should ask as many questions as you can so that you understand the surgery and why it is needed. At Foot and Ankle Associates of North Texas, we strive to make sure all our patients are fully informed of their procedure and the associated benefits, risks and complications.
Wednesday, March 31, 2010
Summer is Approaching.. Diabetics Check your Feet!
Summer time is almost here. The weather is becoming nicer and all I can think about is ditching my boots and closed toe shoes and putting on my sandals. Are my feet ready. Have I been taking care of them all winter long? Are they dry or possibly cracked?
Here are a couple things to think about before you make the leap to sandal time:
1. Make sure that the sandal you pick has a sturdy sole with good arch support. One with a strap that holds your foot in place is a great shoe. Those flat flip flops that are 5 dollars at walmart are going to kill your feet.
2. Your feet should not have any open lesions if you are wearing an open shoe. Check your feet for dryness, cracks, blisters, or any signs of redness. Cracks or blisters can open during the day and bacteria can cause a skin infection. A cream that has a urea base to it will help get your skin sandal ready in just a couple of weeks.
3. Make sure that you are checking your feet every day. Look in between your toes and at the bottom of your feet. Make sure to check them muiltiple times a day when you are wearing a new sandal or water shoe.
4. Remember that sandals do not have the same support as your walking shoes. Do not wear your sandals when going on long errands, to the mall, or to an amusement park. It is better to save the open toe shoes for short errands, lunch with a friend and for pool time.
5. Always remember that as a Diabetic you have a higher risk for developing sores, blisters and other problems with your feet. If you notice any issues seek medical attention with a podiatrist.
Summer time is almost here. The weather is becoming nicer and all I can think about is ditching my boots and closed toe shoes and putting on my sandals. Are my feet ready. Have I been taking care of them all winter long? Are they dry or possibly cracked?
Here are a couple things to think about before you make the leap to sandal time:
1. Make sure that the sandal you pick has a sturdy sole with good arch support. One with a strap that holds your foot in place is a great shoe. Those flat flip flops that are 5 dollars at walmart are going to kill your feet.
2. Your feet should not have any open lesions if you are wearing an open shoe. Check your feet for dryness, cracks, blisters, or any signs of redness. Cracks or blisters can open during the day and bacteria can cause a skin infection. A cream that has a urea base to it will help get your skin sandal ready in just a couple of weeks.
3. Make sure that you are checking your feet every day. Look in between your toes and at the bottom of your feet. Make sure to check them muiltiple times a day when you are wearing a new sandal or water shoe.
4. Remember that sandals do not have the same support as your walking shoes. Do not wear your sandals when going on long errands, to the mall, or to an amusement park. It is better to save the open toe shoes for short errands, lunch with a friend and for pool time.
5. Always remember that as a Diabetic you have a higher risk for developing sores, blisters and other problems with your feet. If you notice any issues seek medical attention with a podiatrist.
Monday, March 22, 2010
Nutrition May Be The Key To Limiting Complications
Diabetic complications are becoming more well known. In fact, many people are advocating aggressive control of diabetes to control the diabetic complications. Some nutrition changes may further help limit these complications also. Let me list the 4 key elements that will help limit diabetic complications:
1. Avoid excessive alcohol. Alcohol has been shown to to increase the oxidative damage to nerves that can further lead to neuropathy. Although regular alcohol use should not increase this risk, excessive alcohol can even cause neuropathy without other causes. Limit your alcohol consumption to reduce neuropathy risks.
2. Well balanced diet. Eating a quality diet helps provide the necessary vitamins, minerals and essential amino acids that are utilized by the body to repair tissues and maintain the functioning thereof. If a diet has limitations in any essetial nutrient, increased risks of complications will present. Some common vitamins that have been associated with diabetic complications include vitamin B6, B12, Folic Acid, and B1. Often supplementing this nutrients may improve complications, even the presentation of neuropathy.
3. Avoid smoking. Although not exactly a nutrition aspect, smoking has been associated with decreased circulation to the feet (from the nicotin) and can cause significant complications to the extremities (feet and hands). Not smoking is therefore a key point to consider.
4. Exercise. I have long felt that exercise of any level is an important part of nutrition. Eating correctly can only help to a point. Activities can improve the functioning of all the internal systems, improving the metabolism of foods, the digestion of foods and even the bodies use of these foods. This is one of the reasons exercise has been shown to not just limit complications but even improve symptoms of diabetes.
If you want to limit your diabetic complications, following these 4 steps can significantly help. So lets limit your complications from diabetes... For additional information, visit our Diabetes Page.
1. Avoid excessive alcohol. Alcohol has been shown to to increase the oxidative damage to nerves that can further lead to neuropathy. Although regular alcohol use should not increase this risk, excessive alcohol can even cause neuropathy without other causes. Limit your alcohol consumption to reduce neuropathy risks.
2. Well balanced diet. Eating a quality diet helps provide the necessary vitamins, minerals and essential amino acids that are utilized by the body to repair tissues and maintain the functioning thereof. If a diet has limitations in any essetial nutrient, increased risks of complications will present. Some common vitamins that have been associated with diabetic complications include vitamin B6, B12, Folic Acid, and B1. Often supplementing this nutrients may improve complications, even the presentation of neuropathy.
3. Avoid smoking. Although not exactly a nutrition aspect, smoking has been associated with decreased circulation to the feet (from the nicotin) and can cause significant complications to the extremities (feet and hands). Not smoking is therefore a key point to consider.
4. Exercise. I have long felt that exercise of any level is an important part of nutrition. Eating correctly can only help to a point. Activities can improve the functioning of all the internal systems, improving the metabolism of foods, the digestion of foods and even the bodies use of these foods. This is one of the reasons exercise has been shown to not just limit complications but even improve symptoms of diabetes.
If you want to limit your diabetic complications, following these 4 steps can significantly help. So lets limit your complications from diabetes... For additional information, visit our Diabetes Page.
Saturday, January 30, 2010
How to Get Rid of Your Winter Alligator Skin
Get Rid of My Dry Skin Dry skin! As the air gets cold, the moisture in the air decreases. The air will steal moisture from your skin and as a result, your skin will be drier this time of the year.
Chapped lips and itchy skin goes hand in hand (or foot and foot) with the season. If you already have dry or sensitive skin, the winter can be especially brutal. How to tackle the dry air or just dry skin in general. What else can cause dry skin? Having sweaty feet can cause dry feet! When your feet sweat, they are pulling out the moisture from your body. Thus, many will notice that after they allow their feet dry, their skin will be very dry.
Fungus, will also eat up the moisture in your foot and leave the skin dry and flakey. There are many different skin conditions that can cause dry skin. Psoriasis is the most common, but there are several other common conditions that will leave you dry. If the your feet are dry and cracking open, it is best to seek a medical professional such as a podiatrist to address the problem. When cracks or fissures are forming, there is often a systemic disease that is causing problems in the skin and other organs. If the condition has been there for many years or does not respond to at home treatments, a more aggressive treatment may be necessary that can be provided by medical professionals
When shopping for a lotion to sooth your skin, make sure to read the label. The lotions should be water based and contain little to no alcohol. Shea Butter is a natural moisturizer that does wonders to the skin on many different levels. It can be found in many common over the counter lotions today. If your feet are exceptionally dry, you can apply lotion to your skin at night and wear socks while you sleep. Creams are better than lotions for thick skin areas, like the soles of your feet.
Do not apply lotion between your toes and avoid this area with any moisturizing product. The skin between your toes in very thin and sensitive and can easily macerate when too moist. When shopping for shoes, choose light colors and materials that allow air flow. Synthetic materials tend to reflect heat and cause the feet to sweat. Socks can also help you control the moisture in your foot. Fabric made up of a mix of cotton and polyester can help wick away sweat from your foot and will decrease the amount of moisture that evaporates of your skin.
Whether it is the dry air or something you are fighting all year long, it may be time to give your feet a special gift this season. Fill up the bath, soak your feet, and enjoy some nice relaxing lotion. Soothing your feet is like soothing your soul.
Chapped lips and itchy skin goes hand in hand (or foot and foot) with the season. If you already have dry or sensitive skin, the winter can be especially brutal. How to tackle the dry air or just dry skin in general. What else can cause dry skin? Having sweaty feet can cause dry feet! When your feet sweat, they are pulling out the moisture from your body. Thus, many will notice that after they allow their feet dry, their skin will be very dry.
Fungus, will also eat up the moisture in your foot and leave the skin dry and flakey. There are many different skin conditions that can cause dry skin. Psoriasis is the most common, but there are several other common conditions that will leave you dry. If the your feet are dry and cracking open, it is best to seek a medical professional such as a podiatrist to address the problem. When cracks or fissures are forming, there is often a systemic disease that is causing problems in the skin and other organs. If the condition has been there for many years or does not respond to at home treatments, a more aggressive treatment may be necessary that can be provided by medical professionals
When shopping for a lotion to sooth your skin, make sure to read the label. The lotions should be water based and contain little to no alcohol. Shea Butter is a natural moisturizer that does wonders to the skin on many different levels. It can be found in many common over the counter lotions today. If your feet are exceptionally dry, you can apply lotion to your skin at night and wear socks while you sleep. Creams are better than lotions for thick skin areas, like the soles of your feet.
Do not apply lotion between your toes and avoid this area with any moisturizing product. The skin between your toes in very thin and sensitive and can easily macerate when too moist. When shopping for shoes, choose light colors and materials that allow air flow. Synthetic materials tend to reflect heat and cause the feet to sweat. Socks can also help you control the moisture in your foot. Fabric made up of a mix of cotton and polyester can help wick away sweat from your foot and will decrease the amount of moisture that evaporates of your skin.
Whether it is the dry air or something you are fighting all year long, it may be time to give your feet a special gift this season. Fill up the bath, soak your feet, and enjoy some nice relaxing lotion. Soothing your feet is like soothing your soul.
Tuesday, January 19, 2010
Dance for Diabetes: Podiatry School Gives Back
On January 16, 2010, Scholl College of Podiatric Medicine (SCPM) in conjunction with Rosalind Franklin University of Medicine and Science (RFUMS) hosted the 23rd Annual Dance for Diabetes at the Millennium Knickerbocker Hotel in Chicago, Illinois. This annual event helps raise money to donate to the American Diabetes Association (ADA) to help fund research on preventative medicine and education on Diabetes.
Scholl College of Podiatric medicine has been dedicated to raising money for the American Diabetes Association for the past 23 years due to its close professional tie to diabetes. Ask any podiatrist out there about diabetes link to their profession and they will go on for hours about how diabetes affects the lives of many of their patients.
In the past 20 years diabetes has become an epidemic in American society. Currently affecting more then 24 million people in the United States, Diabetes is projected to keep increasing in prevalence over the next decade if the Americans do not change their lifestyles. The reason for the huge increase in the number of people diagnosed with diabetes is strongly correlated to obesity rate of this country.
Diabetes is a disease that really affects the entire body but has special effects on the lower extremities which is why diabetics are frequent visitors to Podiatry offices. Diabetes leads to peripheral neuropathy which causes diabetics to lose sensation in their extremities. Peripheral neuropathy can lead to ulcerations of the feet which can lead to further complications such as infection.
Due to the fact that podiatrists see the devastating side effects of diabetes in their patients many of them become very passionate about raising awareness for Diabetes prevention and research. Undoubtedly this is why SCPM students and faculty work so hard every year to raise money through Dance for Diabetes to donate to the ADA. This year the college was pleased to announce that they donated $21,278 to the American Diabetes Association which is the second largest amount raised by the college in the last 23 years and the most donated since SCPM merged with RFUMS. Congratulations to the all the students and faculty at Scholl College of Podiatric Medicine for raising awareness for a cause that they feel so passionate about. Hopefully Dance for Diabetes will be a tradition that lives on for many years to come.
Scholl College of Podiatric medicine has been dedicated to raising money for the American Diabetes Association for the past 23 years due to its close professional tie to diabetes. Ask any podiatrist out there about diabetes link to their profession and they will go on for hours about how diabetes affects the lives of many of their patients.
In the past 20 years diabetes has become an epidemic in American society. Currently affecting more then 24 million people in the United States, Diabetes is projected to keep increasing in prevalence over the next decade if the Americans do not change their lifestyles. The reason for the huge increase in the number of people diagnosed with diabetes is strongly correlated to obesity rate of this country.
Diabetes is a disease that really affects the entire body but has special effects on the lower extremities which is why diabetics are frequent visitors to Podiatry offices. Diabetes leads to peripheral neuropathy which causes diabetics to lose sensation in their extremities. Peripheral neuropathy can lead to ulcerations of the feet which can lead to further complications such as infection.
Due to the fact that podiatrists see the devastating side effects of diabetes in their patients many of them become very passionate about raising awareness for Diabetes prevention and research. Undoubtedly this is why SCPM students and faculty work so hard every year to raise money through Dance for Diabetes to donate to the ADA. This year the college was pleased to announce that they donated $21,278 to the American Diabetes Association which is the second largest amount raised by the college in the last 23 years and the most donated since SCPM merged with RFUMS. Congratulations to the all the students and faculty at Scholl College of Podiatric Medicine for raising awareness for a cause that they feel so passionate about. Hopefully Dance for Diabetes will be a tradition that lives on for many years to come.
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