You might have more in common with your favorite celebrity than the same hometown or hair color. If you have type 1 diabetes, you're among some pretty famous and talented company.
By Juhie Bhatia
Medically reviewed by Cynthia Haines, MD
Type I diabetes is a condition where the body doesn't produce insulin, the hormone that converts glucose into energy. The condition affects about 3 million people in the United States alone, and everyone with type 1 diabetes — including celebrities — must replace their insulin every day. So, every time you take the steps needed to monitor your condition, remember that you’re in some pretty famous company.
Halle Berry
Academy Award-winning actress Halle Berry is known for her roles in films such as Monster's Ball, X-Men, and Die Another Day. What you may not know is that she has diabetes. In 1989, the now 42-year-old actress went into a diabetic coma during a taping of the television show Living Dolls, and was later diagnosed with type 1 diabetes. Since then, Berry has talked openly about controlling diabetes. However, she created controversy a few years ago when she reportedly said she would classify herself as being a type 2 diabetic, as she had supposedly weaned herself off insulin.
Mary Tyler Moore
Now in her 70s, actress Mary Tyler Moore has always used her fame to help raise funds and awareness for diabetes. Best known for her roles in The Mary Tyler Moore Show and The Dick Van Dyke Show, she was diagnosed at age 33 with type 1 diabetes. Since then, she's become the international chairwoman of the Juvenile Diabetes Research Foundation. In early 2009, Moore released a new book called Growing Up Again, which shares her story of life with diabetes.
Jean Smart
Actress Jean Smart got her big break when she landed a role on the hit television series Designing Women. Since then, she has starred in movies, plays, and television shows, including the thriller 24. Not only does Smart have a successful acting career, she has also dedicated herself as a mentor, fundraiser, and activist in the battle against type 1 diabetes. Smart was 13 when she was diagnosed with type 1 diabetes.
Bret Michaels
Bret Michaels, 46, is best known as a VH1 reality star (Rock of Love) and the lead singer of the rock band Poison. Michaels was diagnosed with type 1 diabetes at age 6, but didn't go public about his condition until shortly after the release of Poison's first album. In an interview with USA Today, he gave this advice about living with diabetes: "Accept that you have the disease. Keep taking your insulin. Keep it under control. Also, enjoy your life. I have stayed in good physical shape by having mind, matter, and music over the disease."
Nick Jonas
The year 2005 was an important one for teenage idol Nick Jonas, member of the pop group the Jonas Brothers. This was not only when the Jonas Brothers formed, but it was also the year he found out he had type 1 diabetes. Though managing diabetes is often challenging with his touring schedule, Jonas tries to be positive. “The first time I heard someone say 'thanks for sharing,' I thought, if I can use this as an opportunity to inspire people, then it’s all worth it,” he told FOX & Friends.
Anne Rice
Author Anne Rice learned the hard way that she had type I diabetes. It was 1998, and Rice, known for her Vampire Chronicles novels, awoke to a painful headache and problems breathing. It was only after she slipped into a coma that the diabetes diagnosis was made. These days, Rice has the condition under control and encourages others not to ignore symptoms. "If you think you have any chance that you might have diabetes, for God's sake, go get the blood sugar test," she told ABC News. "It's a simple test."
Tuesday, August 31, 2010
Monday, August 30, 2010
Power Shoes Turn Heads on the Web
By Claudine Zap
Forget about the power suit. For a bunch of young politicos, it's all about the power shoe. When Reshma Saujani, a candidate running in the New York Democratic primary, admitted to wearing a Kate Spade wedge to pound the pavement, the news inspired a stampede of searches.
The three-inch, round-toe, black-patent wedge called the "Halle," has become the "it" shoe for a circle of female political types, according to a story in the New York Times. Word of the must-have item caused a run on the shoes on Yahoo!: One-day lookups for "Kate Spade Halle" spiked 625%. Shoe lovers voted with their feet with searches on "Kate Spade wedges," "Kate Spade wedge shoes," and "Kate Spade Halle wedge."
Think of these kicks as pantsuits for the feet: They're practical, they wear well, and they look good. With apologies to the "Sex and the City" clan, you cannot barnstorm in Blahniks.
The wedges have a following on the Web as well. The online shoe store Zappos features one happy customer's comments: "For the heel height it's really comfortable." Over on competitor Piperlime, the best-selling shoe is a "Rachel Zoe pick," who explains: "It's a nice alternative to a pump. And a comfy way to look chic." If you're looking to snap up a pair, you may be out of luck. There have been a run on the shoes since word of the gal pols' best-kept shoe secret got out. Talk about retail politics.
Of course, other public figures have had a focus on their footwear, for better or worse.
Shamed former Illinois governor Rod Blagojevich, is definitely guilty on one front: His expensive taste in shoes. Documents recently surfaced that showed the showman purchased, along with pricey ties and handmade suits, stacks of shoes from Allen Edmonds for $1,200.
Sarah Palin's introduction back in 2008 as the Republican candidate for vice president led to a run on the Alaska governor's glasses, her hairdo, and yes, those maverick fire-engine red, peep-toe, Naughty Monkey pumps. The heels were described as a shoo-in for clubbing, and New York Magazine pointed out that Paris Hilton was also a fan of the footwear.
First Lady Michelle Obama may have mis-stepped when she showed up at a soup kitchen in sneakers that retailed for $540. (Insert Marie Antoinette analogy now.) The French-designed Lanvin athletic shoes looked like a very upscale version of the Converse low-top: Except instead of canvas, the shoe was made of suede with a pink metallic toe and laced with grosgrain ribbon. No doubt about it, FLOTUS is an uncompromising fashionista from head to toe.
The same cannot be said for her counterpart. The president throws opening pitches in "mom jeans," and shoots hoops in old-school Nikes. The focus is decidedly off of his feet. And the commander-in-chief would undoubtedly agree: That's a good thing.
Forget about the power suit. For a bunch of young politicos, it's all about the power shoe. When Reshma Saujani, a candidate running in the New York Democratic primary, admitted to wearing a Kate Spade wedge to pound the pavement, the news inspired a stampede of searches.
The three-inch, round-toe, black-patent wedge called the "Halle," has become the "it" shoe for a circle of female political types, according to a story in the New York Times. Word of the must-have item caused a run on the shoes on Yahoo!: One-day lookups for "Kate Spade Halle" spiked 625%. Shoe lovers voted with their feet with searches on "Kate Spade wedges," "Kate Spade wedge shoes," and "Kate Spade Halle wedge."
Think of these kicks as pantsuits for the feet: They're practical, they wear well, and they look good. With apologies to the "Sex and the City" clan, you cannot barnstorm in Blahniks.
The wedges have a following on the Web as well. The online shoe store Zappos features one happy customer's comments: "For the heel height it's really comfortable." Over on competitor Piperlime, the best-selling shoe is a "Rachel Zoe pick," who explains: "It's a nice alternative to a pump. And a comfy way to look chic." If you're looking to snap up a pair, you may be out of luck. There have been a run on the shoes since word of the gal pols' best-kept shoe secret got out. Talk about retail politics.
Of course, other public figures have had a focus on their footwear, for better or worse.
Shamed former Illinois governor Rod Blagojevich, is definitely guilty on one front: His expensive taste in shoes. Documents recently surfaced that showed the showman purchased, along with pricey ties and handmade suits, stacks of shoes from Allen Edmonds for $1,200.
Sarah Palin's introduction back in 2008 as the Republican candidate for vice president led to a run on the Alaska governor's glasses, her hairdo, and yes, those maverick fire-engine red, peep-toe, Naughty Monkey pumps. The heels were described as a shoo-in for clubbing, and New York Magazine pointed out that Paris Hilton was also a fan of the footwear.
First Lady Michelle Obama may have mis-stepped when she showed up at a soup kitchen in sneakers that retailed for $540. (Insert Marie Antoinette analogy now.) The French-designed Lanvin athletic shoes looked like a very upscale version of the Converse low-top: Except instead of canvas, the shoe was made of suede with a pink metallic toe and laced with grosgrain ribbon. No doubt about it, FLOTUS is an uncompromising fashionista from head to toe.
The same cannot be said for her counterpart. The president throws opening pitches in "mom jeans," and shoots hoops in old-school Nikes. The focus is decidedly off of his feet. And the commander-in-chief would undoubtedly agree: That's a good thing.
Thursday, August 26, 2010
Oudin will need a lot of what her U.S. Open shoe says
Last year, Melanie Oudin "believed" her way into the quarterfinals of the U.S. Open. This year, the 18-year-old will try to break out of her recent slump with some "courage."
Oudin will take to the court at this year's Open with personalized adidas shoes emblazoned with the word "COURAGE." Last year, her "BELIEVE" shoes became one of the major stories of the tournament, thanks to their folksy orgin, bright colors and Oudin's magical run to the quarters. This year, she and adidas opted for less mantra and more fortitude:
"The reason I chose the word COURAGE is because in order to believe you have to have the courage to do so. Courage to me means playing with no fear and going for it no matter what. You can believe in yourself so much but unless you have the courage to go on the court and put yourself on the line every time you won't make it. You need courage and belief to make it to the top."
Oudin is going to need all the courage she can get in Flushing Meadows. She's just 18-23 since last year's Open run and a first-round loss could drop her as far as No. 90 in the rankings. Barring a deep run at Flushing Meadows, Oudin's ranking will drop far enough where she'll be forced to play qualifiers at most major tourneys.
Maybe the shoe should have said "MIRACLE" instead.
Oudin will take to the court at this year's Open with personalized adidas shoes emblazoned with the word "COURAGE." Last year, her "BELIEVE" shoes became one of the major stories of the tournament, thanks to their folksy orgin, bright colors and Oudin's magical run to the quarters. This year, she and adidas opted for less mantra and more fortitude:
"The reason I chose the word COURAGE is because in order to believe you have to have the courage to do so. Courage to me means playing with no fear and going for it no matter what. You can believe in yourself so much but unless you have the courage to go on the court and put yourself on the line every time you won't make it. You need courage and belief to make it to the top."
Oudin is going to need all the courage she can get in Flushing Meadows. She's just 18-23 since last year's Open run and a first-round loss could drop her as far as No. 90 in the rankings. Barring a deep run at Flushing Meadows, Oudin's ranking will drop far enough where she'll be forced to play qualifiers at most major tourneys.
Maybe the shoe should have said "MIRACLE" instead.
Wednesday, August 25, 2010
Lowered Risk of Amputatation When Podiatrists are Involved
People with diabetic foot problems can lower their risk of leg amputation by relying on coordinated care that includes a podiatrist, according to a recent study. For instance, those with diabetes-related foot ulcers can reduce their risk of amputation by 31 percent. In a study published online in the journal Health Services Research, researcher Frank Sloan, Ph.D., and colleagues looked at six years of Medicare claims data on nearly 190,000 diabetic patients with foot problems. The study included about 118,000 patients diagnosed as stage one, about 32,000 in stage two, 31,000 in stage three, and 55,000 in stage four (some participants experienced more than one stage).
“This study shows that coordinated care substantially reduces amputation rates,” said David Armstrong, DPM, a podiatrist and co-founder of the Southern Arizona Limb Salvage Alliance. “We already knew that when care teams are developed to prevent amputation, in every case, we see success. The study documents that this is true across the country.” Armstrong has no affiliation with the study.
“This study shows that coordinated care substantially reduces amputation rates,” said David Armstrong, DPM, a podiatrist and co-founder of the Southern Arizona Limb Salvage Alliance. “We already knew that when care teams are developed to prevent amputation, in every case, we see success. The study documents that this is true across the country.” Armstrong has no affiliation with the study.
Barefoot Running
Have you seen the alien shoes spotted on celebrities recently? Matthew McConaughey and girlfriend Camila Alves wear them to work out, actor Channing Tatum runs in them, and Heisman Trophy winner Eddie George sports them for beach football.
Just what are these funky, rubber glove toe socks? They’re Vibram FiveFingers—shoes that are meant to mimic the experience of running without shoes, yet protect your feet from dirt and debris. Why would people want to run without their cushy trainers? Running without shoes can strengthen your feet, ankles, and lower legs and improve balance. Some say modern running shoes are to blame for injuries. And one man wrote an immensely popular book that concluded as much.
The 10 laws of injury prevention
Vibram started making the five-toed shoes in 2006, but the trend really picked up steam last year, following the publication of Christopher McDougall's book “Born to Run.” The book describes how Mexico’s Tarahumara Indians have become some of the greatest long-distance runners in the world despite running barefoot or in sandals fashioned from tire rubber. McDougall chronicles an ultramarathon race in Mexico’s Copper Canyons attended by a group of Americans including “Barefoot Ted” McDonald, who either ran sans shoes or in FiveFingers, in case of sharp rocks. The author argues that we’d be better off without the souped-up shoes marketed to us by giants like Nike and Adidas, which he says have done nothing to prevent injuries. The book made “The New York Times” bestseller list, and now TMZ is photographing celebrities in their very own lizard shoes.
According to CNN, the FiveFingers have become so popular that the company is having a hard time keeping them in stock—and stopping counterfeiters from selling knock-offs online.
Your ultimate guide to fall running shoes
Some barefoot devotees simply like the sensation of feeling the surface they’re running on while others swear up and down that ditching traditional running shoes has helped them prevent injuries. While there’s no scientific evidence to support the latter claim, we do know that running barefoot or in barefoot-style shoes like the FiveFingers or Nike Free changes one’s running mechanics. When runners aren’t wearing shoes with built-up soles, they tend to land in the middle or toward the front of their feet rather than on their heel and researchers believe that such midfoot or forefoot striking results in less impact on the body. But as Susan Paul, M.S., exercise physiologist and program director for the Orlando Track Shack Foundation says, “To date, there are no studies indicating that running shoes contribute to injury or, conversely, that barefoot running reduces injury or makes you run faster.”
The mechanics of barefoot running
If you’re thinking about shedding your shoes, consider these guidelines:
1. Barefoot training is not for people who are just starting to run or returning from a long layoff—it’s something to slowly incorporate into an existing running regimen.
2. If you have persistent or serious foot problems, consult your podiatrist first.
3. Ease in slowly. Paul advises starting with a few minutes on a flat, relatively forgiving surface once a week. Grassy fields, smooth roads, and soft trails qualify. Running on sand might be tempting, but barefooting newbies should stick to wet sand at first as the unstable soft stuff puts a lot of torque on your joints and is much harder to run on.
4. Listen to your body. “Barefoot Ken Bob” Saxton, founder of runningbarefoot.org and finisher of more than 70 barefoot marathons, says, “Luckily, your feet are sensitive, which is a good thing. Listen to them and they'll keep you from doing something stupid.”
Has anyone run barefoot or in minimalist shoes like Vibrams? What did you think? If not, would you ever try it? Why or why not?
A head-to-heel guide to running
Susan Rinkunas is an associate editor at Runner’s World, a magazine (and website) that informs, advises, and motivates runners of all ages and abilities—and we mean it. Her blog on Yahoo! Shine offers tips on running technique, nutrition and weight loss, shoes and apparel, and balancing fitness and life.
Just what are these funky, rubber glove toe socks? They’re Vibram FiveFingers—shoes that are meant to mimic the experience of running without shoes, yet protect your feet from dirt and debris. Why would people want to run without their cushy trainers? Running without shoes can strengthen your feet, ankles, and lower legs and improve balance. Some say modern running shoes are to blame for injuries. And one man wrote an immensely popular book that concluded as much.
The 10 laws of injury prevention
Vibram started making the five-toed shoes in 2006, but the trend really picked up steam last year, following the publication of Christopher McDougall's book “Born to Run.” The book describes how Mexico’s Tarahumara Indians have become some of the greatest long-distance runners in the world despite running barefoot or in sandals fashioned from tire rubber. McDougall chronicles an ultramarathon race in Mexico’s Copper Canyons attended by a group of Americans including “Barefoot Ted” McDonald, who either ran sans shoes or in FiveFingers, in case of sharp rocks. The author argues that we’d be better off without the souped-up shoes marketed to us by giants like Nike and Adidas, which he says have done nothing to prevent injuries. The book made “The New York Times” bestseller list, and now TMZ is photographing celebrities in their very own lizard shoes.
According to CNN, the FiveFingers have become so popular that the company is having a hard time keeping them in stock—and stopping counterfeiters from selling knock-offs online.
Your ultimate guide to fall running shoes
Some barefoot devotees simply like the sensation of feeling the surface they’re running on while others swear up and down that ditching traditional running shoes has helped them prevent injuries. While there’s no scientific evidence to support the latter claim, we do know that running barefoot or in barefoot-style shoes like the FiveFingers or Nike Free changes one’s running mechanics. When runners aren’t wearing shoes with built-up soles, they tend to land in the middle or toward the front of their feet rather than on their heel and researchers believe that such midfoot or forefoot striking results in less impact on the body. But as Susan Paul, M.S., exercise physiologist and program director for the Orlando Track Shack Foundation says, “To date, there are no studies indicating that running shoes contribute to injury or, conversely, that barefoot running reduces injury or makes you run faster.”
The mechanics of barefoot running
If you’re thinking about shedding your shoes, consider these guidelines:
1. Barefoot training is not for people who are just starting to run or returning from a long layoff—it’s something to slowly incorporate into an existing running regimen.
2. If you have persistent or serious foot problems, consult your podiatrist first.
3. Ease in slowly. Paul advises starting with a few minutes on a flat, relatively forgiving surface once a week. Grassy fields, smooth roads, and soft trails qualify. Running on sand might be tempting, but barefooting newbies should stick to wet sand at first as the unstable soft stuff puts a lot of torque on your joints and is much harder to run on.
4. Listen to your body. “Barefoot Ken Bob” Saxton, founder of runningbarefoot.org and finisher of more than 70 barefoot marathons, says, “Luckily, your feet are sensitive, which is a good thing. Listen to them and they'll keep you from doing something stupid.”
Has anyone run barefoot or in minimalist shoes like Vibrams? What did you think? If not, would you ever try it? Why or why not?
A head-to-heel guide to running
Susan Rinkunas is an associate editor at Runner’s World, a magazine (and website) that informs, advises, and motivates runners of all ages and abilities—and we mean it. Her blog on Yahoo! Shine offers tips on running technique, nutrition and weight loss, shoes and apparel, and balancing fitness and life.
Tuesday, August 24, 2010
Yao Ming is contemplating retirement
'Twas less than a week ago that the Houston Rockets introduced Brad Miller(notes) and his camouflage shorts as the newest member of their team. We applauded the great fit, and not just because of the abundant hunting opportunities. Not only would Miller be playing in a system that values his skills — passing, perimeter shooting, other things that start with "P" — but he'd also be stepping into a low-pressure situation where he could excel in limited minutes. It was all good, baby bay-bay.
However, it turns out we might be seeing a lot more of Brad Miller in the next few years. Because not only is Yao Ming(notes) unsure about how he will perform this coming season, he's also contemplating ending his career if his foot doesn't heal right. From the Associated Press:
In comments to Chinese state media Monday, Yao sounded far from optimistic about his future and also made a rare criticism of China's national basketball program.
"If the foot injury does not heal next season, I might choose to call it quits," he said. [...]
Yao, who has been in China to promote some of his charity events, all but ruled out playing in the 2012 London Olympics.
"The chance is very small," the 7-6 center was quoted as saying by the official Xinhua News Agency. "The foot injury will not allow me to play so many games anymore. Like I said before, I will quit the national team and the sport one day. It's what happens to every athlete."
Leave it to Yao Ming to be completely OK with his impending basketball mortality even though it's five years too early. It seems like just yesterday that Yao was sporting the pinstriped Rockets uniforms made famous by Matt Maloney, and now he's all but telling us he's almost done with the NBA. Somebody grab me some tissues.
Of course, there is a chance that Yao's foot will be fine this season. Zydrunas Ilgauskas(notes) went through a similar injury and surgery early in his career, and has played eight seasons since then. He was 23 when he broke his foot, which makes healing a lot easier than recovering from the same injury at 30.
I guess all we can do now is hope that Yao's foot turns out to be no big deal. Well, size 18 kicks are pretty large, but I meant "big" in a metaphorical sense. At the very least, the Rockets have the most enjoyable center ever signed for the next four years. It'd be tough to lose Yao, but those next three years would be filled with so many hearty laughs.
However, it turns out we might be seeing a lot more of Brad Miller in the next few years. Because not only is Yao Ming(notes) unsure about how he will perform this coming season, he's also contemplating ending his career if his foot doesn't heal right. From the Associated Press:
In comments to Chinese state media Monday, Yao sounded far from optimistic about his future and also made a rare criticism of China's national basketball program.
"If the foot injury does not heal next season, I might choose to call it quits," he said. [...]
Yao, who has been in China to promote some of his charity events, all but ruled out playing in the 2012 London Olympics.
"The chance is very small," the 7-6 center was quoted as saying by the official Xinhua News Agency. "The foot injury will not allow me to play so many games anymore. Like I said before, I will quit the national team and the sport one day. It's what happens to every athlete."
Leave it to Yao Ming to be completely OK with his impending basketball mortality even though it's five years too early. It seems like just yesterday that Yao was sporting the pinstriped Rockets uniforms made famous by Matt Maloney, and now he's all but telling us he's almost done with the NBA. Somebody grab me some tissues.
Of course, there is a chance that Yao's foot will be fine this season. Zydrunas Ilgauskas(notes) went through a similar injury and surgery early in his career, and has played eight seasons since then. He was 23 when he broke his foot, which makes healing a lot easier than recovering from the same injury at 30.
I guess all we can do now is hope that Yao's foot turns out to be no big deal. Well, size 18 kicks are pretty large, but I meant "big" in a metaphorical sense. At the very least, the Rockets have the most enjoyable center ever signed for the next four years. It'd be tough to lose Yao, but those next three years would be filled with so many hearty laughs.
You Can Help Children Avoid Type 2 Diabetes
Type 2 diabetes is affecting kids in a big way, but diet and exercise can help children avoid or reverse this condition.
By Madeline Vann, MPH
Medically reviewed by Pat F. Bass III, MD, MPH
Once upon a time, type 2 diabetes was called “adult-onset diabetes.” If children had diabetes, 99 times out of 100 it was type 1 diabetes; type 2 diabetes didn’t appear until midlife. Now, studies suggest that up to 45 percent of childhood diabetes cases are type 2 diabetes.
Type 2 Diabetes: Why the Increase?
“No one is certain why, but most experts believe that it is related in part to the obesity epidemic,” explains Frank Diamond, MD, clinical director for the University of South Florida Diabetes Center and professor of pediatrics at the University of South Florida in Tampa. “We now have approximately 17 percent of the pediatric population that is overweight. Genetically at-risk children may be acquiring the disease earlier because of the increased insulin resistance associated with their early obesity. We are seeing many children with adult weights in our pediatric clinics today.”
Dr. Diamond also notes that the increase may be due to a rise in the proportion of children with ethnic minority heritage that puts them at increased risk for type 2 diabetes.
Basically, says Paul Robertson, MD, president of medicine and science at the American Diabetes Association, and professor of medicine and pharmacology at the University of Washington in Seattle, the causes of childhood type 2 diabetes boil down to genetic risk mixed with physical inactivity and poor eating habits.
“We know if the diets are corrected and they lose the weight, the diabetes becomes undetectable,” says Dr. Robertson.
The first step to preventing type 2 diabetes in childhood is to face the fact that it can happen to children, says Diamond. Then be on guard for symptoms and ask for diabetes screening.
“Symptoms include tiring easily, thirst, and increased urination. A darkening of the skin (acanthosis nigricans) on the back of the neck, under the arms, and in the groin area is associated with obesity and [is] a common finding with newly diagnosed type 2 diabetes children,” he says.
Also, bear in mind that if you had gestational diabetes during your pregnancy, your children are at increased risk of type 2 diabetes.
“Especially in families with a positive family history of type 2 diabetes, avoidance of excessive weight gain and encouragement of an active lifestyle are extremely important and the best tools to avoid the development of type 2 diabetes,” says Diamond. Some children may be candidates for a drug called metformin.
Type 2 Diabetes: Testing
Parents who are concerned that their child might have diabetes should ask for a fasting glucose screening test. That test determines how much sugar is in the blood before a person has eaten.
“A value over 99 mg/dL is abnormal and suggests ‘impending’ diabetes or glucose intolerance. A value equal to or greater than 126 mg/dL is diagnostic of diabetes,” says Diamond.
Any results above the normal range should be red flags for you and your family to:
• Eat a healthy diet rich in whole grains, lean proteins, fruits, and veggies. You can get help changing your family’s diet from a dietitian, if necessary.
• Get at least 30 minutes of exercise a day.
• Help your child lose at least 5 percent of his body weight if he is overweight.
Remember, childhood type 2 diabetes is within your family’s control.
“Lose weight, be active, eat the right foods,” says Robertson. “Lifestyle modifications can do a great deal in terms of staving off type 2 diabetes.”
By Madeline Vann, MPH
Medically reviewed by Pat F. Bass III, MD, MPH
Once upon a time, type 2 diabetes was called “adult-onset diabetes.” If children had diabetes, 99 times out of 100 it was type 1 diabetes; type 2 diabetes didn’t appear until midlife. Now, studies suggest that up to 45 percent of childhood diabetes cases are type 2 diabetes.
Type 2 Diabetes: Why the Increase?
“No one is certain why, but most experts believe that it is related in part to the obesity epidemic,” explains Frank Diamond, MD, clinical director for the University of South Florida Diabetes Center and professor of pediatrics at the University of South Florida in Tampa. “We now have approximately 17 percent of the pediatric population that is overweight. Genetically at-risk children may be acquiring the disease earlier because of the increased insulin resistance associated with their early obesity. We are seeing many children with adult weights in our pediatric clinics today.”
Dr. Diamond also notes that the increase may be due to a rise in the proportion of children with ethnic minority heritage that puts them at increased risk for type 2 diabetes.
Basically, says Paul Robertson, MD, president of medicine and science at the American Diabetes Association, and professor of medicine and pharmacology at the University of Washington in Seattle, the causes of childhood type 2 diabetes boil down to genetic risk mixed with physical inactivity and poor eating habits.
“We know if the diets are corrected and they lose the weight, the diabetes becomes undetectable,” says Dr. Robertson.
The first step to preventing type 2 diabetes in childhood is to face the fact that it can happen to children, says Diamond. Then be on guard for symptoms and ask for diabetes screening.
“Symptoms include tiring easily, thirst, and increased urination. A darkening of the skin (acanthosis nigricans) on the back of the neck, under the arms, and in the groin area is associated with obesity and [is] a common finding with newly diagnosed type 2 diabetes children,” he says.
Also, bear in mind that if you had gestational diabetes during your pregnancy, your children are at increased risk of type 2 diabetes.
“Especially in families with a positive family history of type 2 diabetes, avoidance of excessive weight gain and encouragement of an active lifestyle are extremely important and the best tools to avoid the development of type 2 diabetes,” says Diamond. Some children may be candidates for a drug called metformin.
Type 2 Diabetes: Testing
Parents who are concerned that their child might have diabetes should ask for a fasting glucose screening test. That test determines how much sugar is in the blood before a person has eaten.
“A value over 99 mg/dL is abnormal and suggests ‘impending’ diabetes or glucose intolerance. A value equal to or greater than 126 mg/dL is diagnostic of diabetes,” says Diamond.
Any results above the normal range should be red flags for you and your family to:
• Eat a healthy diet rich in whole grains, lean proteins, fruits, and veggies. You can get help changing your family’s diet from a dietitian, if necessary.
• Get at least 30 minutes of exercise a day.
• Help your child lose at least 5 percent of his body weight if he is overweight.
Remember, childhood type 2 diabetes is within your family’s control.
“Lose weight, be active, eat the right foods,” says Robertson. “Lifestyle modifications can do a great deal in terms of staving off type 2 diabetes.”
Friday, August 20, 2010
Vascular Testing: An Important Step in Preventing Amputation in Diabetics and Others with Poor Circulation
Adequate circulation to the lower legs and feet is a key factor in avoiding amputations to these areas. Current medical research shows that non-invasive vascular testing greatly increases the accuracy of diagnosing early arterial disease (a.k.a. peripheral vascular disease or PVD).
In the past, early arterial disease was detected simply by “feeling” the pulses of the arteries to the feet and legs. Studies show that up to 1/3 of patients with early arterial disease have no signs or symptoms of the disease on physical examination.
Doppler ultrasound technology allows physicians to more accurately assess the circulation to the feet and legs. This technology allows the physician to hear the arteries, as well as provides a graphical interpretation of the function of the individual arteries. Diseased arteries sound different, and the graphic wave forms are different than in healthy arteries. Doppler examination of the arteries to the feet and legs is fast, accurate, pain free, and can be performed in the physician’s office.
Signs of poor circulation to the feet & legs include: cold feet and toes, cramping to the feet and legs when walking, pain to the top of the feet at night, thin and shiny skin to the feet and legs, deformed toenails, loss of hair to the toes, and slow healing of minor wounds to the feet and legs.
Risk factors for PVD include: diabetes, smoking, high blood pressure, high cholesterol, and advanced age. Early detection of PVD is the key to avoiding complications such as non-healing wounds, infection, and amputations of the feet and legs.
In the past, early arterial disease was detected simply by “feeling” the pulses of the arteries to the feet and legs. Studies show that up to 1/3 of patients with early arterial disease have no signs or symptoms of the disease on physical examination.
Doppler ultrasound technology allows physicians to more accurately assess the circulation to the feet and legs. This technology allows the physician to hear the arteries, as well as provides a graphical interpretation of the function of the individual arteries. Diseased arteries sound different, and the graphic wave forms are different than in healthy arteries. Doppler examination of the arteries to the feet and legs is fast, accurate, pain free, and can be performed in the physician’s office.
Signs of poor circulation to the feet & legs include: cold feet and toes, cramping to the feet and legs when walking, pain to the top of the feet at night, thin and shiny skin to the feet and legs, deformed toenails, loss of hair to the toes, and slow healing of minor wounds to the feet and legs.
Risk factors for PVD include: diabetes, smoking, high blood pressure, high cholesterol, and advanced age. Early detection of PVD is the key to avoiding complications such as non-healing wounds, infection, and amputations of the feet and legs.
Taking a Vacation? Make it Easy on Your Feet!
Although rest and relaxation are the goals for most vacations, they usually involve a lot of walking and a lot of walking usually involves sore feet.
Walking is great exercise and one of the most reliable forms of transportation. But if your feet aren’t in the best shape or you don’t have the right shoes, too much walking can cause foot problems.
Good foot care is essential if you plan to subject your feet to long periods of walking. Some simple foot care tips include:
• Wear thick, absorbent socks (acrylic instead of cotton).
• Dry feet thoroughly after bathing, making sure to dry between toes. Use powder before putting on shoes.
• Nails should be cut regularly, straight across the toe.
• Bunions, hammertoes or any other serious foot problems should be evaluated by a foot and ankle specialist.
The right shoe is also important to healthy walking. The ideal walking shoe should be stable from side to side, and well-cushioned, and it should enable you to walk smoothly. Many running shoes will fit the bill.
There are also shoes made specially for walking. Walking shoes tend to be slightly less cushioned, yet not as bulky, and lighter than running shoes. Whether a walking or running shoe, the shoes need to feel stable and comfortable.
Warming up exercises to help alleviate any muscle stiffness or pulled muscles are also advised before walking. Loosening up the heel cords (Achilles and calf) and thigh muscles before a walk is especially effective.
If you’re not accustomed to long walks, start slowly and rest if your feet start hurting. And above all, have fun!
Walking is great exercise and one of the most reliable forms of transportation. But if your feet aren’t in the best shape or you don’t have the right shoes, too much walking can cause foot problems.
Good foot care is essential if you plan to subject your feet to long periods of walking. Some simple foot care tips include:
• Wear thick, absorbent socks (acrylic instead of cotton).
• Dry feet thoroughly after bathing, making sure to dry between toes. Use powder before putting on shoes.
• Nails should be cut regularly, straight across the toe.
• Bunions, hammertoes or any other serious foot problems should be evaluated by a foot and ankle specialist.
The right shoe is also important to healthy walking. The ideal walking shoe should be stable from side to side, and well-cushioned, and it should enable you to walk smoothly. Many running shoes will fit the bill.
There are also shoes made specially for walking. Walking shoes tend to be slightly less cushioned, yet not as bulky, and lighter than running shoes. Whether a walking or running shoe, the shoes need to feel stable and comfortable.
Warming up exercises to help alleviate any muscle stiffness or pulled muscles are also advised before walking. Loosening up the heel cords (Achilles and calf) and thigh muscles before a walk is especially effective.
If you’re not accustomed to long walks, start slowly and rest if your feet start hurting. And above all, have fun!
Thursday, August 19, 2010
Diabetics need to take special care of their feet to avoid the possibility of amputation
More than 18 million American adults suffer from diabetes, a chronic disease in which the pancreas stops producing insulin, the hormone that enables people to turn food into energy.
The disease, over time, can cause poor blood circulation and nerve damage in the feet, making them vulnerable to ulcers, infections, deformities and brittle bones.
Dr. Jasen Langley, a podiatrist with Kimball Medical Center in Lakewood, is trying to create public awareness of this growing problem. In cooperation with the hospital, he heads diabetes education classes and a monthly support group, designed to help individuals manage their diabetes.
"People with diabetes are 10 times more likely to have a lower limb amputated than people without diabetes," said Langley, whose office is in Howell. "They must always be vigilant and should see a podiatrist at the first sign of trouble. Early treatment can keep diabetic foot problems from progressing and reduce the risk of amputations."
At a recent program, Langley talked about the key factors in preventing serious damage to the foot and ankle areas.
"The most important thing a diabetic can do is have good blood sugar control," Langley said. "Once the sugar is under control, the manifestations of problems will actually slow down. You won't see them as quickly as you do in an uncontrolled diabetic."
Good blood sugar control can be achieved by medications, a proper diet and exercise, doctors say.
Wear sneakers
Seventy-two-year-old Edie Berg knows all about fighting blood sugar. She has been battling diabetes for more than seven years and started using insulin in 2004 to better maintain control.
"I like the insulin because I was getting some high numbers and that can be scary," said Berg, who lives in Howell. "The insulin has given me better control of my blood sugar. If I get a high number, I just take a little bigger dose of insulin."
Berg has been taking steroids for many years to combat chronic obstructive pulmonary disease (COPD), a lung disease that makes it difficult to breathe. She was told by doctors that her blood sugar numbers would increase because of the steroids, but it wasn't until 2000 that diabetes set in.
Fortunately, Berg has not had any problems with her feet. She credits a healthy diet and regular trips to the doctor. "I go every two months to the doctor and my feet are always checked," Berg said. "Dr. Langley always wants me to make sure I wear sneakers. He says, "If one foot rubs against another and you can't feel it, that's the first sign of trouble.' When I rub my feet together, it tickles, so I know I am OK."
Diabetes costs more than $132 billion a year in the United States, including direct medical expenses as well as indirect costs such as lost work, disability and premature death, according to the Centers for Disease Control and Prevention in Atlanta.
Langley said many younger doctors are being more aggressive in their treatment of diabetics, which can help prevent surgery and reduce the financial toll.
"If a foot becomes bad enough that you need surgery, that can run in the neighborhood of $50,000, $60,000," Langley said. "That really takes a toll on the family and the insurance companies. That is why you are seeing the media and the Diabetes Association embarking on a more aggressive campaign to get the word out on the disease."
The disease, over time, can cause poor blood circulation and nerve damage in the feet, making them vulnerable to ulcers, infections, deformities and brittle bones.
Dr. Jasen Langley, a podiatrist with Kimball Medical Center in Lakewood, is trying to create public awareness of this growing problem. In cooperation with the hospital, he heads diabetes education classes and a monthly support group, designed to help individuals manage their diabetes.
"People with diabetes are 10 times more likely to have a lower limb amputated than people without diabetes," said Langley, whose office is in Howell. "They must always be vigilant and should see a podiatrist at the first sign of trouble. Early treatment can keep diabetic foot problems from progressing and reduce the risk of amputations."
At a recent program, Langley talked about the key factors in preventing serious damage to the foot and ankle areas.
"The most important thing a diabetic can do is have good blood sugar control," Langley said. "Once the sugar is under control, the manifestations of problems will actually slow down. You won't see them as quickly as you do in an uncontrolled diabetic."
Good blood sugar control can be achieved by medications, a proper diet and exercise, doctors say.
Wear sneakers
Seventy-two-year-old Edie Berg knows all about fighting blood sugar. She has been battling diabetes for more than seven years and started using insulin in 2004 to better maintain control.
"I like the insulin because I was getting some high numbers and that can be scary," said Berg, who lives in Howell. "The insulin has given me better control of my blood sugar. If I get a high number, I just take a little bigger dose of insulin."
Berg has been taking steroids for many years to combat chronic obstructive pulmonary disease (COPD), a lung disease that makes it difficult to breathe. She was told by doctors that her blood sugar numbers would increase because of the steroids, but it wasn't until 2000 that diabetes set in.
Fortunately, Berg has not had any problems with her feet. She credits a healthy diet and regular trips to the doctor. "I go every two months to the doctor and my feet are always checked," Berg said. "Dr. Langley always wants me to make sure I wear sneakers. He says, "If one foot rubs against another and you can't feel it, that's the first sign of trouble.' When I rub my feet together, it tickles, so I know I am OK."
Diabetes costs more than $132 billion a year in the United States, including direct medical expenses as well as indirect costs such as lost work, disability and premature death, according to the Centers for Disease Control and Prevention in Atlanta.
Langley said many younger doctors are being more aggressive in their treatment of diabetics, which can help prevent surgery and reduce the financial toll.
"If a foot becomes bad enough that you need surgery, that can run in the neighborhood of $50,000, $60,000," Langley said. "That really takes a toll on the family and the insurance companies. That is why you are seeing the media and the Diabetes Association embarking on a more aggressive campaign to get the word out on the disease."
Wednesday, August 18, 2010
Still Think High Heels Are Worth It?
It’s not what fashion-conscious women want to hear—another warning about high heels. But, pump-style shoes often cause significant pain by irritating a common bony deformity on the back of the heel called ‘pump bump.’ In many cases, it can lead to bursitis or Achilles tendonitis if left untreated.
Pump bump is common in young women who wear high heels almost every day, and their feet take a beating as a result. The rigid back of a pump-style shoe can create pressure that aggravates the heel bone when walking.
The bump or bony protrusion is a hereditary deformity that can cause Achilles tendonitis or bursitis due to constant irritation from pump-style shoes. Those with high arches or tight Achilles tendons are especially vulnerable to developing pump bump if they work in high heels.
The medical term for the disorder is Haglund’s deformity. In addition to the noticeable bump, symptoms include pain where the Achilles tendon attaches to the heel, swelling in the back of the heel and redness in the area.
In the majority of cases, pump bump is treated non-surgically by reducing inflammation, but this does not get rid of the bony protrusion. Pain relief is the primary treatment goal, so anti-inflammatory medications usually are prescribed. Icing the back of the heel reduces swelling, and stretching exercises can relieve tension in the Achilles. Long-term, however, it’s best to avoid wearing high heels, if possible.
When the dress code requires high heels, it is advised that women try heel lifts to decrease pressure on the heel or wear appropriate dress shoes that have soft backs or are backless.
Pump bump is common in young women who wear high heels almost every day, and their feet take a beating as a result. The rigid back of a pump-style shoe can create pressure that aggravates the heel bone when walking.
The bump or bony protrusion is a hereditary deformity that can cause Achilles tendonitis or bursitis due to constant irritation from pump-style shoes. Those with high arches or tight Achilles tendons are especially vulnerable to developing pump bump if they work in high heels.
The medical term for the disorder is Haglund’s deformity. In addition to the noticeable bump, symptoms include pain where the Achilles tendon attaches to the heel, swelling in the back of the heel and redness in the area.
In the majority of cases, pump bump is treated non-surgically by reducing inflammation, but this does not get rid of the bony protrusion. Pain relief is the primary treatment goal, so anti-inflammatory medications usually are prescribed. Icing the back of the heel reduces swelling, and stretching exercises can relieve tension in the Achilles. Long-term, however, it’s best to avoid wearing high heels, if possible.
When the dress code requires high heels, it is advised that women try heel lifts to decrease pressure on the heel or wear appropriate dress shoes that have soft backs or are backless.
Soccer Season: Prime Time for Foot & Ankle Injuries
When soccer season is in full swing parents and coaches are strongly urged to think twice before coaxing young, injury-prone soccer players to “play through” foot and ankle pain.
In skeletally immature kids, starting and stopping and moving side to side on cleats that are little more than moccasins with spikes, is a recipe for foot and ankle sprains and worse. Kids will play with lingering, nagging heel pain that, upon testing, can turn out to be a stress fracture that can be very serious. By playing with pain, they can’t give their team 100 percent and they make their injuries worse, which prolongs their time out of soccer.
Symptoms of stress fractures include pain with activity, redness, and swelling with possible bruising. Treatment usually involves rest and sometimes casting. Some stress fractures heal poorly and can require surgery.
The constant running associated with soccer can place excessive stress on developing bones. Pain from overuse often stems from inflammation around the growth plate of the heel bone. The growth plates to the heel are still open and bones are still growing and maturing until children are about 13 to 16 years old. Rest, ice, anti-inflammatory medications and, in some cases, immobilization of the foot normally relieve this type of heel pain. Custom inserts can be helpful in kids with recurrent heel pain of this type.
Other types of overuse injuries are Achilles tendonitis and plantar fasciitis (heel pain caused by inflammation of the tissue extending from the heel to the toes). Quick, out-of-nowhere ankle sprains are also common to soccer. If the ankle stays swollen for days and is painful to walk or even stand on, it could be a fracture. Ankle injuries should always be evaluated by a foot and ankle specialist to assess the extent of the injury.
In skeletally immature kids, starting and stopping and moving side to side on cleats that are little more than moccasins with spikes, is a recipe for foot and ankle sprains and worse. Kids will play with lingering, nagging heel pain that, upon testing, can turn out to be a stress fracture that can be very serious. By playing with pain, they can’t give their team 100 percent and they make their injuries worse, which prolongs their time out of soccer.
Symptoms of stress fractures include pain with activity, redness, and swelling with possible bruising. Treatment usually involves rest and sometimes casting. Some stress fractures heal poorly and can require surgery.
The constant running associated with soccer can place excessive stress on developing bones. Pain from overuse often stems from inflammation around the growth plate of the heel bone. The growth plates to the heel are still open and bones are still growing and maturing until children are about 13 to 16 years old. Rest, ice, anti-inflammatory medications and, in some cases, immobilization of the foot normally relieve this type of heel pain. Custom inserts can be helpful in kids with recurrent heel pain of this type.
Other types of overuse injuries are Achilles tendonitis and plantar fasciitis (heel pain caused by inflammation of the tissue extending from the heel to the toes). Quick, out-of-nowhere ankle sprains are also common to soccer. If the ankle stays swollen for days and is painful to walk or even stand on, it could be a fracture. Ankle injuries should always be evaluated by a foot and ankle specialist to assess the extent of the injury.
Tuesday, August 17, 2010
Skin Conditions of the Foot & Ankle are Best Diagnosed with a Biopsy
Many skin conditions such as psoriasis, eczema, contact dermatitis and even “ring worm” look very similar on physical examination. Raised skin lesions like warts, moles, skin tags, and certain cancers of the skin can appear quite similar as well. In both examples, these conditions are all treated quite differently.
A thorough history and physical examination often gives the physician enough information to make a highly educated guess as to the diagnosis of these types of skin lesions. Misdiagnosing skin lesions can prolong the treatment process and even worsen the condition in some cases.
A skin biopsy is the collection of a small piece of skin that is sent to a pathologist for microscopic examination. When viewed under a microscope, the skin condition can be positively identified. Most biopsies can easily be taken in the office setting. A small numbing injection is given to the area of the lesion. Small lesions may be completely excised. A punch core may be taken from the center of large lesions. Raised lesions are generally shaved.
If you have an unknown skin condition on your foot or ankle, call CKPA your foot and ankle specialist for an evaluation and possible skin biopsy.
A thorough history and physical examination often gives the physician enough information to make a highly educated guess as to the diagnosis of these types of skin lesions. Misdiagnosing skin lesions can prolong the treatment process and even worsen the condition in some cases.
A skin biopsy is the collection of a small piece of skin that is sent to a pathologist for microscopic examination. When viewed under a microscope, the skin condition can be positively identified. Most biopsies can easily be taken in the office setting. A small numbing injection is given to the area of the lesion. Small lesions may be completely excised. A punch core may be taken from the center of large lesions. Raised lesions are generally shaved.
If you have an unknown skin condition on your foot or ankle, call CKPA your foot and ankle specialist for an evaluation and possible skin biopsy.
Monday, August 16, 2010
Popular Flip-Flop Sandals Linked to Rising Youth Heel Pain Rate
Many of us wear flip-flop sandals throughout the year; however, their popularity among teens and young adults is responsible for a growing epidemic of heel pain in this population.
We’re seeing more heel pain than ever in patients 15 to 25 years old, a group that usually doesn’t have this problem. A major contributor is wearing flip-flop sandals with paper-thin soles everyday to school. Flip-flops have no arch support and can accentuate any abnormal biomechanics in foot motion, and this eventually brings pain and inflammation.
Wearing sandals with reasonably strong soles and arch support is recommended. Especially for girls and young women, thicker soled sandals with supportive arches might not be considered stylish, but if you want to wear sandals most of the time, you’ll avoid heel pain if you choose sturdier, perhaps less fashionable styles.
It is estimated that 15 percent of all adult foot complaints involve plantar fasciitis, the type of heel pain caused by chronic inflammation of the connective tissue extending from the heel bone to the toes. Tight calf muscles and wearing inappropriate footwear are common contributing factors.
The pain is most noticeable after getting out of bed in the morning, and it tends to decrease after a few minutes and returns during the day as time on the feet increases. Not all heel pain, however, is caused by plantar fasciitis. It also can occur from inflammation of the Achilles tendon, bursitis, arthritis, gout, stress fractures, or irritation of one or more of the nerves in the region. Therefore, diagnosis by a foot and ankle specialist to rule out other causes is advised.
Initial treatment options for heel pain caused by plantar fasciitis should include anti-inflammatory medications, padding and strapping of the foot and physical therapy. Patients also should stretch their calf muscles regularly, avoid wearing flat shoes and walking barefoot, use over-the-counter arch supports and heel cushions, and limit the frequency of extended physical activities.
Most patients with plantar fasciitis respond to non-surgical treatment within six weeks. However, surgery is sometimes necessary to relieve severe, persistent pain. To find out what is happening with your child feet don’t wait to see your foot specialist at Central Kansas Podiatry Associates today.
We’re seeing more heel pain than ever in patients 15 to 25 years old, a group that usually doesn’t have this problem. A major contributor is wearing flip-flop sandals with paper-thin soles everyday to school. Flip-flops have no arch support and can accentuate any abnormal biomechanics in foot motion, and this eventually brings pain and inflammation.
Wearing sandals with reasonably strong soles and arch support is recommended. Especially for girls and young women, thicker soled sandals with supportive arches might not be considered stylish, but if you want to wear sandals most of the time, you’ll avoid heel pain if you choose sturdier, perhaps less fashionable styles.
It is estimated that 15 percent of all adult foot complaints involve plantar fasciitis, the type of heel pain caused by chronic inflammation of the connective tissue extending from the heel bone to the toes. Tight calf muscles and wearing inappropriate footwear are common contributing factors.
The pain is most noticeable after getting out of bed in the morning, and it tends to decrease after a few minutes and returns during the day as time on the feet increases. Not all heel pain, however, is caused by plantar fasciitis. It also can occur from inflammation of the Achilles tendon, bursitis, arthritis, gout, stress fractures, or irritation of one or more of the nerves in the region. Therefore, diagnosis by a foot and ankle specialist to rule out other causes is advised.
Initial treatment options for heel pain caused by plantar fasciitis should include anti-inflammatory medications, padding and strapping of the foot and physical therapy. Patients also should stretch their calf muscles regularly, avoid wearing flat shoes and walking barefoot, use over-the-counter arch supports and heel cushions, and limit the frequency of extended physical activities.
Most patients with plantar fasciitis respond to non-surgical treatment within six weeks. However, surgery is sometimes necessary to relieve severe, persistent pain. To find out what is happening with your child feet don’t wait to see your foot specialist at Central Kansas Podiatry Associates today.
Runners: Fit Feet Finish Faster
Both long-distance runners and casual joggers can improve their performance by keeping their feet in top condition and taking steps to control foot problems common in runners.
The human foot is a biological masterpiece that amazingly endures the stresses of daily activity. For runners, the feet are more vulnerable to injury than any other part of the body, and these athletes should be on the alert for signs of foot problems that can slow them down if not treated promptly.
The most common complaint from runners is heel pain caused by inflammation of the ligament that holds up the arch, a condition known as plantar fasciitis. In athletes, heel pain can result from faulty mechanics and overpronation in which pressure is unequally applied to the inside of the foot. It also can be caused by wearing running shoes that are worn out or too soft.
At the first sign of heel pain, runners are advised to do stretching exercises, wear sturdier shoes and use arch supports. In some cases, icing and anti-inflammatory drugs, such as ibuprofen, are helpful. Should heel pain continue, custom orthotics, injections and physical therapy might be required? Surgery normally isn’t considered unless heel pain persists for more than a year and conservative treatment has failed to bring relief.
Neuromas and tendonitis are other common foot problems that affect runners. A neuroma is a pinched nerve between the toes that can cause pain, numbness and a burning sensation in the ball of the foot. Overly flexible shoes often are the cause and padding, orthotics or injections usually are effective. Sometimes surgery is the answer if pain between the toes continues for more than six months.
Serious runners can be sidelined with tendonitis if they ignore the warning signs of this overuse-related condition. There are several forms of tendonitis that affect the Achilles and other areas, and all are treated with rest, icing, stretching and anti-inflammatory medications, and sometimes with orthotics and physical therapy. Over-zealous training usually causes tendonitis, especially among beginners who try to do too much too soon.
A common myth among athletes is that it’s not possible to walk or run if a bone in the foot is fractured. Surprised patients often say “It can’t be broken, I can walk on it." That’s dead wrong, especially with stress fractures when pain and swelling might not occur for a few days. If a fracture or sprain is suspected, runners should remember the word RICE as an abbreviation for Rest-Ice-Compression-Elevation. Should pain and swelling continue after following this procedure for three or four days, you should see a foot and ankle specialist for an x-ray and proper diagnosis.
Other common foot ailments runners should watch for are:
Athlete’s Foot: This fungal skin disorder causes dry, cracking skin between the toes, itching, inflammation and blisters. It can be prevented and controlled by washing the feet regularly and carefully drying between the toes; switching running shoes every other day to allow them to dry; wearing socks made with synthetic material instead of cotton; and applying over-the-counter ointments.
Toenail Problems: Ingrown nails can cause inflammation and possible infection and usually are treated by cutting the corner of the nail with sterile clippers. Black toenails happen when a blood blister forms under the nail from trauma, and it’s best to let the nail fall off by itself. Fungal toenails are yellow, brown or black and sometimes are irregularly shaped and thick. They are best treated with oral anti-fungal medications.
Foot Odor: There are more than 250,000 sweat glands in the foot and daily hygiene plus regular changing of shoes and socks are best for controlling sweat and odor. Runners should avoid wearing cotton socks and running without socks. Foot powders, aerosols antiperspirants and vinegar soaks also are helpful.
Blisters, corns and calluses: Never pop blisters unless they are larger than a quarter or are painful or swollen. Use a sterile instrument to lance the corner, leave the top as a biological dressing, wash, apply antibiotic ointment, and cover with a Band-aid. Corns and calluses are caused by repeated friction, and should be treated by aseptically trimming the dead skin and eliminating the underlying cause.
The human foot is a biological masterpiece that amazingly endures the stresses of daily activity. For runners, the feet are more vulnerable to injury than any other part of the body, and these athletes should be on the alert for signs of foot problems that can slow them down if not treated promptly.
The most common complaint from runners is heel pain caused by inflammation of the ligament that holds up the arch, a condition known as plantar fasciitis. In athletes, heel pain can result from faulty mechanics and overpronation in which pressure is unequally applied to the inside of the foot. It also can be caused by wearing running shoes that are worn out or too soft.
At the first sign of heel pain, runners are advised to do stretching exercises, wear sturdier shoes and use arch supports. In some cases, icing and anti-inflammatory drugs, such as ibuprofen, are helpful. Should heel pain continue, custom orthotics, injections and physical therapy might be required? Surgery normally isn’t considered unless heel pain persists for more than a year and conservative treatment has failed to bring relief.
Neuromas and tendonitis are other common foot problems that affect runners. A neuroma is a pinched nerve between the toes that can cause pain, numbness and a burning sensation in the ball of the foot. Overly flexible shoes often are the cause and padding, orthotics or injections usually are effective. Sometimes surgery is the answer if pain between the toes continues for more than six months.
Serious runners can be sidelined with tendonitis if they ignore the warning signs of this overuse-related condition. There are several forms of tendonitis that affect the Achilles and other areas, and all are treated with rest, icing, stretching and anti-inflammatory medications, and sometimes with orthotics and physical therapy. Over-zealous training usually causes tendonitis, especially among beginners who try to do too much too soon.
A common myth among athletes is that it’s not possible to walk or run if a bone in the foot is fractured. Surprised patients often say “It can’t be broken, I can walk on it." That’s dead wrong, especially with stress fractures when pain and swelling might not occur for a few days. If a fracture or sprain is suspected, runners should remember the word RICE as an abbreviation for Rest-Ice-Compression-Elevation. Should pain and swelling continue after following this procedure for three or four days, you should see a foot and ankle specialist for an x-ray and proper diagnosis.
Other common foot ailments runners should watch for are:
Athlete’s Foot: This fungal skin disorder causes dry, cracking skin between the toes, itching, inflammation and blisters. It can be prevented and controlled by washing the feet regularly and carefully drying between the toes; switching running shoes every other day to allow them to dry; wearing socks made with synthetic material instead of cotton; and applying over-the-counter ointments.
Toenail Problems: Ingrown nails can cause inflammation and possible infection and usually are treated by cutting the corner of the nail with sterile clippers. Black toenails happen when a blood blister forms under the nail from trauma, and it’s best to let the nail fall off by itself. Fungal toenails are yellow, brown or black and sometimes are irregularly shaped and thick. They are best treated with oral anti-fungal medications.
Foot Odor: There are more than 250,000 sweat glands in the foot and daily hygiene plus regular changing of shoes and socks are best for controlling sweat and odor. Runners should avoid wearing cotton socks and running without socks. Foot powders, aerosols antiperspirants and vinegar soaks also are helpful.
Blisters, corns and calluses: Never pop blisters unless they are larger than a quarter or are painful or swollen. Use a sterile instrument to lance the corner, leave the top as a biological dressing, wash, apply antibiotic ointment, and cover with a Band-aid. Corns and calluses are caused by repeated friction, and should be treated by aseptically trimming the dead skin and eliminating the underlying cause.
Sunday, August 15, 2010
CHECK KIDS’ FEET BEFORE SCHOOL STARTS
Simple At-home Checks Help Spot Foot Problems
During the annual rite of preparing for the new school year, it is recommended that parents take five minutes at home to check for signs of possible foot disorders that could prevent active children from participating in sports and other activities.
The American College of Foot & Ankle Surgeons (ACFAS) suggests these additions to this year’s back-to-school checklist:
• Do the bottom of the child’s shoes show uneven wear patterns?
• Does the child walk irregularly? Is one leg longer than the other or do feet turn in or out excessively?
• Do pre-schoolers walk on their toes?
• Does the child often trip or stumble?
• Does the child complain of tired legs, night pains and cramping?
If parents take time to perform these checks, they will identify symptoms of common foot ailments, such as ingrown nails, and more serious foot disorders like flat feet that can hamper a child’s performance in physical education classes and sports. If a child’s shoe is worn on the big toe side of the foot, it could be a sign of poor arch support or flat feet.
Parents can spot several potential foot problems by observing kids’ walking patterns. For example, if a parent determines that one leg is longer than the other, heel lifts may be required to restore proper balance.
Toe-walking in younger children can result from too much time spent in walkers as toddlers. Parents are urged take action to correct tightness in the Achilles tendon area that occurs from excessive toe-walking. ACFAS recommends stretching exercises that can be fun for small children and will help prevent lower back pain as they get older.
For those beginning college, heel pain and shin splints can plague freshmen not acclimated to walking long distances across campus to attend classes. Daily stretching and proper walking shoes are recommended, and for those with deformities such as hammertoes, surgery may be necessary to make walking more comfortable.
Parents also should heed complaints about tired legs, heel pain and leg or foot cramps at night. There’s no such thing as “growing pains,” so when kids complain about leg and foot pain they might have flat feet or another disorder that should be evaluated immediately. Children with flat feet are at risk for arthritis later in life if the problem is left untreated.
Parents who notice a potential foot problem should have the child evaluated by the foot specialist at Central Kansas Podiatry Associates.
During the annual rite of preparing for the new school year, it is recommended that parents take five minutes at home to check for signs of possible foot disorders that could prevent active children from participating in sports and other activities.
The American College of Foot & Ankle Surgeons (ACFAS) suggests these additions to this year’s back-to-school checklist:
• Do the bottom of the child’s shoes show uneven wear patterns?
• Does the child walk irregularly? Is one leg longer than the other or do feet turn in or out excessively?
• Do pre-schoolers walk on their toes?
• Does the child often trip or stumble?
• Does the child complain of tired legs, night pains and cramping?
If parents take time to perform these checks, they will identify symptoms of common foot ailments, such as ingrown nails, and more serious foot disorders like flat feet that can hamper a child’s performance in physical education classes and sports. If a child’s shoe is worn on the big toe side of the foot, it could be a sign of poor arch support or flat feet.
Parents can spot several potential foot problems by observing kids’ walking patterns. For example, if a parent determines that one leg is longer than the other, heel lifts may be required to restore proper balance.
Toe-walking in younger children can result from too much time spent in walkers as toddlers. Parents are urged take action to correct tightness in the Achilles tendon area that occurs from excessive toe-walking. ACFAS recommends stretching exercises that can be fun for small children and will help prevent lower back pain as they get older.
For those beginning college, heel pain and shin splints can plague freshmen not acclimated to walking long distances across campus to attend classes. Daily stretching and proper walking shoes are recommended, and for those with deformities such as hammertoes, surgery may be necessary to make walking more comfortable.
Parents also should heed complaints about tired legs, heel pain and leg or foot cramps at night. There’s no such thing as “growing pains,” so when kids complain about leg and foot pain they might have flat feet or another disorder that should be evaluated immediately. Children with flat feet are at risk for arthritis later in life if the problem is left untreated.
Parents who notice a potential foot problem should have the child evaluated by the foot specialist at Central Kansas Podiatry Associates.
Saturday, August 14, 2010
Pain to the Bottom of the Heel Can Have Many Causes
Pain on the bottom of the heel is most often caused by plantar fasciitis. Heel pain may also be due to other causes, such as a stress fracture, arthritis, nerve irritation, or, a bone tumor or cyst. Because there are several potential causes, it is important to have heel pain properly diagnosed.
A stress fracture to the heel bone will cause pain when walking, but the heel area may also be red, hot, swollen, and bruised.
Arthritic conditions such as rheumatoid arthritis and psoriatic arthritis not only affect the joints, but can also cause inflammation of the tendons and ligaments in the foot leading to heel pain.
There are 2 types of nerve entrapments that can cause heel pain. Tarsal Tunnel Syndrome is similar to Carpal Tunnel Syndrome. A large nerve to the inside of the foot can be compressed by large veins, a soft tissue mass, or even because of the structural changes to the foot from severe flatfoot deformity. Patients with Tarsal Tunnel Syndrome have pain to the bottom of the heel, but may also experience shooting pains along the entire bottom of the foot and numbness and tingling of the toes.
Baxter’s nerve entrapment is another cause of heel pain. Baxter’s nerve is a small nerve branch on the bottom of the foot that becomes entrapped by a muscle on the bottom of the foot. This type of heel pain is typically worsened with long activity and often radiates to the outside of the bottom of the heel.
Certain types of heel bone cysts or tumors can also cause heel pain. Bone cysts can be filled with water or blood. Fatty tumors called lipomas are common in the heel bone. Rarely, the heel bone can have a metastatic tumor.
Plantar fasciitis is an inflammation of the band of tissue that extends from the heel to the toes. Plantar fasciitis generally results in pain to the heel after any period of rest and with long activity.
A thorough history and physical exam is necessary to properly diagnose heel pain. X-rays, diagnostic ultrasound, MRI, CT scans, or nerve studies may be necessary as well.
If you have pain to the bottom of your heel, call Central Kansas Podiatry Associates for further evaluation.
A stress fracture to the heel bone will cause pain when walking, but the heel area may also be red, hot, swollen, and bruised.
Arthritic conditions such as rheumatoid arthritis and psoriatic arthritis not only affect the joints, but can also cause inflammation of the tendons and ligaments in the foot leading to heel pain.
There are 2 types of nerve entrapments that can cause heel pain. Tarsal Tunnel Syndrome is similar to Carpal Tunnel Syndrome. A large nerve to the inside of the foot can be compressed by large veins, a soft tissue mass, or even because of the structural changes to the foot from severe flatfoot deformity. Patients with Tarsal Tunnel Syndrome have pain to the bottom of the heel, but may also experience shooting pains along the entire bottom of the foot and numbness and tingling of the toes.
Baxter’s nerve entrapment is another cause of heel pain. Baxter’s nerve is a small nerve branch on the bottom of the foot that becomes entrapped by a muscle on the bottom of the foot. This type of heel pain is typically worsened with long activity and often radiates to the outside of the bottom of the heel.
Certain types of heel bone cysts or tumors can also cause heel pain. Bone cysts can be filled with water or blood. Fatty tumors called lipomas are common in the heel bone. Rarely, the heel bone can have a metastatic tumor.
Plantar fasciitis is an inflammation of the band of tissue that extends from the heel to the toes. Plantar fasciitis generally results in pain to the heel after any period of rest and with long activity.
A thorough history and physical exam is necessary to properly diagnose heel pain. X-rays, diagnostic ultrasound, MRI, CT scans, or nerve studies may be necessary as well.
If you have pain to the bottom of your heel, call Central Kansas Podiatry Associates for further evaluation.
Friday, August 13, 2010
Question: I have a large bump on the inside of my foot that seems to be getting larger, what is it, and can it be removed?
Answer: A bunion is a bony prominence, along the inside of the foot, at the base of the big toes. This “bump” represents a misalignment of the big toe joint. Bunions commonly occur on both feet, but on foot may be more severe than the other. They tend to be hereditary but can occur without a family history. They are not caused by poor shoe gear, but are often aggravated by the shoe. This deformity is cause by abnormal foot function. A foot that rolls in excessively (pronates excessively) allows abnormal stress to go through the big toe joint to cause the deformity. This is a progressive deformity. The deformity never gets better, only worse.
Conservative care consists of decreasing the pressure on the bony prominence by a wider or softer shoe or padding around the deformity. Sometimes good arch support of an orthotic will improve foot function enough to decrease the irritation of the deformity and slow down its progression. If conservative care is not successful, then surgical straightening is the treatment choice. Surgical treatment revolves around realigning the structural deformity. The bony prominence is removed and the joint is realigned. The type of procedure and the length of recovery are determined by the severity of the deformity.
In order for your surgeon to establish a diagnosis and determine the severity of the deformity, a health history, physical examination, and x-rays are necessary to evaluate the extent of your bunion deformity. Depending on your individual needs as well as your overall medical, condition, your surgeon will recommend the best treatment regiment for you.
Conservative care consists of decreasing the pressure on the bony prominence by a wider or softer shoe or padding around the deformity. Sometimes good arch support of an orthotic will improve foot function enough to decrease the irritation of the deformity and slow down its progression. If conservative care is not successful, then surgical straightening is the treatment choice. Surgical treatment revolves around realigning the structural deformity. The bony prominence is removed and the joint is realigned. The type of procedure and the length of recovery are determined by the severity of the deformity.
In order for your surgeon to establish a diagnosis and determine the severity of the deformity, a health history, physical examination, and x-rays are necessary to evaluate the extent of your bunion deformity. Depending on your individual needs as well as your overall medical, condition, your surgeon will recommend the best treatment regiment for you.
Nail Deformity Can Best Be Treated With Correct Diagnosis
Many patients are concerned because they have thick yellow toenails that are deformed and difficult to cut. Nail deformity has many causes including: trauma, psoriasis, fungal infection, thyroid disease, and lung disease. Correct diagnosis of the toenail deformity is essential for proper treatment.
Patients often ask about taking Lamisil Tablets for their nail deformity. Lamisil, and other oral anti-fungals, can be an excellent treatment for deformed toenails due to fungal infection; however, oral anti-fungals are not effective for other causes of nail disease. There are several topical products now available to reduce nail deformity that is not caused by fungus.
A thorough history & physical along with a nail biopsy is the best way to diagnose the reason for the nail deformity.
If the deformity is caused by fungal infection, oral anti-fungal agents, like Lamisil, may be a good choice. When prescribing oral anti-fungals it is important to monitor the patient’s liver functions, much the same way as patients who are on diabetes and/or cholesterol medications. If the patient’s liver functions are normal, oral anti-fungal agents are very safe medications. For patients who cannot take oral anti-fungals, topical treatments are available.
If you have thick yellow nails, call CKPA for an evaluation & treatment options.
Patients often ask about taking Lamisil Tablets for their nail deformity. Lamisil, and other oral anti-fungals, can be an excellent treatment for deformed toenails due to fungal infection; however, oral anti-fungals are not effective for other causes of nail disease. There are several topical products now available to reduce nail deformity that is not caused by fungus.
A thorough history & physical along with a nail biopsy is the best way to diagnose the reason for the nail deformity.
If the deformity is caused by fungal infection, oral anti-fungal agents, like Lamisil, may be a good choice. When prescribing oral anti-fungals it is important to monitor the patient’s liver functions, much the same way as patients who are on diabetes and/or cholesterol medications. If the patient’s liver functions are normal, oral anti-fungal agents are very safe medications. For patients who cannot take oral anti-fungals, topical treatments are available.
If you have thick yellow nails, call CKPA for an evaluation & treatment options.
Thursday, August 12, 2010
Lax Care of Foot Puncture Wounds Hikes Risk for Serious Infections
Bare feet are universally associated with summer, but for those who enjoy walking barefoot, a local foot and ankle surgeon warns that inattention to seemingly minor puncture wounds on the soles of your feet can allow serious infections to develop and spread.
Going barefoot heightens risk for puncture wounds, which require different treatment from cuts because the tiny holes often harbor foreign matter under the skin. Glass, nails, needles and seashells are common offenders. Regardless of the substance, anything that remains in the wound increases your chances for complications.
Puncture wounds in the feet too often are superficially treated, and it is best to get proper care within the first 24 hours to make sure anything that might be embedded in the wound is removed. Research shows 10 percent of puncture wounds do result in serious infection, but such complications can be prevented with prompt and appropriate medical attention.
The depth and relative cleanliness of a puncture wound are the main factors determining possible infection risk. Studies show 60 percent of patients who required incision and drainage of a puncture wound had something embedded. With the increasing prevalence of drug-resistant bacteria, even healthy people are getting potentially life-threatening Staph infections. So if you step on something and the skin is broken, get treated right away.
Proper treatment of a puncture wound involves thorough cleaning to decrease infection risk and tetanus shots often are needed. Following treatment, the wound should be monitored carefully at home.
Sometimes an infection can develop later and migrate to the bones. So if the wound stays red, swollen and sore after a few days, go back to the doctor for further treatment. In all cases, a puncture wound on your foot should never be taken lightly.
Going barefoot heightens risk for puncture wounds, which require different treatment from cuts because the tiny holes often harbor foreign matter under the skin. Glass, nails, needles and seashells are common offenders. Regardless of the substance, anything that remains in the wound increases your chances for complications.
Puncture wounds in the feet too often are superficially treated, and it is best to get proper care within the first 24 hours to make sure anything that might be embedded in the wound is removed. Research shows 10 percent of puncture wounds do result in serious infection, but such complications can be prevented with prompt and appropriate medical attention.
The depth and relative cleanliness of a puncture wound are the main factors determining possible infection risk. Studies show 60 percent of patients who required incision and drainage of a puncture wound had something embedded. With the increasing prevalence of drug-resistant bacteria, even healthy people are getting potentially life-threatening Staph infections. So if you step on something and the skin is broken, get treated right away.
Proper treatment of a puncture wound involves thorough cleaning to decrease infection risk and tetanus shots often are needed. Following treatment, the wound should be monitored carefully at home.
Sometimes an infection can develop later and migrate to the bones. So if the wound stays red, swollen and sore after a few days, go back to the doctor for further treatment. In all cases, a puncture wound on your foot should never be taken lightly.
Lawnmower Accidents Needn’t Be a Rite of Summer
Summertime is here and weekend gardeners are cautioned that their yards could become "toe-away" zones if they’re not careful when operating rotary-blade lawn mowers.
Each year, some 25,000 Americans sustain injuries from power mowers, according to the U.S. Consumer Products Safety Commission. Although the number of accidents has steadily declined since the 1982 adoption of federal safety standards, too many foot injuries from power lawnmowers are still seen. The blades whirl at 3000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet patients are still seen who have been hurt while operating a mower barefoot! Foot injuries range from dirty, infection-prone lacerations to severed tendons to amputated toes.
If a mower accident occurs – with just a minor injury – immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection. Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be re-attached surgically unless toes have been amputated.
Children under the age of 14 and adults over age 44 are more likely to be injured from mowers than others. Anyone who operates a power mower to take a few simple precautions:
• Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
• Wear heavy shoes or work boots when mowing – no sneakers or sandals.
• Mow slowly across slopes, never go up and down.
• Never pull a running mower backward.
• Keep the clip bag attached when operating a power mower to prevent projectile injuries.
• Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.
• Always keep children away from the lawn when mowing it.
Each year, some 25,000 Americans sustain injuries from power mowers, according to the U.S. Consumer Products Safety Commission. Although the number of accidents has steadily declined since the 1982 adoption of federal safety standards, too many foot injuries from power lawnmowers are still seen. The blades whirl at 3000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet patients are still seen who have been hurt while operating a mower barefoot! Foot injuries range from dirty, infection-prone lacerations to severed tendons to amputated toes.
If a mower accident occurs – with just a minor injury – immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection. Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be re-attached surgically unless toes have been amputated.
Children under the age of 14 and adults over age 44 are more likely to be injured from mowers than others. Anyone who operates a power mower to take a few simple precautions:
• Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
• Wear heavy shoes or work boots when mowing – no sneakers or sandals.
• Mow slowly across slopes, never go up and down.
• Never pull a running mower backward.
• Keep the clip bag attached when operating a power mower to prevent projectile injuries.
• Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.
• Always keep children away from the lawn when mowing it.
Wednesday, August 11, 2010
High Heeled Summer Shoes and Boots Are Dangerous Year Round
Year round women wear fashionable high-heeled shoes. These 3-6 inch heels put women at risk for slips, falls, and injuries. These high heels are popular shoes they typically feature tall, spiked heels and narrow, pointed toes. Wearing high-heels makes you more unstable when walking or standing on dry surfaces. A stylish low-heeled summer shoe is a lot more fashionable than a cast and crutches. It is recommended that women scuff-up the soles of any new shoes or boots, or purchase adhesive rubber soles, to provide greater traction.
Falls from high-heeled shoes can lead to a number of injuries, depending on how the woman loses her balance. If her ankle rolls inward or outward, she can break her ankle. If her ankle twists, ligaments can be stretched or torn, causing ankle sprain.
Women injured from slips and falls in high-heeled shoes or boots should contact Central Kansas Podiatry Associates for prompt evaluation and treatment. In the meantime, immediately use the “R.I.C.E.” method – rest, ice, compression and elevation – to help reduce swelling, pain and further injury.
Delaying treatment can result in long-term complications such as chronic ankle instability and pain, arthritis, or deformity. Even if one is able to walk on the injured foot, pain, swelling, or bruising indicates a serious injury.
Falls from high-heeled shoes can lead to a number of injuries, depending on how the woman loses her balance. If her ankle rolls inward or outward, she can break her ankle. If her ankle twists, ligaments can be stretched or torn, causing ankle sprain.
Women injured from slips and falls in high-heeled shoes or boots should contact Central Kansas Podiatry Associates for prompt evaluation and treatment. In the meantime, immediately use the “R.I.C.E.” method – rest, ice, compression and elevation – to help reduce swelling, pain and further injury.
Delaying treatment can result in long-term complications such as chronic ankle instability and pain, arthritis, or deformity. Even if one is able to walk on the injured foot, pain, swelling, or bruising indicates a serious injury.
Diabetic Foot Care Important
Why is Diabetic Foot Care Important?
Many people know somebody who is diabetic who has had a toe, or even a foot or leg amputated. This is the worst-case assumption and points at the critical importance of foot care for a diabetic. Foot care is a specially important part of care for people with diabetes. But proper diabetic foot care and attention can keep most serious foot diseases.
Daily Foot Care Guide for Diabetic
1. Clean your feet every day using mild soap and warm water. Assure the water temperature with your hand or elbow before putting your feet in the water.
2. Dry your feet well. Make sure to dry between toes.
3. Look at your feet. Check for any breaks, dry skin, cuts, redness, swelling, and change in temperature.
4. Apply lotion to dry or cracked skin and to soles of feet. Do not put lotion between toes.
5. Call Central Kansas Podiatry Associates right away if you have any sign of infection such as swelling, redness, drainage, fever, or chills.
Many people know somebody who is diabetic who has had a toe, or even a foot or leg amputated. This is the worst-case assumption and points at the critical importance of foot care for a diabetic. Foot care is a specially important part of care for people with diabetes. But proper diabetic foot care and attention can keep most serious foot diseases.
Daily Foot Care Guide for Diabetic
1. Clean your feet every day using mild soap and warm water. Assure the water temperature with your hand or elbow before putting your feet in the water.
2. Dry your feet well. Make sure to dry between toes.
3. Look at your feet. Check for any breaks, dry skin, cuts, redness, swelling, and change in temperature.
4. Apply lotion to dry or cracked skin and to soles of feet. Do not put lotion between toes.
5. Call Central Kansas Podiatry Associates right away if you have any sign of infection such as swelling, redness, drainage, fever, or chills.
Tuesday, August 10, 2010
You Can Help Children Avoid Type 2 Diabetes
Type 2 diabetes is affecting kids in a big way, but diet and exercise can help children avoid or reverse this condition.
Once upon a time, type 2 diabetes was called “adult-onset diabetes.” If children had diabetes, 99 times out of 100 it was type 1 diabetes; type 2 diabetes didn’t appear until midlife. Now, studies suggest that up to 45 percent of childhood diabetes cases are type 2 diabetes.
Type 2 Diabetes: Why the Increase?
“No one is certain why, but most experts believe that it is related in part to the obesity epidemic,” explains Frank Diamond, MD, clinical director for the University of South Florida Diabetes Center and professor of pediatrics at the University of South Florida in Tampa. “We now have approximately 17 percent of the pediatric population that is overweight. Genetically at-risk children may be acquiring the disease earlier because of the increased insulin resistance associated with their early obesity. We are seeing many children with adult weights in our pediatric clinics today.”
Dr. Diamond also notes that the increase may be due to a rise in the proportion of children with ethnic minority heritage that puts them at increased risk for type 2 diabetes.
Basically, says Paul Robertson, MD, president of medicine and science at the American Diabetes Association, and professor of medicine and pharmacology at the University of Washington in Seattle, the causes of childhood type 2 diabetes boil down to genetic risk mixed with physical inactivity and poor eating habits.
“We know if the diets are corrected and they lose the weight, the diabetes becomes undetectable,” says Dr. Robertson.
There's more content below this advertisement. Jump to the content.
Type 2 Diabetes: What Parents Can Do
The first step to preventing type 2 diabetes in childhood is to face the fact that it can happen to children, says Diamond. Then be on guard for symptoms and ask for diabetes screening.
“Symptoms include tiring easily, thirst, and increased urination. A darkening of the skin (acanthosis nigricans) on the back of the neck, under the arms, and in the groin area is associated with obesity and [is] a common finding with newly diagnosed type 2 diabetes children,” he says.
Also, bear in mind that if you had gestational diabetes during your pregnancy, your children are at increased risk of type 2 diabetes.
“Especially in families with a positive family history of type 2 diabetes, avoidance of excessive weight gain and encouragement of an active lifestyle are extremely important and the best tools to avoid the development of type 2 diabetes,” says Diamond. Some children may be candidates for a drug called metformin.
Type 2 Diabetes: Testing
Parents who are concerned that their child might have diabetes should ask for a fasting glucose screening test. That test determines how much sugar is in the blood before a person has eaten.
“A value over 99 mg/dL is abnormal and suggests ‘impending’ diabetes or glucose intolerance. A value equal to or greater than 126 mg/dL is diagnostic of diabetes,” says Diamond.
Any results above the normal range should be red flags for you and your family to:
* Eat a healthy diet rich in whole grains, lean proteins, fruits, and veggies. You can get help changing your family’s diet from a dietitian, if necessary.
* Get at least 30 minutes of exercise a day.
* Help your child lose at least 5 percent of his body weight if he is overweight.
Remember, childhood type 2 diabetes is within your family’s control.
“Lose weight, be active, eat the right foods,” says Robertson. “Lifestyle modifications can do a great deal in terms of staving off type 2 diabetes.”
Last Updated: 04/16/2009
This section created and produced exclusively by the editorial staff of EverydayHealth.com. © 2010 EverydayHealth.com; all rights reserved.
Once upon a time, type 2 diabetes was called “adult-onset diabetes.” If children had diabetes, 99 times out of 100 it was type 1 diabetes; type 2 diabetes didn’t appear until midlife. Now, studies suggest that up to 45 percent of childhood diabetes cases are type 2 diabetes.
Type 2 Diabetes: Why the Increase?
“No one is certain why, but most experts believe that it is related in part to the obesity epidemic,” explains Frank Diamond, MD, clinical director for the University of South Florida Diabetes Center and professor of pediatrics at the University of South Florida in Tampa. “We now have approximately 17 percent of the pediatric population that is overweight. Genetically at-risk children may be acquiring the disease earlier because of the increased insulin resistance associated with their early obesity. We are seeing many children with adult weights in our pediatric clinics today.”
Dr. Diamond also notes that the increase may be due to a rise in the proportion of children with ethnic minority heritage that puts them at increased risk for type 2 diabetes.
Basically, says Paul Robertson, MD, president of medicine and science at the American Diabetes Association, and professor of medicine and pharmacology at the University of Washington in Seattle, the causes of childhood type 2 diabetes boil down to genetic risk mixed with physical inactivity and poor eating habits.
“We know if the diets are corrected and they lose the weight, the diabetes becomes undetectable,” says Dr. Robertson.
There's more content below this advertisement. Jump to the content.
Type 2 Diabetes: What Parents Can Do
The first step to preventing type 2 diabetes in childhood is to face the fact that it can happen to children, says Diamond. Then be on guard for symptoms and ask for diabetes screening.
“Symptoms include tiring easily, thirst, and increased urination. A darkening of the skin (acanthosis nigricans) on the back of the neck, under the arms, and in the groin area is associated with obesity and [is] a common finding with newly diagnosed type 2 diabetes children,” he says.
Also, bear in mind that if you had gestational diabetes during your pregnancy, your children are at increased risk of type 2 diabetes.
“Especially in families with a positive family history of type 2 diabetes, avoidance of excessive weight gain and encouragement of an active lifestyle are extremely important and the best tools to avoid the development of type 2 diabetes,” says Diamond. Some children may be candidates for a drug called metformin.
Type 2 Diabetes: Testing
Parents who are concerned that their child might have diabetes should ask for a fasting glucose screening test. That test determines how much sugar is in the blood before a person has eaten.
“A value over 99 mg/dL is abnormal and suggests ‘impending’ diabetes or glucose intolerance. A value equal to or greater than 126 mg/dL is diagnostic of diabetes,” says Diamond.
Any results above the normal range should be red flags for you and your family to:
* Eat a healthy diet rich in whole grains, lean proteins, fruits, and veggies. You can get help changing your family’s diet from a dietitian, if necessary.
* Get at least 30 minutes of exercise a day.
* Help your child lose at least 5 percent of his body weight if he is overweight.
Remember, childhood type 2 diabetes is within your family’s control.
“Lose weight, be active, eat the right foods,” says Robertson. “Lifestyle modifications can do a great deal in terms of staving off type 2 diabetes.”
Last Updated: 04/16/2009
This section created and produced exclusively by the editorial staff of EverydayHealth.com. © 2010 EverydayHealth.com; all rights reserved.
A Major Cause of Amputation in Diabetics
A major cause for leg amputation in diabetics is an infection in the foot or ankle. Because many diabetics do not recognize the signs of a foot or ankle infection, the condition often goes untreated and can rapidly lead to amputation.
Early signs of an infection to the foot or ankle include any area that is red, hot, & swollen. A diabetic may also notice an unexplained elevation of their blood sugar. As the infection progresses, the person may experience nausea, vomiting, fever & chills.
Infection in diabetics needs to be treated early and aggressively. Diabetes can decrease the body’s ability to fight infection. When this happens, a simple foot infection can lead to leg amputation in a matter of days.
Open wounds, blisters, athlete’s foot, and cracks in the skin can leave a diabetic susceptible to a foot or ankle infection. If you are diabetic and you notice any area of your foot or ankle that is red, hot & swollen, or you have an open wound or a blister, call your foot and ankle specialist immediately! Remember, aggressive & early treatment of infection in diabetics can greatly reduce the need for amputation.
Early signs of an infection to the foot or ankle include any area that is red, hot, & swollen. A diabetic may also notice an unexplained elevation of their blood sugar. As the infection progresses, the person may experience nausea, vomiting, fever & chills.
Infection in diabetics needs to be treated early and aggressively. Diabetes can decrease the body’s ability to fight infection. When this happens, a simple foot infection can lead to leg amputation in a matter of days.
Open wounds, blisters, athlete’s foot, and cracks in the skin can leave a diabetic susceptible to a foot or ankle infection. If you are diabetic and you notice any area of your foot or ankle that is red, hot & swollen, or you have an open wound or a blister, call your foot and ankle specialist immediately! Remember, aggressive & early treatment of infection in diabetics can greatly reduce the need for amputation.
Foot Doctors Can Help Diabetics Avoid Amputation
Podiatrists detect conditions that might lead to limb loss, experts say.
FRIDAY, Aug. 6 (HealthDay News) -- Being treated by a podiatrist helps diabetes patients reduce their risk of amputation, research shows.
Podiatrists, also called podiatric physicians, are medical specialists of the foot, ankle and lower leg.
"More than half of all amputations in the U.S. are related to diabetes. Podiatrists are detecting conditions that can lead to amputation. That's just what we do," study co-author Dr. James Wrobel, an associate professor of medicine at Rosalind Franklin University of Medicine and Science in North Chicago, said in a university news release.
The study of nearly 29,000 diabetes patients, aged 18 to 64, found that those who had had at least one visit with a podiatrist prior to receiving a foot ulcer diagnosis had a lower risk of amputation and hospitalization (nearly 15 percent and 17 percent, respectively).
The study findings were presented in July at a meeting of the American Podiatric Medical Association in Seattle.
Complications related to diabetes are the leading cause of non-traumatic lower limb amputation in the United States and cost an estimated $3 billion a year, according to the Amputee Coalition of America. An estimated 24 million Americans have diabetes and 86,000 undergo amputations each year, based on information from the U.S. Centers for Disease Control and Prevention.
FRIDAY, Aug. 6 (HealthDay News) -- Being treated by a podiatrist helps diabetes patients reduce their risk of amputation, research shows.
Podiatrists, also called podiatric physicians, are medical specialists of the foot, ankle and lower leg.
"More than half of all amputations in the U.S. are related to diabetes. Podiatrists are detecting conditions that can lead to amputation. That's just what we do," study co-author Dr. James Wrobel, an associate professor of medicine at Rosalind Franklin University of Medicine and Science in North Chicago, said in a university news release.
The study of nearly 29,000 diabetes patients, aged 18 to 64, found that those who had had at least one visit with a podiatrist prior to receiving a foot ulcer diagnosis had a lower risk of amputation and hospitalization (nearly 15 percent and 17 percent, respectively).
The study findings were presented in July at a meeting of the American Podiatric Medical Association in Seattle.
Complications related to diabetes are the leading cause of non-traumatic lower limb amputation in the United States and cost an estimated $3 billion a year, according to the Amputee Coalition of America. An estimated 24 million Americans have diabetes and 86,000 undergo amputations each year, based on information from the U.S. Centers for Disease Control and Prevention.
Thursday, August 5, 2010
Diabetes Patients NEED More Prevention Services
It has been found that there is a distinct lack of appropriate prevention programmes for foot ulcers and amputations for patients that are suffering from type 2 diabetes, and it has been recommended that improved prevention services could significantly improve the high rate of amputation for diabetes patients.
Researchers have used information taken from electronic medical records to identify 150 patients on dialysis and 150 patients with a previous foot ulceration or amputation from 2000 to 2006. Factors such as patient education, podiatry care and the use of therapeutic shoes and insoles were monitored over a 30-month period. Despite 92.3 per cent of the overall population of the study having type 2 diabetes, only two patients in the dialysis group and none in the ulcer group were reported to be offered formal diabetes education.
In the study, 65 per cent of patients were seen by a podiatrist, of whom 70 per cent received care after developing a foot ulcer. This is compared with 42 per cent of patients in the dialysis group, and only 18 per cent of patients in the ulcer group received preventive care from a podiatrist.
It was noted that "Prevention services for the diabetic foot are simple to establish and can be made easily accessible through organized multidisciplinary care. These data provide further evidence that preventative foot care is not regularly provided, even among patients with the highest risk for lower limb complications. It also highlights an opportunity to improve prevention services for the diabetic foot with simple protocols for evaluation and referral."
Researchers have used information taken from electronic medical records to identify 150 patients on dialysis and 150 patients with a previous foot ulceration or amputation from 2000 to 2006. Factors such as patient education, podiatry care and the use of therapeutic shoes and insoles were monitored over a 30-month period. Despite 92.3 per cent of the overall population of the study having type 2 diabetes, only two patients in the dialysis group and none in the ulcer group were reported to be offered formal diabetes education.
In the study, 65 per cent of patients were seen by a podiatrist, of whom 70 per cent received care after developing a foot ulcer. This is compared with 42 per cent of patients in the dialysis group, and only 18 per cent of patients in the ulcer group received preventive care from a podiatrist.
It was noted that "Prevention services for the diabetic foot are simple to establish and can be made easily accessible through organized multidisciplinary care. These data provide further evidence that preventative foot care is not regularly provided, even among patients with the highest risk for lower limb complications. It also highlights an opportunity to improve prevention services for the diabetic foot with simple protocols for evaluation and referral."
Diabetes Diagnosis for MI Man: Dog Ate Toe
Most pet owners would be irate if their dog bit off one of their toes, but Jerry Douthett, of Rockford, MI is nothing but grateful: this canine feat may have saved his life. Douthett was alerted to the seriousness of a bone infection in his foot, resulting from previously undiagnosed Type II diabetes, when his terrier Kiko bit off his big toe while he was passed out drunk, according to The Grand Rapids Press
"Jerry had had all these Margaritas, so I just let him sleep," his wife, Rosee, a registered nurse told the Michigan paper. "But then I heard these screams coming from the bedroom, and he was yelling, 'My toe's gone, my toe's gone!'" He suspected for months something was wrong with his foot, but the 48-year-old musician had only recently scheduled an appointment to see a doctor. Douthett was rushed to the hospital by Rosie where doctors amputated the rest of his toe and diagnosed him with Type II diabetes.
http://www.mlive.com/news/grand-rapids/index.ssf/2010/08/dog_eats_rockford_mans_big_toe.html
"Jerry had had all these Margaritas, so I just let him sleep," his wife, Rosee, a registered nurse told the Michigan paper. "But then I heard these screams coming from the bedroom, and he was yelling, 'My toe's gone, my toe's gone!'" He suspected for months something was wrong with his foot, but the 48-year-old musician had only recently scheduled an appointment to see a doctor. Douthett was rushed to the hospital by Rosie where doctors amputated the rest of his toe and diagnosed him with Type II diabetes.
http://www.mlive.com/news/grand-rapids/index.ssf/2010/08/dog_eats_rockford_mans_big_toe.html
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