Sunday, February 1, 2015
FAIRFIELD-SUISUN, CALIFORNIA
99 CENTS

How to keep diabetes from damaging your feet, ankles

By
From page OSF2 | May 08, 2014 |

Diabetes. This can be construed as a bad word in today’s society. For many baby boomers, it is a common problem that is often neglected or undertreated, and can lead to serious foot and ankle problems.

Here are some insights into the disease and ways to prevent problems, specifically with your feet, if you are over the age of 50.

According to the National Institute of Health, diabetes affects 25.8 million Americans in 2014. That is 8.3 percent of our population, and 7 million of these people do not know they have the disease. This is a staggering statistic when you think about how the untreated disease can affect your health.

As a podiatrist, my job is to help prevent the foot and ankle problems that diabetes can cause. I focus on three basic tenets of care with my patients. The first is helping them understand the disease in general, including why and how the disease works with their physiology. Second, I share how diabetes can affect their feet and how to recognize dangerous signs and symptoms. Lastly, I focused on prevention of the long-term effects.

Diabetes is a disease of the endocrine system that affects how your body uses blood glucose, commonly called blood sugar. Glucose is a vital source of energy for the cells that make up your muscles and tissues and for your brain. If you have diabetes, you have too much glucose in your blood, which can lead to serious health problems. The disease is treated with either oral medication or insulin.

Manifestations of the disease in the foot and ankle can have an insidious onset, and can affect all four basic systems. Vascular, dermatologic, neurologic and musculoskeletal problems are commonplace when diabetes is left untreated or unchecked. Peripheral neuropathy, described as the abnormal function of peripheral nerves as a result of diabetes, is a problem for many people older than 50. It often causes weakness, numbness and pain in your feet. You may feel tingling or burning, or a loss of feeling. Typically we see an increase in peripheral neuropathy in patients after five to 10 years with the disease.

Skin issues are also very prevalent. Diabetic foot ulcerations and wounds usually develop as a result of friction, usually caused by shoe wear. These can be life-changing if infection occurs. I spend many nights in the emergency room handling these types of wounds, often having to remove the infected nonviable tissue. Diabetes is the cause of 60 percent of the lower extremity amputations in the United States.

My main focus with diabetic patients is on prevention. Careful and close follow-up with your primary care physician, endocrinologist, dietitian and podiatrist can prevent serious complications. I ask my patients to:

  • Look at your feet twice a day. It can prevent problems from occurring.
  • Wear the proper shoe gear. There are multiple brands of diabetic shoes that have a wide toe box and can prevent the pressure and friction that causes diabetic wounds.
  • Take your medication as prescribed. This is very important, and is something you will hear from every doctor that you visit.
  • Eat a diet consistent with American Diabetes Association recommendations.
  • Get some exercise.
  • Most importantly, visit your podiatrist every two to three months for a complete examination of your feet. This could prevent any major issues from occurring and will only serve to help keep you moving forward into the “golden years.”

Dr. Kevin Miller is a podiatrist with the NorthBay Foot & Ankle Medical Group in Fairfield and Vacaville.

Dr. Kevin Miller

LEAVE A COMMENT

Discussion | No comments

The Daily Republic does not necessarily condone the comments here, nor does it review every post. Read our full policy

.

Solano News

Fire Department honors top firefighters

By Bill Hicks | From Page: A1, 1 Comment | Gallery

 
 
 
4th annual Health and Wellness Fair a big success

By Susan Hiland | From Page: A3 | Gallery

 
 
 
Banish dry skin this winter

By Sarah Porkka | From Page: C4, 1 Comment

Chocolate: A long journey to deliciousness

By Karen Metz | From Page: C4

 
County board to consider DA reorganization plan

By Kevin W. Green | From Page: A5

Eurozone offers lesson in debt

By Mark Sievers | From Page: B7

 
Rodriguez graduate completes basic training

By Nick DeCicco | From Page: B10

 
Fairfield police log: Jan. 30, 2015

By Susan Hiland | From Page: A12

Suisun City police log: Jan. 30, 2015

By Susan Hiland | From Page: A12

 
.

US / World

From ocean to ocean, through the Panama Canal

By The Associated Press | From Page: C1

 
NASA launches Earth-observing satellite

By The Associated Press | From Page: A1

 
California health care contract fight resolved

By The Associated Press | From Page: A5

Man arrested after body parts found in suitcase

By The Associated Press | From Page: A5

 
Scientist considered father of birth control pill dies

By The Associated Press | From Page: A5

‘Rolled Sleeves Bandit’ tied to 7 bank robberies in custody

By The Associated Press | From Page: A5

 
Bay Area agency accuses former official of embezzling $1.3M

By The Associated Press | From Page: A5

Los Angeles female-only mosque may be first in US

By The Associated Press | From Page: A5

 
Letter with suspicious powder received at Samaritan’s Purse

By The Associated Press | From Page: A6

Snails slither into spa scene in Thailand and around world

By The Associated Press | From Page: C6

 
 
Drivers: Return to your dealers for a 2nd air bag recall fix

By The Associated Press | From Page: A7

 
Hatfields, McCoys make moonshine legally in southern W.Va.

By The Associated Press | From Page: A7

Airport authorities: Traveler beats homeless man with chair

By The Associated Press | From Page: A7

 
Kerry: ‘Enormous interest in new relationship with Cuba

By The Associated Press | From Page: A7

Africa agrees to send 7,500 troops to fight Boko Haram

By The Associated Press | From Page: A9

 
5 given preliminary charges over jihadi network in France

By The Associated Press | From Page: A9

 
Fire devastates major Russian library, threatens rare texts

By The Associated Press | From Page: A9

Swiss police: 4 dead after avalanche hits group of skiers

By The Associated Press | From Page: A9

 
Fire at Bangladesh plastics factory kills at least 13

By The Associated Press | From Page: A9

 
Islamic State fighters admit defeat in Syrian town of Kobani

By The Associated Press | From Page: A9

From car lots to city budgets, cheap oil means change

By The Associated Press | From Page: B9

 
British actress Geraldine McEwan dies at age 82

By The Associated Press | From Page: A10

Greek leader tamps down rhetoric, vows to pay off debts

By The Associated Press | From Page: A10

 
Civilians flee east Ukraine town as fighting intensifies

By The Associated Press | From Page: A10

 
.

Opinion

 
Editorial Cartoon: Feb. 1, 2015

By Daily Republic Syndicated Content | From Page: A8

 
Sound off for Feb. 1, 2015

By Daily Republic | From Page: A8

 
.

Living

Community Calendar: Feb. 1, 2015

By Susan Hiland | From Page: A2

 
Today in History: Feb. 1, 2015

By The Associated Press | From Page: A2

Prayer, commonly misunderstood

By The Rev. Rick L. Stonestreet | From Page: C3, 7 Comments

 
Sundance doc pulls back curtain on Scientology

By The Associated Press | From Page: C3

 
Horoscopes: Feb. 1, 2015

By Holiday Mathis | From Page: C4

Volunteer or visit because February is National Salute to Veteran Patients

By Kathy Mitchell and Marcy Sugar | From Page: C4

 
.

Entertainment

PUBLISHERS WEEKLY BEST-SELLERS

By The Associated Press | From Page: C2

 
Review: ‘First Bad Man’ is Miranda July’s debut novel

By The Associated Press | From Page: C2

 
Lorrie Moore nominated for short story prize

By The Associated Press | From Page: C2

New book to feature unpublished Hemingway conversations

By The Associated Press | From Page: C2

 
TVGrid

By Daily Republic Syndicated Content | From Page: B11

.

Sports

Mustangs win the whole Encalada

By Marcus Lomtong | From Page: B1, 1 Comment | Gallery

 
Super Bowl the final act of the NFL’s worst season

By The Associated Press | From Page: B2

 
Lowest prices on last-minute Super Bowl tickets near $9,000

By The Associated Press | From Page: B2

Seau, Bettis, Brown, Haley, Shields voted into Hall of Fame

By The Associated Press | From Page: B3

 
Rodgers wins MVP, Watt unanimous top AP defensive player

By The Associated Press | From Page: B3

Lydia Ko takes No. 1 spot at 17, Na Yeon Choi wins opener

By The Associated Press | From Page: B3

 
Laird takes a 3-shot lead in Phoenix Open

By The Associated Press | From Page: B3

.

Business

On the money: Low gas prices, incentives change math for electric cars

By The Associated Press | From Page: B7 | Gallery

 
Small talk: NFL players find second careers as entrepreneurs

By The Associated Press | From Page: B7 | Gallery

Recalls this week: space heaters, orbital sanders

By The Associated Press | From Page: B8

 
Sumptuous seaside hotel sells for record-shattering $360M

By The Associated Press | From Page: B8

Review: Open e-book format comes with headaches

By The Associated Press | From Page: B9

 
.

Obituaries

Frank Z. Perez

By Nancy Green | From Page: A4

 
Joe Lambert Robinson

By Nancy Green | From Page: A4, 1 Comment

Flora Mae Brooks

By Susan Hiland | From Page: A4

 
Otilia (Tela) Quinn

By Nancy Green | From Page: A4, 2 Comments

Lester Singer

By Nancy Green | From Page: A4

 
WillIiam “Bill” Hunter

By Nancy Green | From Page: A4

Garry A. Britton

By Nancy Green | From Page: A4

 
Anthony Neal Hunley

By Nancy Green | From Page: A4

.

Comics