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Diabetes and Your Feet

Diabetes and Your Feet. A Brief Overview. Dr. John Kadukammakal, DPM, AACFAS. Background. Born & raised in Philadelphia, PA. Medical School @ Temple University 3 year surgical training at Crozer Keystone Health System in Chester, PA. Office Location: Richmond Medical Park

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Diabetes and Your Feet

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  1. Diabetes and Your Feet A Brief Overview Dr. John Kadukammakal, DPM, AACFAS

  2. Background • Born & raised in Philadelphia, PA. • Medical School @ Temple University • 3 year surgical training at Crozer Keystone Health System in Chester, PA. • Office Location: • Richmond Medical Park • 2008 Bremo Road Suite 100, Richmond, VA. 23226 • 804-285-3933

  3. Diabetes Statistics (2011) • Nearly 25.8 million people, or 8.3 % of the U.S. population, have diabetes • 18.8 million people have been diagnosed • 7 million people are still undiagnosed

  4. Categories of Diabetes • Type 1 (Insulin Dependent) • Type 2 • Non-insulin Dependent • Diet Controlled • Pre-Diabetic ???

  5. Diabetes – A Systemic Issue • Not only affects your blood sugar level • Affects major organs • Brain • Heart • Kidneys • Eyes • Feet!!!!!

  6. Diabetes & the Feet • Diabetes can cause : • Delayed Healing • Lower Extremity Edema (Swelling) • Also seen with HTN, Kidney Issues, Venous Insufficiency • PVD (Peripheral Vascular Disease) • Wounds/Ulcers • Charcot Deformity

  7. Prevalence of Ulcers • Up to 25 % of those with diabetes will experience an ulcer or wound at some point. • Amputation rates can be reduced by 45 to 85 % with a comprehensive foot care program. • Without proper treatment, ulcers can quickly escalate into amputation.

  8. Diabetic Foot Wounds

  9. Diabetic Foot Wounds

  10. Charcot Foot

  11. Charcot Foot

  12. Diabetic Neuropathy • Disease of the nerves in legs and feet • Cause nerves to misfire & miscommunicate • Can result in burning, tingling, “electric shocks,” “bee-stings” • Can happen if blood sugar is high or normal • Can be treated with good sugar control and medication if needed

  13. What is a Podiatrist? • A specialist trained to treat and manage disorders of the foot and ankle.

  14. Job of a Podiatrist • Perform thorough Foot Examinations • Check circulation, sensation, etc. • Trim toenails, corns, calluses • Correct foot/ankle deformities either surgically or conservatively • Hammertoes, Bunions, Flat feet, etc. • Manage Neuropathy

  15. When to see a Podiatrist? • For any foot/ankle problems • If Diabetic & controlled • At least twice a year • If Uncontrolled Diabetic • Every 3 months

  16. Pedicures • Are they wrong? • What should I get done? • What to look out for?

  17. Shoe gear • What kind is the best? • Depends on the level/type of activity • What to look for in a shoe? • Are flip-flops bad?

  18. Diabetic Shoes • Shoes that are wider and deeper than regular shoes • Inserts are made from mold of your feet • Come in a wide variety of styles • One pair per calendar year is covered by Medicare…and some private insurances

  19. Diabetic Shoes

  20. How To Manage Your Feet • Perform Daily Foot Inspections • Moisturize twice a day (except in between your toes) • Coco Butter, Nivea Cream, Eucerin Cream, Lubriderm • Do not walk barefoot!!! • No bathroom surgery!!!! • Socks (white cotton) • Inspect Shoes…& rotate them • COMMON SENSE!!!!

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