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Diabetes and The Importance of

Foot Care

Dr. Mercy Popoola

Presented At The: 9thAnnual Healthy Aging

Summit, Augusta Georgia June, 2006

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The Diabetes Epidemic

21 million people with Diabetes

> $132 billion annually (ADA 2002)

$10 Billion annual cost Lower

Extremities amputations Diabetes has increased by 50% over

the last 10 years

50% Can Be PREVENTED (ADA)

OBESITY Epidemic is a Factor 15% will develop a foot ulcer

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The Effects of Diabetes on Foot

Health Most Diabetic foot ulcers are due to

neuropathy (Loss of sensation).

Neuropathy is Often Ignored. But

Once it rears its head, it presents alife long challenge or problem.

Leading to ulcers and amputationWithout Preventative Measures.

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Other Foot Health Problems

Age and Self Care Limitations

Arthritis - Osteoarthritis

Fear of Bone Fractures

Breathing Problems

Economics: Lack of Reimbursement

Access to Care: Limited

Mobility: Transportation Issues

Heart Disease, Post Stroke

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Study Outcome: Transportation

a Big Issues!

010

20

30

40

5060

70

80

90

100

Doctors Nurses Others

Transportation

Fear

Reinbursement

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The Importance of Regular Foot

Screening

To Prevent and Reduce Complications

Nerve: Lack of Sensation- Neuropathy

Vision: Poor Vision and Blindness

Circulation: Poor and Insufficient Blood Sugar: High and Unstable

Foot Structure: Collapse Foot, Bunion

Nail Abnormalities: Ingrown Toenail,Fungus

Prone to Infections and Ulcers

Leading to Amputation!

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Prevention and Management:

Ideas For Foot Care At Home

Meticulous Foot and Nail Care

Appropriate Foot Wear - KEY

Stop Smoking Leg Exercises & Manage Obesity

Manage Cholesterol

Maintain Diabetes control Alternative & Complementary Therapy:

Proper Nutrition, Yoga, Massage, AromaTherapy, Relaxation, Meditation,

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Patient Education By Providers

Daily Foot Assessment with aMirror if Necessary

Protection & Prevention of Injury

Appropriate Foot Wear

Regular Vision Check

Early Intervention & Follow Up Checking for Circulation (Doppler)

and Neuropathy (Monofilament)

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Neurological Assessment:

Monofilament For Neuropathy!

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Prevention: Shoe Strategies

Poor Shoes Can Lead to Foot Pain & FootUlcers

Diabetes Must Never Go Without ProperShoes, Even at Home

Shoes With Extra Depth

Do not Buy Shoes In the Morning

Use Seamless Socks

Poor Shoes and Socks Can Lead toCorns, Calluses, Ingrown Toe Nails

Be Careful with OTC Foot Care Product

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Shoe Education

Does Your Shoe Fit?

Check Out Ellen Degeneres Feet!

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Coastal Georgia Regional

Development Centers Program

County Locations & Centers: Five

Numbers Served Per Site: 15-40

Common Foot & Nail Problems Corn and CALLUS

FUNGAL NAIL INFECTION & Long Nails

Dirty, Coated, & Dry Feet PAINFUL FEET & Swollen Feet

Lack of Information or Misinformation

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Foot Care Program Includes

More Than Toenail cutting

Filing and Shaping

Foot Assessment & Survey

Foot Bath and Massage

Referral and Follow Up

Foot Care Education

Shoe Assessment and Education

FUTURE: COLLABORATION!

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Future Possible Collaboration

And Opportunities

Grant Writing

Epidemiological Study

Hands on Foot & Nail Care

Opportunities: Faculty & Students

Interest: Prevention Focus

Vision For Training and Follow Up

Mobile Foot Clinic Please JoinUs to Get the Fund For the VAN!

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What About Our Foot Mobile?

What About Alternative Therapy For Foot Pain?

Any Questions?

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Some Foot Care Resources Foot Care Product

www.universalfootcare.com1-800-323-5110

www.feelgoodstore.com1-800-926-0880

Best Shoes

SAS (770)953-8118 or (210) 921-7415

Foot Support

www.supportplus.com

1-800.229-2910

Stores Wal-Mart and Bath & Body Works

Good Foot Lotions: www.Amerigel.com

Providers: www.google.comFoot Search

To Get Monofilament: 1-800-543-9055 or 1-888-289-9293

http://www.universalfootcare.com/http://www.feelgoodstore.com/http://www.supportplus.com/http://www.amerigel.com/http://www.google.com/http://www.google.com/http://www.amerigel.com/http://www.supportplus.com/http://www.feelgoodstore.com/http://www.universalfootcare.com/