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Diabetes and The Importance of Foot Care Dr. Mercy Popoola Presented At The: 9 th Annual Healthy Aging Summit, Augusta

Diabetes and The Importance of Foot Care Dr. Mercy Popoola Presented At The: 9 th Annual Healthy Aging Summit, Augusta Georgia June, 2006. The Diabetes Epidemic. 21 million people with Diabetes > $132 billion annually (ADA 2002) $10 Billion annual cost – Lower Extremities amputations

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Diabetes and The Importance of Foot Care Dr. Mercy Popoola Presented At The: 9 th Annual Healthy Aging Summit, Augusta

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  1. Diabetes and The Importance of Foot CareDr. Mercy PopoolaPresented At The: 9th Annual Healthy Aging Summit, Augusta Georgia June, 2006

  2. 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

  3. 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 it’s head, it presents a life long challenge or problem. • Leading to ulcers and amputation Without Preventative Measures.

  4. 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…

  5. Study Outcome: Transportation a Big Issues!

  6. 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!

  7. 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, Aroma Therapy, Relaxation, Meditation, …

  8. Patient Education By Providers • Daily Foot Assessment with a Mirror if Necessary • Protection & Prevention of Injury • Appropriate Foot Wear • Regular Vision Check • Early Intervention & Follow Up • Checking for Circulation (Doppler) and Neuropathy (Monofilament)

  9. Neurological Assessment: Monofilament For Neuropathy!

  10. Prevention: Shoe Strategies Poor Shoes Can Lead to Foot Pain & Foot Ulcers • Diabetes Must Never Go Without Proper Shoes, Even at Home • Shoes With Extra Depth • Do not Buy Shoes In the Morning • Use Seamless Socks • Poor Shoes and Socks Can Lead to Corns, Calluses, Ingrown Toe Nails… • Be Careful with OTC Foot Care Product

  11. Shoe Education Does Your Shoe Fit? Check Out Ellen Degeneres Feet!

  12. 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

  13. 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!

  14. 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 Join Us to Get the Fund For the VAN!

  15. What About Our Foot Mobile?What About Alternative Therapy For Foot Pain?Any Questions?

  16. Some Foot Care Resources • Foot Care Product • www.universalfootcare.com 1-800-323-5110 • www.feelgoodstore.com 1-800-926-0880 • 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.com Foot Search • To Get Monofilament: 1-800-543-9055 or • 1-888-289-9293

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