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Diabetes and The Importance of Diabetes and The Importance of Foot CareFoot Care

Dr. Mercy PopoolaDr. Mercy PopoolaPresented At The: 9Presented At The: 9thth Annual Healthy Aging Annual Healthy Aging

Summit, Augusta Georgia June, 2006Summit, Augusta Georgia June, 2006

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The Diabetes EpidemicThe Diabetes Epidemic 21 million people with Diabetes21 million people with Diabetes > $132 billion annually (ADA 2002)> $132 billion annually (ADA 2002) $10 Billion annual cost – Lower $10 Billion annual cost – Lower

Extremities amputations Extremities amputations Diabetes has increased by 50% over the Diabetes has increased by 50% over the

last 10 yearslast 10 years 50% Can Be PREVENTED (ADA)50% Can Be PREVENTED (ADA) OBESITY Epidemic is a FactorOBESITY Epidemic is a Factor 15% will develop a foot ulcer15% will develop a foot ulcer

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The Effects of Diabetes on Foot The Effects of Diabetes on Foot HealthHealth

Most Diabetic foot ulcers are due to Most Diabetic foot ulcers are due to neuropathy (Loss of sensation). neuropathy (Loss of sensation).

Neuropathy is Often Ignored. But…Neuropathy is Often Ignored. But… Once it rears it’s head, it presents a Once it rears it’s head, it presents a

life long challenge or problem.life long challenge or problem. Leading to ulcers and amputation Leading to ulcers and amputation

Without Preventative Measures. Without Preventative Measures.

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Other Foot Health Problems Other Foot Health Problems

Age and Self Care LimitationsAge and Self Care Limitations Arthritis - Osteoarthritis Arthritis - Osteoarthritis Fear of Bone FracturesFear of Bone Fractures Breathing ProblemsBreathing Problems Economics: Lack of ReimbursementEconomics: Lack of Reimbursement Access to Care: LimitedAccess to Care: Limited Mobility: Transportation IssuesMobility: Transportation Issues Heart Disease, Post Stroke…Heart Disease, Post Stroke…

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Study Outcome: Transportation Study Outcome: Transportation a Big Issues!a Big Issues!

010203040

5060708090100

Doctors Nurses Others

TransportationFearReinbursement

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The Importance of Regular Foot The Importance of Regular Foot ScreeningScreening

To Prevent and Reduce ComplicationsTo Prevent and Reduce Complications NerveNerve: Lack of Sensation- Neuropathy: Lack of Sensation- Neuropathy VisionVision: Poor Vision and Blindness: Poor Vision and Blindness CirculationCirculation: Poor and Insufficient: Poor and Insufficient Blood SugarBlood Sugar: High and Unstable: High and Unstable Foot StructureFoot Structure: Collapse Foot, Bunion: Collapse Foot, Bunion Nail AbnormalitiesNail Abnormalities: Ingrown Toenail, : Ingrown Toenail,

FungusFungus Prone to Infections and Ulcers…Prone to Infections and Ulcers… Leading to Amputation!Leading to Amputation!

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Prevention and Management: Prevention and Management: Ideas For Foot Care At HomeIdeas For Foot Care At Home

Meticulous Foot and Nail CareMeticulous Foot and Nail Care Appropriate Foot Wear - KEYAppropriate Foot Wear - KEY Stop SmokingStop Smoking Leg Exercises & Manage ObesityLeg Exercises & Manage Obesity Manage Cholesterol Manage Cholesterol Maintain Diabetes controlMaintain Diabetes control Alternative & Complementary Therapy: Alternative & Complementary Therapy:

Proper Nutrition, Yoga, Massage, Aroma Proper Nutrition, Yoga, Massage, Aroma Therapy, Relaxation, Meditation, …Therapy, Relaxation, Meditation, …

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Patient Education By ProvidersPatient Education By Providers

Daily Foot Assessment with a Daily Foot Assessment with a Mirror if NecessaryMirror if Necessary

Protection & Prevention of InjuryProtection & Prevention of Injury Appropriate Foot WearAppropriate Foot Wear Regular Vision CheckRegular Vision Check Early Intervention & Follow Up Early Intervention & Follow Up Checking for Circulation (Doppler) Checking for Circulation (Doppler)

and Neuropathy (Monofilament) and Neuropathy (Monofilament)

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Neurological Assessment: Neurological Assessment: Monofilament For Neuropathy!Monofilament For Neuropathy!

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Prevention: Shoe StrategiesPrevention: Shoe StrategiesPoor Shoes Can Lead to Foot Pain & Foot Poor Shoes Can Lead to Foot Pain & Foot

UlcersUlcers Diabetes Must Never Go Without Proper Diabetes Must Never Go Without Proper

Shoes, Even at Home Shoes, Even at Home Shoes With Extra DepthShoes With Extra Depth Do not Buy Shoes In the MorningDo not Buy Shoes In the Morning Use Seamless SocksUse Seamless Socks Poor Shoes and Socks Can Lead to Poor Shoes and Socks Can Lead to

Corns, Calluses, Ingrown Toe Nails…Corns, Calluses, Ingrown Toe Nails… Be Careful with OTC Foot Care ProductBe 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 Coastal Georgia Regional Development Centers ProgramDevelopment Centers Program

County Locations & Centers: Five County Locations & Centers: Five Numbers Served Per Site: 15-40Numbers Served Per Site: 15-40 Common Foot & Nail Problems Common Foot & Nail Problems

• Corn and CALLUSCorn and CALLUS• FUNGAL NAIL INFECTION & Long NailsFUNGAL NAIL INFECTION & Long Nails• Dirty, Coated, & Dry FeetDirty, Coated, & Dry Feet• PAINFUL FEET & Swollen FeetPAINFUL FEET & Swollen Feet• Lack of Information or MisinformationLack of Information or Misinformation

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Foot Care Program IncludesFoot Care Program Includes

More Than Toenail “cutting”More Than Toenail “cutting” Filing and ShapingFiling and Shaping Foot Assessment & SurveyFoot Assessment & Survey Foot Bath and MassageFoot Bath and Massage Referral and Follow UpReferral and Follow Up Foot Care EducationFoot Care Education Shoe Assessment and EducationShoe Assessment and Education FUTURE: COLLABORATION!FUTURE: COLLABORATION!

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Future Possible Collaboration Future Possible Collaboration And OpportunitiesAnd Opportunities

Grant WritingGrant Writing Epidemiological StudyEpidemiological Study Hands on Foot & Nail CareHands on Foot & Nail Care Opportunities: Faculty & Students Opportunities: Faculty & Students Interest: Prevention Focus Interest: Prevention Focus Vision For Training and Follow UpVision For Training and Follow Up Mobile Foot Clinic – Please Join Mobile Foot Clinic – Please Join

Us to Get the Fund For the VAN!Us to Get the Fund For the VAN!

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What About Our Foot Mobile?What About Our Foot Mobile?What About Alternative Therapy For Foot Pain?What About Alternative Therapy For Foot Pain?

Any Questions?Any Questions?

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Some Foot Care ResourcesSome Foot Care Resources Foot Care ProductFoot Care Product

• www.universalfootcare.comwww.universalfootcare.com 1-800-323-5110 1-800-323-5110• www.feelgoodstore.comwww.feelgoodstore.com 1-800-926-0880 1-800-926-0880

Best ShoesBest Shoes• SAS (770)953-8118 or (210) 921-7415SAS (770)953-8118 or (210) 921-7415

Foot Support Foot Support • www.supportplus.comwww.supportplus.com• 1-800.229-29101-800.229-2910

Stores – Wal-Mart and Stores – Wal-Mart and Bath & Body Works…Bath & Body Works… Good Foot Lotions: Good Foot Lotions: www.Amerigel.comwww.Amerigel.com Providers: Providers: www.google.comwww.google.com Foot Search Foot Search To Get Monofilament: 1-800-543-9055 or To Get Monofilament: 1-800-543-9055 or

• 1-888-289-92931-888-289-9293