Diabetes and The Importance of Foot Care Dr. Mercy Popoola Presented At The: 9th Annual Healthy Aging Summit, Augusta Georgia June, 2006

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

• 21 million people with Diabetes
• gt 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 a life long
  challenge or problem.
• Leading to ulcers and amputation Without
  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!
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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, Aroma Therapy,
  Relaxation, Meditation,

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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)

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Neurological Assessment Monofilament For
Neuropathy!
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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

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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 Join Us 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.com 1-800-323-5110
• www.feelgoodstore.com 1-800-926-0880
• Best Shoes
• SAS [phone] or [phone]
• 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