What are the most common podiatric complications a diabetic can develop?
Patients with diabetes can develop peripheral neuropathy, musculoskeletal problems, sores (Ulcerations), infections, and may need amputations or other surgery due to those problems.
What is neuropathy?
Peripheral neuropathy is a disease wherein the nerves sending signals to the extremities (hands and feet) no longer work as well as they used to. This causes numbness and tingling in the extremities. In diabetic patients, this is caused by high sugar levels in the blood affecting the sheath that surrounds the nerves.
What is HgA1C?
HgA1C is a blood test that assesses the red blood cell’s (RBC) ability to process glucose over a 3 month period. It provides a long term snapshot of how well controlled a diabetic patient’s sugars are.
What is a normal value of a HgA1C and blood sugar?
Normal fasting blood sugars (FBS) should be <100mg/dl. You may be considered diabetic with a FBS > 126mg/dl. Normal HgA1C is <5mg/dl. A diabetic with good sugar control should aim for <7mg/dl for their 3 month HgA1C checks.
How often can I get my nails, corns, and calluses trimmed?
Most insurance plans allow these services to be performed every 9 weeks. If you wish to receive these services any sooner you would be considered self pay, you would need to pay out of pocket at the time of service.
Why do you need to know who my primary care physician (PCP) is and the date of service ( DOS-last time seen by the physician)?
We ask for this information so that we can make sure we have all of your information up to date, including your PCP and the date you last were seen in their office. Also, if we have any concerns regarding medications or therapy we can consult with your physician if needed.
What can I do to care for my nails at home between my 9 week visits?
You can have a family member or friend assist you to file them down. Also, putting lotion on your feet daily will help keep them healthy. Or you can have a licensed pedicurist at Healing Steps Spa cut your nails, and provide a therapeutic foot soak and massage between visits with the doctor.
What can I do to care for my corns/calluses at home between my 9 week visits?
You can wear a u-shaped pad or an oval shaped pad to help relieved any pressure on these spots while walking. You can also use Kera 42 cream to help keep the areas soft and to help reduce the pain that can be cause when these areas become hard and crack. You can purchase any of these products during normal business hours.