The Access Digest
The Access Digest July Issue
Diabetes & Your Feet
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Newsletter Highlights

Welcome to the July edition of Access Digest. This month our theme is Diabetes and Your Feet.  Foot care is especially important for people with diabetes. Some of the disease's effects increase the risk of foot problems as well as the likelihood of complications. We'll look at the kinds of foot problems to watch out for and how to avoid them. We'll also discuss Diabetic Neuropathy. We hope you'll find these articles of interest.

Our featured recipe of the month is Turkey Burgers and our Lifestyle Tip is Avoiding Foot Problems.

As always, when you see "Read More" at the end of an article, or something that is underlined, you can click on it to be linked to another Web site where you'll find more information. When you find a site that you may want to visit again in the future, you can bookmark it.

Each month we receive questions from our readers. We post some of the more frequent questions and answers for everyone to read. If you have questions or comments of your own, please e-mail them to us at the end of this issue.

We hope you enjoy this issue of our newsletter. Thank you for choosing Access Diabetic Supply as your choice for diabetic supplies.

A Word to the Wise
Proper diabetic foot care and attention can prevent most serious foot complications.

Diabetes can cause nerve damage (called peripheral neuropathy) that reduces sensation in your feet. If you have neuropathy, you can have an injury or condition on your foot that requires medical care without even knowing it. Small injuries may become infected. 

Diabetes may also affect blood flow in your legs and feet, making it harder for cuts or sores to heal. Then a small infection can become very serious. 

Foot infection is the most common reason for hospitalization of people with diabetes. Foot ulcers and non-healing wounds are the primary causes of amputation in people with diabetes. With proper foot care, however, it is estimated that as many as half of these amputations could be prevented.  

Read More

Common Diabetic Foot Problems

Corns and calluses are thick layers of skin caused by too much rubbing or pressure on the same spot. 

Blisters can form if shoes always rub the same spot, or from wearing shoes that do not fit or wearing shoes without socks.

Ingrown toenails occur when an edge of the nail grows into the skin, which can then get red and infected. Ingrown toenails can happen if you cut into the corners of your toenails when you trim them. This condition can also be caused by wearing shoes that are too tight. 

A bunion forms when the big toe slants toward the small toes, and a bump forms at the base of the big toe. This spot can get red, sore, and infected. Bunions often run in the family and can also be caused by wearing shoes with pointed toes. 

Plantar warts, which form on the bottom of the feet, are caused by a virus. They tend to go away without treatment. 

Hammertoes form when a foot muscle gets weak, shortening the tendons, which then retract the toe, causing it to curl under the foot and creating a bump at the joint on the top of the toe. These areas can become sore, and hammertoes can cause problems in walking and in finding comfortable shoes. 

Dry skin can become cracked, allowing germs to enter. 

Athlete's foot is caused by a fungus that causes redness and cracking of the skin.

Read more

What is Diabetic Neuropathy?

Diabetic neuropathy, a complex deformity, can affect people with diabetes.

Sensory Peripheral Neuropathy: The most common form of neuropathy affects multiple nerves in the body, and can lead to severe foot problems such as ulcers, infection, and bone and joint deformities. In addition, sensory peripheral neuropathy may result in

*   Diminished sensation and the inability to feel pain. 
*   Numbness or tingling in the feet. 
*   Abnormal pain, or pain for no reason at all. 
*   Deep-seated pain and/ or an unusually unpleasant increased sensitivity to pain. 
*   Difficulty regulating body temperature and inability to distinguish between hot and cold temperatures. 
*   Slower response time/ decreased muscle strength.

Read More

Professional Care for Foot Problems

Your health care provider should perform a complete foot exam at least annually - more often if you already have foot problems.  

Call or see your health care provider if you have cuts or breaks in the skin, or have an ingrown nail. Also, tell your health care provider if your foot changes color, shape, or just feels different (for example, becomes less sensitive or hurts). 

If you have corns or calluses, your health care provider can trim them for you. Your health care provider can also trim your toenails if you cannot do so safely. 

Because people with diabetes are more prone to foot problems, a foot care specialist may be on your health care team. 


Read More

Healthy Living: Monthly Recipe & Lifestyle Changes

July Lifestyle Tip: Avoiding Foot Problems

Keep your blood sugar level as close to normal as possible. Also, follow your doctor's advice on diet, exercise and medicine. Here are some other ways to protect your feet:

Wash your feet every day with lukewarm (not hot) water and mild soap.
 
Dry your feet well, especially between the toes. Use a soft towel and pat gently; don't rub. 

Keep the skin of your feet smooth by applying a cream or lanolin lotion, especially on the heels. If the skin is cracked, talk to your doctor about how to treat it. 

Keep your feet dry by dusting them with non-medicated powder before putting on shoes, socks or stockings. 

Check your feet every day. You may need a mirror to look at the bottoms of your feet. Call your doctor at the very first sign of redness, swelling, pain that doesn't go away, or numbness or tingling in any part of your foot. 

Don't treat calluses, corns or bunions without talking to your doctor first. 

Cut toenails straight across to avoid ingrown toenails. It might help to soak your toenails in warm water to soften them before you cut them. 

Don't let your feet get too hot or too cold. 

. . . and Don't go barefoot
.

Read more

July Recipe: Turkey Burgers 
Source: Light and Easy Diabetes Cuisine;  Author: Betty Marks 

This month our featured recipe is for Turkey Burgers.


Ingredients - Turkey Burgers

Ingredient Measure Weight
Ground turkey   1 pound
Egg white 1  
Whole wheat bread 1 thin slice  
Onion, grated 1 small  
Ground coriander 2 tsp.  
Salt  dash  
Pepper 1 tsp.  
Ground nutmeg 1/4 tsp.  
Virgin olive oil 2 tsp  

Preparation

  • In a large bowl, lightly beat egg white. 

  • Tear bread into small pieces; soak in egg white 1 minute. Add remaining ingredients, except oil, and thoroughly mix. Shape into four patties. 

  • In a large non-stick skillet, heat oil. Cook patties over medium heat about 10 minutes on each side until cooked through. 

Nutritional Information - Turkey Burgers
Recipe makes four servings of 1 burger each;
Amount per serving: 
Calories 208
Diabetic Exchanges 3 Meat
Fat 14 g
Cholesterol 48 mg
Sodium 195 mg
Carbohydrates 5 g
Protein  17 g
Questions & Answers - Ask the Experts

Each month our staff answers questions and asks for your feedback. However, if you have urgent questions about your order or your meter, we encourage you to call our customer care department at 1-800-276-5712. We do our best to answer all questions, but we also encourage you to consult your physician.

Below are a few of the typical questions our customer care department has answered on this month's theme. Each question is linked to a Web site that gives an answer and provides more detail. We hope you find this section helpful.

What kind of foot problems do people with diabetes have?

How will I know if I'm at risk for diabetic foot problems?

What can I do to prevent diabetic foot problems?

What if I do get a diabetic foot ulcer?

How should I examine my feet?

Access Diabetic Supply
We are one of the nation's leading providers of diabetic supplies for people with Medicare or Private Insurance. We provide a comprehensive range of products from all major manufacturers including; blood glucose monitors, test strips, lancets and lancing devices and much more.

Please contact us with any comments or questions you may have.

Phone: 1-800-276-5712
Email: customerservice@diabeticsupply.com
Web: http://www.diabeticsupply.com

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