Stay in Step with your Diabetes

More than 60 percent of non-traumatic, lower-limb amputations occur among people with diabetes. Don't become one of them.

(NewsUSA) - Nearly 21 million people in the United States are afflicted with diabetes, which accounts for 7 percent of the population. The prevalence of the disease is even higher among African Americans. In fact, approximately 13 percent of African Americans aged 20 years or older have the disease. And while diabetes is a chronic disease that can be managed, people need to be more aware of the complications associated with it.

Diabetic complications can cause nerve and vascular damage, which can eventually lead to foot ulcers. If not treated in time, these ulcers can result in amputation. In fact, more than 60 percent of non-traumatic, lower-limb amputations in the United States occur among people with diabetes.

What can you do? The American Podiatric Medical Association (APMA) recommends regular visits to an APMA podiatric physician as part of a comprehensive foot care plan to help reduce your risk of amputation. Additionally, the APMA suggests following these simple tips at home.

* Check your feet every day

Especially if you have a loss of sensation, visually inspecting your feet daily will help you notice any cuts, sores, blisters or changes in the skin or toenails. You can use a hand mirror to help you check the bottoms of your feet. If you notice a change in your feet, see your podiatrist immediately.

* Clean your feet daily

Washing your feet will help avoid the build-up of bacteria. Be sure to wash in warm water, rather than hot. Completely dry your feet after washing, and pay special attention to drying between the toes.

* Keep skin healthy

By lightly applying lotion or moisturizer to your feet, you can help prevent dry, flaky or cracked skin. Use lotion on the tops and bottoms of your feet but never between the toes because excess moisture between the toes creates conditions favorable to forming an infection.

* Always wear shoes and socks

Soft, lightly padded socks will help you avoid blisters and sores. Socks with no seams are best. Also, examine the insides of your shoes to be sure there is nothing harmful that will injure your feet.

* Choose shoes that fit well and protect your feet

One of the best ways to avoid injuries to your feet is to wear sturdy and supportive shoes at all times.

For more information on diabetes and
your feet or to find an APMA podiatrist in your area, visit www.apma.org.

Survey Shows Unique Needs of HIV-Positive Women Often Not Addressed

Dawn Averitt Bridge, founder and chair of the Board of The Well Project.
(NewsUSA) - There are now an estimated 300,000 women in the United States living with HIV/AIDS. New findings from the "Women Living Positive" survey show that a communication gap exists between women living with HIV and their health care providers when it comes to having important discussions about HIV and its treatment that meet their individual needs.

More than half of women surveyed (55 percent) say they have never discussed with their health care provider how HIV medications might affect women differently than men.

"With the rise of HIV infections in women, it is important that women living with HIV and their health care providers maintain open lines of communication and discuss important topics including their emotional well-being, family planning considerations and care that best meets their health and lifestyle," said Kathleen Squires, M.D., director of Infectious Diseases and Environmental Medicine at Thomas Jefferson University Hospital and professor of medicine at Jefferson Medical College.

In addition, each year more than 6,000 HIV-positive women in the United States give birth. The survey shows that many HIV-positive women and their health care providers aren't discussing how HIV treatment options might affect a pregnancy until after they conceive.

More than half of respondents (52 percent) identify themselves as caregivers. Forty-three percent of women feel that living with HIV has made taking care of their families "much more," or "somewhat more," difficult.

"We hope the "Women Living Positive" survey findings will encourage more discussion between women and their health care providers about HIV medications that best meet their individual needs," said Dawn Averitt Bridge, founder and chair of the Board of The Well Project, a non-profit organization for women affected by HIV, and an HIV-positive mother.

The survey was supported by Boehringer Ingelheim Pharmaceuticals, Inc. in collaboration with The Well Project.

GfK Roper Public Affairs conducted the survey with 700 U.S. women, aged 21 and over, diagnosed with HIV/AIDS and on HIV treatment for three or more years. The women interviewed were part of three different ethnic or racial groups -; African-American, Caucasian and Hispanic.

For more information about the "Women Living Positive" survey, visit www.thewellproject.org

Lasers Redefine Medicine At the Speed of Light

Lasers are making common medicine safer and faster.
(NewsUSA) - In the past, lasers were fictional weapons created in comics to combat evil-doers. Today, fiction has become reality as medical specialists rely on advances in laser medicine to help provide patients of all ages with better and earlier detection of disease and improved treatments for common medical problems -- combatting "evil" disease and medical problems worldwide.

"Chances are, you or someone you know has benefited from laser medicine or surgery," said R. Rox Anderson, MD, president of the American Society for Laser Medicine and Surgery (ASLMS). "Lasers have had a tremendous impact on how we detect and treat diseases, improve aging skin, and manage conditions that in the past were difficult to treat with traditional therapies or systemic medications. There are no signs that this technology has reached its peak; on the contrary, we expect new laser devices and applications will continue to be discovered in the years to come."

When used in medicine, lasers work by delivering tiny pulses of light or energy in various wavelengths to target particular areas or particles in the body. Lasers and other energy sources offer patients tremendous benefits, including less-invasive procedures, reduced recovery times, elegant results, less bleeding and speedy healing. In fact, many laser procedures are now performed in a physician's office using only topical or local anesthetic -- eliminating the need for general anesthesia.

From corrective eye surgery, skin rejuvenation and dental disorders to throat surgery, treatment of acne and birthmarks, and early detection of numerous types of cancer, lasers and related technologies are improving the quality of medical and surgical care. Even persons of color, who previously were not good candidates for laser skin treatments, are now able to enjoy the advantages of most laser therapies and related technologies.

To help ensure a positive laser experience, the ASLMS suggests you consider the following tips:


1. Ask questions.

2. Find out who will be administering the treatment.

3. Discuss your medical history with your physician.

4. Ask whether this laser or other light source is right for your skin type.

5. Be realistic about expectations and results.


For more information and to find a laser doctor near you, please visit www.aslms.org

Hip and Knee Pain: When is it Time to Consider Surgery?

Take measures to relieve joint pain before surgery is necessary.

(NewsUSA) - Chronic joint aches and pains caused by arthritis can interfere with everyday life, limiting mobility and function.

In early stages of arthritis, pain relief can be obtained from acetaminophen and anti-inflammatory drugs like aspirin, naproxen and ibuprofen or, for some, injections into the joint (intra-articular injections). However, when arthritis progresses, the cartilage between the bones disappears, and the joint is "bone on bone." At this stage, these conservative measures may not be enough.

"As the progression of arthritis cannot be stopped, patients should consider joint replacement surgery when the pain in an arthritic joint is severe and disabling," says Alejandro González Della Valle, M.D., orthopaedic surgeon at Hospital for Special Surgery in New York.

The criteria used for recommending joint replacement surgery include disabling pain associated with limp, loss of function and mobility. The best candidates for surgery are people who have seen deterioration in their quality of life or impairment in their activities of daily living due to arthritic pain. Activities such as going for a walk or performing some non-impact recreational sports should not be difficult for people without major health problems.

Before arthritic pain is severe enough to consider surgery, some simple measures can be implemented to diminish pain and promote joint health.

* Respect the pain you feel. Perform activities only to the point of discomfort.

* Plan ahead and be realistic about what you can do.

* Learn how to pick things up properly. Bend from the knees when lifting and carrying weights more than 30-40 pounds.

* Reduce repetitive impact on joints, and distribute weight among them to protect joints.

* When walking more than four or five miles, wear well-padded shoes with rubber soles.

* Think about your weight. The impact on your joints will be less detrimental if you are not carrying extra weight.

"No one is too young or too old for joint replacement," says Douglas E. Padgett, M.D., chief of the Adult Reconstruction and Joint Replacement Service at Hospital for Special Surgery. "Every condition can be addressed, even when compounded by other medical conditions."

The Adult Reconstruction and Joint Replacement Service at Hospital for Special Surgery is the world leader in hip, knee and surgical arthritis patient treatment, education, innovation and research. For more information, visit www.hss.edu.