Transcript Decoding” Food Labels

Love your feet (and they’ll love you)
Robert Grimshaw MD FACP
A Lifetime of Quality Care That’s Convenient & Complete
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
Quick: What Has...
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26 bones
33 joints
20 muscles
150 ligaments
250,000 sweat glands that release a cup of moisture a day
daily endures the cumulative force of hundreds of tons
trudges about 115,000 miles in a lifetime?
You’re right – your foot!
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
Our Feet
Our feet are important to all of us,
but are especially at risk in those with
poor blood flow or diabetes.
Of some 16 million diabetics,
15% will be hospitalized for foot problems.
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
The Reasons:
Poor Sensation:
Neuropathy (due to diabetes or other causes) leads to
injuries because you don’t know you’ve been hurt, can
cause toes to curl up and other deformities.
Poor Circulation:
Lessened arterial blood flow means that feet can’t fight
infection and injuries are slow to heal. If you’re getting
pain in your calves on walking, we should check your
blood flow – there’s a lot we can (and should) do!
From callus to ulcer - what you don't want
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
What WE’LL Do:
At your physical, we’ll ask about your feet;
alert us to any issues. We’ll check your feet for sensation,
Pulses, and ulcers.
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
If you’re diabetic:
Get our foot guide
We’ll check your feet more often. We’ll discuss a podiatrist (foot
specialist). For more information, see the "Diabetic Foot Guide" in
the Our Guide section.
Other resources are the American Diabetic Association
(www.diabetes.org ).
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
What YOU Should Do:
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Wash every day, and dry carefully between toes
Check daily for cuts, sores, calluses, & blisters
Test the water first - don’t make the temperature too hot
CHANGE YOUR SHOES 2-3 times during the day – they lose
resilience
Wear socks if cold, and choose them carefully: well padded,
½" longer than your longest toe
Do not use hot water bottles, heating pads, or electric
blankets (you can be burned)
No garters! (they cut off blood flow)
Cut toenails straight
Don’t rip hangnails
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete
What YOU Should Do (continued):
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Wear comfortable, flat shoes that fit, and break them in
slowly
Buy shoes at the END of the day, when your feet are swollen
(if they’re comfortable then, they’ll likely be so all day!)
Check shoes daily for pebbles, tears, etc
Never walk barefoot!
Keep your feet dry by dusting with non-medicated powder If
your feet are too dry and the skin is cracking, moisten with
Nivea, Eucerin, or Alpha-Keri (NO PERFUMES!)
If you’re diabetic, control your sugar
DON’T SMOKE!!!
If you lose sensation, tell us!
See us at the FIRST sign of infection or inflammation.
A Lifetime
of Quality
Care
Convenient
& Complete
A Lifetime
of Quality
Care That’s
That’s Convenient
& Complete