home
RSS
With diabetes, save a leg, save a life
April 8th, 2011
05:52 PM ET

With diabetes, save a leg, save a life

 

Each year in the U.S. diabetes results in the amputation of about 65,700 legs or feet. About 85% of those began with a diabetic foot ulcer. And for Dr. David Schwegman, the mission to educate people about the issue is personal.

His father, a diabetic, had a foot ulcer that resulted in the amputation of his left leg, which contributed to his death, his son said.

"He became a statistic," Schwegman said. "He was one of the 50% of people that died within five years after having an amputation."

Diabetic foot ulcers, or DFUs, are usually located on the ball of the foot, the bottom of the big toe or sides of the feet. They can be a result of neuropathy, or nerve damage which leads to a loss of feeling.

Although prevention is key, simply not treating an ulcer can lead to infection, particularly in the bone, and eventual loss of a limb.

"If you have a DFU that leads to a major amputation, your risk of death in five years is greater is higher than that of breast cancer and prostate cancer combined," Schwegman said.

"This is a very, very serious health problem that has very serious risks if not dealt with properly and quickly," the doctor said. "In order to do that, we really need to get the word out to both the patients and the physicians."

That's where the Save a Leg, Save a Life Foundation , or SALSAL, comes in. On Saturday, Schwegman, along with the Atlanta chapter of the national group, are offering free foot screenings as part of the American Diabetes Association's Health Expo.

You can find an expo near you by visiting the American Diabetes Association's calendar for 2011. Diabetics can be screened for cuts, blisters, discoloration of feet, and any signs of bacteria or infections, conditions that can lead to foot ulcers.

Right now, 18.8 million adults and children in the U.S. have diabetes. The Centers for Disease Control and Prevention estimates that 7 million people have undiagnosed diabetes and 79 million are prediabetic.

Diabetics need to know that treating the ulcer early is the best way to get  it healed.

"If we're not treating them aggressively, the chances that they heal is actually very, very low," Schwegman said.

An important part of the evaluation of a person with a diabetic foot ulcer is a thorough vascular exam, since diabetics have a higher risk of having peripheral arterial disease. The condition results when circulation to the legs and feet is blocked or narrowed by calcifications. The poor blood flow can cause pain and discoloration in the feet- an increase in a red color, a dusky bluish color or sometimes the toes turn black and result in amputation.

Dr. Desmond Bell, a wound care specialist and founder of SALSAL, recommends going straight to a podiatrist or wound care specialist if a cut, sore or wound does not heal in a week or two. Those with a history of diabetic foot ulcers should see a specialist immediately.

Bell said several newer treatments are available to treat these wounds. None are a "silver bullet" for every single wound.

SALSAL hopes to educate both physicians and the general public about them in order to prevent unnecessary amputations. Of the thousands of products available, only these three have evidence that they have increased wound healing rates:

-Advanced skin cell substitutes include Dermagraft and Apligraf. These are similar in that they are derived from neonatal foreskins.
-A growth factor gel, Regranex.

Hyperbaric oxygen therapy can also heal wounds and treat infections.

Most exciting, Bell said, is peripheral revascularization, in which cardiologists and others, go into the groin similar to an angioplasty for the heart. Through this new procedure, doctors can open up blockages in the leg and restore blood flow.

"It requires lots of doctors often times and it requires a motivated patient," Schwegman said. "By saving their leg, it really does save their life."


soundoff (871 Responses)
  1. Asitor Eka Karya Pt

    Hello there, just became aware of your blog through Google, and found that it is really informative.
    I am gonna watch out for brussels. I will appreciate if you continue this in future.
    Numerous people will be benefited from your writing. Cheers!

    June 27, 2021 at 14:38 | Report abuse | Reply
  2. RV Repair Santa Ana

    http://testaenewsservice.com/t.aspx?S=1&ID=2127&NL=12&N=899&SI=307400&url=https://ocrv.online

    June 27, 2021 at 20:20 | Report abuse | Reply
  3. RV Repair Places Near Me

    There is certainly a great deal to know about this subject. I really like all the points you have made.

    http://financinginpanama.com/__media__/js/netsoltrademark.php?d=ocrvmotorsports.co/

    June 27, 2021 at 21:37 | Report abuse | Reply
  4. Vanlife Repair Costs For Mercedes Sprinter

    I was able to find good info from your blog posts.

    http://caymanre.com/__media__/js/netsoltrademark.php?d=fleetautorepairshop.com/

    June 28, 2021 at 00:09 | Report abuse | Reply
  5. RV Repair Around Me

    http://figgardenpacking.com/__media__/js/netsoltrademark.php?d=ocrv.today

    June 28, 2021 at 01:20 | Report abuse | Reply
  6. Authorized Mercedes Sprinter Service Centers Near Me

    Itís hard to come by experienced people in this particular subject, but you sound like you know what youíre talking about! Thanks

    http://employmentforall.org/__media__/js/netsoltrademark.php?d=fleetautorepairshop.com/

    June 28, 2021 at 01:48 | Report abuse | Reply
  7. Sprinter Heater Valve Repair

    http://www.ass-media.de/wbb2/redir.php?url=http://www.fleetservicesorangecounty.com/

    June 28, 2021 at 09:01 | Report abuse | Reply
  8. RV Repair Shops Near Me

    https://shareist.com/go2.php?to=ocrvcenter.com/

    June 28, 2021 at 11:39 | Report abuse | Reply
  9. RV Repair San Clemente California

    Excellent post. I am going through many of these issues as well..

    http://bitnova.info/redirect?url=https://www.ocrvcenter.com/

    June 28, 2021 at 13:59 | Report abuse | Reply
  10. RV Repair Shop Near Me

    http://okane-antena.com/redirect/index/fid___100269/?u=https://www.ocrvpaintandservice.com

    June 28, 2021 at 16:40 | Report abuse | Reply
  11. Rv Wrap

    Excellent post. I'm dealing with some of these issues as well..

    https://vizibility.com/jenniferfishberg/url/2?url=http://rvcollisionrepairpaintshop.com/

    June 28, 2021 at 16:55 | Report abuse | Reply
  12. Courier Van Repair Shop

    Having read this I thought it was rather informative. I appreciate you spending some time and effort to put this information together. I once again find myself personally spending a significant amount of time both reading and leaving comments. But so what, it was still worthwhile!

    https://wapp.baidu.com/mo/q/checkurl?url=https://ocrv.fun/&referer=wapp.baidu.com

    June 28, 2021 at 17:35 | Report abuse | Reply
  13. RV Repair Orange County California

    http://pingoo.jp/redirect.php?blog_id=341283&entry_url=https://rvcollisionrepairpaintshop.com/

    June 28, 2021 at 20:43 | Report abuse | Reply
  14. Authorized Sprinter Repair Shop

    I blog frequently and I seriously thank you for your content. This article has truly peaked my interest. I will take a note of your site and keep checking for new details about once per week. I opted in for your Feed as well.

    https://analytics.tradedoubler.com/r.php?u=https://ocrvmotorcoachsales.com/

    June 28, 2021 at 21:55 | Report abuse | Reply
  15. Bus Repair Shop Near Me

    https://skugrid.com/hotlink/?link=https://ocrvluxurycoaches.com

    June 28, 2021 at 22:13 | Report abuse | Reply
  16. Sprinter Repair Shops Near Me

    https://www.erc.ur.ru/include/links.php?go=https://ocrvpaintandservice.com

    June 28, 2021 at 23:21 | Report abuse | Reply
  17. RV Repair Near Me

    https://www.verificaip.ro/redirect.php?link=https://www.ocrv.store

    June 28, 2021 at 23:32 | Report abuse | Reply
  18. Mercedes Benz Sprinter Service Centers Near Me

    http://www.pcpitstop.com/offsite.asp?http://ocrv.life

    June 29, 2021 at 00:15 | Report abuse | Reply
  19. Sprinter Repair Costa Mesa

    http://yvce.com/home/link.php?url=https://ocrv.vip

    June 29, 2021 at 03:15 | Report abuse | Reply
  20. RV Repair California

    http://www.kikitchew.com/__media__/js/netsoltrademark.php?d=www.ocrv.mobi

    June 29, 2021 at 03:16 | Report abuse | Reply
  21. RV Repair San Clemente California

    Good day! I could have sworn Iíve visited this web site before but after going through a few of the articles I realized itís new to me. Nonetheless, Iím certainly pleased I found it and Iíll be bookmarking it and checking back frequently!

    http://flogiston.ru/stat/click.php?http://www.ocrv.today

    June 29, 2021 at 09:48 | Report abuse | Reply
  22. RV Repair Places Near Me

    After checking out a handful of the blog posts on your web page, I truly like your way of writing a blog. I saved it to my bookmark website list and will be checking back soon. Take a look at my website too and let me know how you feel.

    http://www.e-librarian.net/__media__/js/netsoltrademark.php?d=www.ocrvexperts.com

    June 29, 2021 at 09:58 | Report abuse | Reply
  23. RV Repair San Clemente California

    http://distinguishedyw.org/trackit.php?ad_id=25192&page=1&url=ocrv.us

    June 29, 2021 at 10:36 | Report abuse | Reply
  24. RV Repair Nearby

    http://lav.it/template/redirect.php?id_news=804129&url=https://oc-rv.com

    June 29, 2021 at 11:01 | Report abuse | Reply
  25. 2012 Mercedez Benz Sprinter Repair

    https://adlogic.ru/?goto=jump&url=http://www.ocrvcenter.org

    June 29, 2021 at 11:57 | Report abuse | Reply
  26. Ford Luxury Van Repair Shop Near Me

    Good information. Lucky me I found your website by accident (stumbleupon). I have bookmarked it for later!

    http://www.bookmerken.de/?url=https://www.orangecountyrvrepair.com/

    June 29, 2021 at 12:17 | Report abuse | Reply
  27. Nearest RV Repair

    https://www.redirect.jotform.io/?app=Wordpress Embed Form&url=https://www.ocrvmotorsports.org/

    June 29, 2021 at 12:49 | Report abuse | Reply
  28. RV Repair Nearby

    https://avfocus.avclub.pro/bitrix/redirect.php?event1=news_out&event2=http2F2FADnh-sA1ch-bA1n-hA0ng-chung-cB0-vincity-ocean-park-tBBA7-91D0D0D1D184B582B0&goto=https://ocrvcenter.biz/

    June 29, 2021 at 13:15 | Report abuse | Reply
  29. Camper Repairs Near Me

    http://langenberg.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 29, 2021 at 15:16 | Report abuse | Reply
  30. Municipal Vehicle Repair Shop Near Me

    That is a very good tip especially to those fresh to the blogosphere. Short but very precise infoÖ Appreciate your sharing this one. A must read article!

    https://admin.logograph.com/redirect.php?url=http://ocrvcenter.com

    June 29, 2021 at 15:35 | Report abuse | Reply
  31. Sprinter Repair Costa Mesa

    Hi, I do think this is an excellent web site. I stumbledupon it 😉 I'm going to revisit yet again since I saved as a favorite it. Money and freedom is the greatest way to change, may you be rich and continue to guide others.

    http://nordstjernan.com/c/?http://www.ocrv.tv

    June 29, 2021 at 17:14 | Report abuse | Reply
  32. Luxury Rv Shop Near Me

    http://www.prod39.ru/bitrix/rk.php?goto=https://www.fleetrepairshops.com

    June 29, 2021 at 17:29 | Report abuse | Reply
  33. Van Wrap Shop Near Me

    Everything is very open with a clear clarification of the issues. It was really informative. Your site is very helpful. Thank you for sharing!

    https://www.nbmain.com/servlet/NetBooking.Reservations.Server.Servlets.Availability.SiteAvailabilityMainR?innkey=mcdaniel&bg=&formname=rdetail&s=BookMark&backpage=https://fleetautorepairshop.com

    June 29, 2021 at 18:09 | Report abuse | Reply
  34. RV Repair Orange County California

    http://directory.progress-index.com/__media__/js/netsoltrademark.php?d=ocrvpaintandservice.com/

    June 29, 2021 at 21:40 | Report abuse | Reply
  35. Diesel Sprinter Repair Service

    I could not resist commenting. Very well written!

    http://i.ipadown.com/click.php?id=169&url=http://fleettruckrepairshop.com

    June 29, 2021 at 22:34 | Report abuse | Reply
  36. Ford Cargo Van Repair Shop

    Very good article! We will be linking to this great article on our site. Keep up the good writing.

    https://fr.paltalk.com/client/webapp/client/External.wmt?url=customcampervans.com/

    June 29, 2021 at 23:21 | Report abuse | Reply
  37. RV Repair Near Me

    I absolutely love your website.. Great colors & theme. Did you create this amazing site yourself? Please reply back as Iím looking to create my own blog and want to find out where you got this from or exactly what the theme is named. Many thanks!

    https://devot-ee.com/?URL=http://www.ocrv.info/

    June 30, 2021 at 00:07 | Report abuse | Reply
  38. RV Repair Seal Beach

    https://www.fms.treas.gov/fmsweb/disclaimer.jsp?ciURL=https://ocrvmotorsports.net

    June 30, 2021 at 00:54 | Report abuse | Reply
  39. Ford Connect Van Floor Repair

    http://www.wx.lt/redirect.php?url=http://sprintervanrepairshop.com

    June 30, 2021 at 00:57 | Report abuse | Reply
  40. Sprinter Repair Shops Near Me

    I could not refrain from commenting. Very well written!

    https://www.besanthill.org/redirect.php?url=https://www.ocrvmotorcoaches.com

    June 30, 2021 at 01:44 | Report abuse | Reply
  41. RV Repair Orange County

    https://schnaeppchenfuchs.com/guides/checkout/313?target=https://www.ocrvmotorsports.us

    June 30, 2021 at 04:14 | Report abuse | Reply
  42. Sprinter Repair Shops Near Me

    This is a topic that's near to my heart... Best wishes! Exactly where are your contact details though?

    http://voidstar.com/opml/?url=https://ocrv.mobi/

    June 30, 2021 at 11:20 | Report abuse | Reply
  43. RV Repair Shop Near Me

    Oh my goodness! Awesome article dude! Many thanks, However I am going through troubles with your RSS. I donít understand the reason why I am unable to subscribe to it. Is there anyone else getting similar RSS issues? Anyone that knows the solution can you kindly respond? Thanx!!

    http://www.sveasajter.com/outcount.php?id=487&url=http://orangecountyrvrepair.com

    June 30, 2021 at 12:53 | Report abuse | Reply
  44. Auto Sprinter Repair

    Hi there! I just wish to offer you a big thumbs up for your great info you've got right here on this post. I will be returning to your site for more soon.

    https://www.nzgbc.org.nz/ClickThru?mk=20135.0&Redir=https://boxtruckrepairshop.com

    June 30, 2021 at 13:03 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Leave a Reply to Auto Sprinter Repair


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.