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Posts Tagged ‘surgery’

Surgery for Diabetic Neuropathy

Diabetics are plagued with multiple complications secondary to uncontrolled, high levels of blood glucose. In my practice, I see diabetics who suffer from kidney disease, failing eye sight, and cardiovascular issues. The most noted complication is peripheral neuropathy. This is a progressive disease of the nerves in your feet and possibly the hands. Many treatments for neuropathy have been very unpromising, but new developments in surgical procedures may give patients hope.

It is believed that the some nerves in diabetic patients swell and increase in size secondary to increase water content. The nerves in your feet travel from your spinal cord all the way down to the feet. They curve around boney structures and dive through muscles and fat and run along course with arteries and veins. As the nerve enlarges it takes up more space and potentially gets compressed.

Much like carpel tunnel, a compressed nerve can cause numbness, burning, and pain. This pain is very similar to the pain experience by diabetics in peripheral neuropathy. A number of doctors have suggested that some diabetics have compressed nerves rather than permanently damaged nerves as previously perceived. Much of the research done on this concept is still very immature. Yet, many diabetics are undergoing surgery and experiencing a reduction in pain and an increase in sensation.

It is important to note that not all diabetics with peripheral neuropathy will have a successful procedure. It is very difficult to prove the pain or numbness is secondary to compressed nerves. Since it is a surgical procedure and there is always risk when undergoing anesthesia, not all diabetics will be recommended to undergo such surgical procedures.

There are also very few surgeons across the country you have been formally trained to perform nerve decompressive surgery for diabetic compressive neuropathy. The procedure has not been widely accepted at all institutions since the concept is so new. There has been a significant amount of research done on the surgical procedure, but the studies failed to established enough evidence to be widely accepted by the medical community.

For some patients, such surgical procedures may be acceptable and necessary to achieve relief. Unfortunately, these procedures are not indicated for all diabetics who suffer from peripheral neuropathy. It is important you understand the potential risks and benefits in considering such surgery. Not all patients find relief and some complication to surgery are increase of pain, decrease in sensations, infection and poor wound healing.

There has yet to be an accepted cure for diabetic neuropathy. The best treatment is to tightly control your diabetes and prevent the disease from progressing. Patients often find it necessary to be on one or several medication to help decrease the symptoms. Vitamin supplements and physical therapy modalities have also been suggested for treatment protocols.

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Types of Diabetic Retinopathy Surgery

One of the leading causes of blindness in the world is a disease called Diabetic Retinopathy Surgery . This disease is a complication of diabetes mellitus which directly affects the blood vessels of the retina. Retina is a very sensitive tissue in the eye that is responsible for vision of the person. Now, once the retina is damaged, the person may suffer from blurry vision to permanent blindness. This damage in the retina is because of some diseases such as macular degeneration and retinal detachments but diabetic retinopathy is the most common cause of the damage. This disease is considered incurable but there are several diabetic retinopathy surgery performed by doctors that could prevent permanent blindness as well as improve the vision of the patient. Normally, diabetic retinopathy shows no signs or early symptoms until the complications developed. When this happens, the patient’s visions become blurry, his eyes become painful and worse; he has complete loss of his eyesight. This is the reason why patients with diabetes have to have a regular check up with their doctors in order to prevent this. The kind of Diabetic Retinopathy Surgery for a patient depends on the stage of its diabetic retinopathy. There are 4 stages of this disease and those are Mild Nonproliferative Retinopathy, Moderate Nonproliferative Retinopathy, Severe Nonproliferative Retinopathy and Proliferative Retinopathy. Usually, the first three stages of this disease require no treatment but the doctor requires the patient to take medications in order to lower the blood sugar and control their blood pressure and cholesterol. The Proliferative Retinopathy is the one that needs surgery. This stage is already the advanced stage of Diabetic Retinopathy wherein the new blood vessels grow around the retina of the eye which has thin walls. The problem however, arises when the blood vessels leak. In such case, the vision is disrupted and causes loss of vision. Diabetic Retinopathy Surgery is an option in diabetic retinopathy surgery. In this case, the laser surgery makes the blood vessels thinner in order to prevent the leak of blood that could cause loss of visions. This is actually recommended for those blood vessels which are not bleeding yet. On the other hand, although laser treatment is still possible for bleeding blood vessels, vitrectomy is the most suitable treatment to restore the eyesight. The vitroues gel needs to be removed by making tiny incisions in the eye. It has to be noted that after the diabetic retinopathy surgery, the patient has to wear an eye patch to protect the eyes although he can already be discharged from the hospital. Continuous medication and the use of eye drops are necessary to prevent complications. Our eyes are one of the most important parts of the body. Without our eyesight, we can’t do a lot of things and it will just make our lives very inconvenient. Whether you have diabetes or not, it is still necessary to have a regular check up with the doctor to avoid other complications.

Diabetic Retinopathy How do we see the world? – In the Normal Eye, the lens is clear & transparent, -which focuses light on the retina -To produce sharp image & clear picture What happens in Diabetic Retinopathy? -due to diabetes the blood vessels in the retina develops tiny leaks -then retina becomes wet and swollen -leading to hazy vision I n Diabetic Retinopathy, the blood vessels of the retina become abnormal -Photo file 1 -Photo file 2 Some cases may develop wrinkling and detachment in retina How is DR diagnosed? Proper Eye Examination with help of -OCT Machine -Angiography Machine Treatment Available: – Laser Surgery
Video Rating: 5 / 5

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http://www.PreOp.com
Monitoring and tightly controlling your blood sugar level can significantly reduce the risk of complications due to diabetes and provide you with a higher quality of life.

Knowledge of your blood sugar levels at different times of the day is an essential input into your diabetes care plan and allows you and your medical team to work out and modify your plan for medication, diet and exercise.

The heart of the system to monitor your blood sugar is the blood glucose meter and the automatic lancing device used to obtain your blood sample.
There are many types of glucose meters with varying degrees of sophistication and abilities to store test results. Your doctor or nurse will recommend the type best for you.

You will need to be familiar with the manufacturer’s instructions for each unit. This program will provide you with general guidelines that apply to all units. The equipment you will need to emble includes:

* the glucose testing meter,
* a packet of test strips,
* an automatic lancing device,
* and facial tissue.

The meter will have a display with blood sugar readings are shown, an on/off power button and a slot into which the Test Strips are inserted. In the back of the meter will be a compartment for batteries.

The Automatic Lancing Device has three components: the body with a release button, lancet holder and ing device, the removable end cap and a separate short lancet.

The first step is to code the meter to match or calibrate the meter to the reactivity of the Test Strip.

This is done by following the manufacturer’s instructions and matching a number on the meter’s display to a number on the Code Strip or on the test strip package.
Coding is done:

* whenever a new package of Test Strips is opened
* and daily to ensure the meter is coded correctly.

In addition, a control test can be run:

* if you need to check that the whole system of the meter and the test strip is working correctly
* and to practice your good meter techniques.

* Follow the manufacturer’s instructions, which usually involves testing a control solution of sugar that is provided with the meter.

Wash your hands vigorously with soap and warm water. Rinse and dry thoroughly with a paper towel.

Remove the Test Strip from its individual package.
With the meter off, insert the correct end of the test strip into the test slot of the meter, according to the manufacturer’s instructions. This usually turns the meter on.

Remove the end-cap from the lancing device.
Insert a short lancet into the lancet holder according to the manufacturer’s instructions. Twist off the protective cap and save it for the disposal of the used lancet.

Replace the end-cap. The depth of the puncture depends on the end-cap used.
Re-cock the lancing device.

Choose your puncture site. The sides of the end segment of the finger are the best sites. Stroke down the finger to push blood toward the puncture site.

Place the end-cap firmly against the chosen puncture site on the side of the fingertip. The more pressure you use, the deeper the puncture. Push the lancet release button without moving your finger or the device.
After the puncture, remove the lancing device. If a drop of blood does not form on its own, stroke down the finger toward the puncture site without going as far as the site itself.

Hold the tip of the test strip in the drop of blood until the meter tells you the test strip is filled, usually by beeping. Remove the test strip from the blood. Put the device and the strip aside until the reading is complete.

Wipe the puncture site with a clean, dry facial tissue and use the tissue to hold pressure on the puncture site until the bleeding stops.
Remove the end-cap from the lancing device and remove the used lancet.
Replace the used lancet back into the protective cap by pushing it into the open end of the cap which is placed on a firm, flat surface like a counter top.

Once the blood sugar reading on the meter is complete, use the tissue to grasp the test strip and pull it out of the meter. This usually turns the meter off.

Discard the lancet in its protective cover and the used strip into a glass or puncture-proof container with a screw top or a “Sharps” Container purchased from your local pharmacy. Replace the cap on the container. When the container is full, cap it and discard it into the trash.

* Clean the lancing device weekly according to the manufacturer’s instructions.
* Only use a lancet once.
* Do not use the same end-cap on another person.
* Teach another person to use the whole system so that you have a backup when you need istance.

Duration : 0:7:58

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Visit http://www.greenivore.net Join in an upcoming class taught by Gourmet Raw Vegan Chef Dina Knight or come to the raw spirit festival and see her on sunday sept 14th in Sedona AZ.

This video was made to tell a little bit about how Chef Dina Knight got started on a path to health and wellness, what her initial inspirations were, how she saw the differences between sick care and wellness. This video is a personal look into her life that so many other people are experiencing on a daily basis with their loved ones in the hospital, sick or dying of a preventable “lifestyle” disease. Heart Disease, Diabetes and obesity affect 1 out of every 2 people in the US, it’s time we made a change and started seeing how what we eat, how we live, and what we think will either lead us down a path towards health and wellness or that we can literally dig our own graves with our forks. This is part one of a several part interview of how she ended up with an amazing weight loss of over 115lbs. We hope you enjoy it, please pass this onto a friend, neighbor or loved one who you think might benefit from hearing this message and be sure and subscribe for future videos, also please visit the websites and join our mailing list so we can keep in touch. Thanks!

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Duration : 0:10:1

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