Mark Sircus See book keywords and concepts | A more recent study shows us that "Serum magnesium depletion is present and shows a strong relationship with foot ulcers in subjects with Type II diabetes and foot ulcers, a relationship not previously reported." Hypomagnesemia is associated with the development of neuropathy and abnormal platelet activity, both of which are risk factors for the progression of ulcers of the feet.51
Thus we can expect to find that magnesium can be used to prevent and treat both diabetes and the complications that come from it including severe peripheral neuropathy.
Dr. S. E. | Gabriel Cousens See book keywords and concepts | They run a high risk of diabetes complications such as heart disease and foot ulcers at an early age."19
Until recently, there was a lack of data on the epidemiology of diabetes mellitus in Africa. Over the past decade, information on the prevalence of Type-2 diabetes has increased, albeit still limited, but there is still a lack of adequate data on Type-1 diabetes in sub-Saharan Africa. For Type-2 diabetes, although the prevalence is low in some rural populations, moderate and even high rates have been reported from other countries. | Mark Sircus See book keywords and concepts | Choosing highly toxic options to treat illness has no medical merit when there are infinitely safer treatments like magnesium chloride that is so safe that it helps prevent the development of foot ulcers and diabetic neuropathy in the first place.
Rapid increase of magnesium stores are necessary in some cases and may be lifesaving for diabetics as they are for other patients in emergency rooms. | | Diabetologia" 36(8):767-70, 1993
51 Low serum magnesium levels and foot ulcers in subjects with Type 11 diabetes. Rodriguez-Moran M, Guerrero-Romero F. Arch Med Res. 2001 Jul-Aug;32(4):300-3.
52 S. E. BROWNE. The Case for Intravenous Magnesium Treatment of Arterial Disease in General Practice. Journal of Nutritional Medicine (1994) 4, 169-177
53 Herbert C. Mansmann Jr. MD. Honorary Professor of Pediatrics. P.O. Box 791, Rangeley, ME 04970 Associate Professor of Medicine (1968-03) Director of the Magnesium Research. Laboratory (1989-03) Thomas Jefferson University (www. magnesiumresearchlab. | | It is very painful to look at these pictures and imagine ourselves or a loved one with foot ulcers, gangrene, and eventual foot amputation. One can get indignant knowing that just a little bit of applied medical intelligence could avoid much of this.
A recent analysis showed that people with higher dietary intakes of magnesium (through consumption of whole grains, nuts, and green leafy vegetables) had a decreased risk of Type II diabetes.45 Magnesium has potentially beneficial effects at several key steps of glucose and insulin metabolism. | | The ball if the foot is the area most affected by foot ulcers and allowing an ulcer to heal completely helps prevent recurrence, (www.diabetes-and-diabetics.com/about-diabetes/diabetic-complications-02.php)
66 Botulinum toxin has been a concern as a potential biological warfare agent since World War II. In response to concerns about Germany's botulinum toxin research, the United States and Great Britain developed countermeasures against the toxin before the invasion of Europe. | Michael T. Murray See book keywords and concepts | Foot Ulcers
Lack of blood supply, poor wound healing, and peripheral neuropathy are the key factors in the development of diabetic foot ulcers. Key strategies in prevention and treatment are proper foot care, including professional care of nails and calluses, preferably by a podiatrist; regular physician's examination of the feet; avoidance of injury; avoidance of tobacco in any form; and employing methods to improve local circulation. Proper foot care also includes keeping the feet clean, dry, and warm, and wearing well-fitted shoes. | Steven V. Joyal See book keywords and concepts | Poor circulation, which is also common among people with diabetes, increases the risk of developing nonhealing foot ulcers.
Left untreated, an infection can spread to the bone and result in the need for amputation of the affected toes, foot, or lower leg. About half of the more than 82,000 lower limb amputations performed in the United States each year are for people with diabetic neuropathy. The tragedy of amputation can be prevented in many cases if more attention is paid to the first signs of infection in the feet (see "Caring for Your Feet," page 58). | Mehmet C. Oz., M.D. and Michael F. Roizen, M.D. See book keywords and concepts | Peripheral neuropathy is a major cause of foot ulcers that can lead to amputation in some people with poorly controlled diabetes. (If you can't feel your feet, you're more likely to injure them and then get infections in the injury.)
Like pollution in our metaphorical aging city, glycosylation—resulting from the diabetes we'll discuss in the next chapter—affects our proudest organs, our most critical thoroughfares, and our most beautiful traits. Its insidious nature makes it that much more dangerous. iabefH? | James F. Balch, M.D. and Mark Stengler, N.D. See book keywords and concepts | Poor circulation and nerve damage can lead to foot ulcers in diabetics. Keep the blood flowing through your feet by wearing comfortable shoes that fit well.
• If you're obese and have type 2 diabetes, you need to lose weight. The previous diet recommendations should help you take off the weight safely, as will the Obesity section in this book, but talk to your doctor about the best weight-loss plan for you. | Eric R. Braverman See book keywords and concepts | Through its effect on your blood sugar levels, diabetes has the potential to trigger other seemingly unrelated yet significant medical conditions, including foot ulcers, kidney failure, depressed immune function, eye diseases, permanent nerve damage, circulatory problems, hypertension, and heart disease.
Glucose tolerance factor (GTF) has been reported to help regulate blood sugar. This compound is beneficial for both diabetics and hypoglycemics. GTF contains chromium, which is frequently reduced in the plasma of patients with sugar cravings. Inositol may also quell carbohydrate cravings. | James F. Balch, M.D. and Mark Stengler, N.D. See book keywords and concepts | Regular massaging of the feet may be especially beneficial to help ward off foot ulcers.
Reflexology
See pages 686-687 for information about reflexology areas and how to work them.
Work the points that correspond to the pancreas, the liver, and the thyroid, pituitary, and adrenal glands. You will probably have to massage these points every day for several months to see an effect.
Aromatherapy
Have fun trying the many different relaxing oils. Refer to page 658 for more information on aromatherapy oils; you may want to start with bergamot, jasmine, lavender, rose, sandalwood or ylang ylang. | | Regular massages of the feet may be especially beneficial to help ward off foot ulcers.
Reflexology
See pages 686-687 for information about reflexology areas and how to work them.
Work the points that correspond to the pancreas, the liver, and the thyroid, pituitary, and adrenal glands. You will probably have to massage these points every day for several months to see an effect.
Hydrotherapy
Alternating hot and cold baths will stimulate circulation. Aromatherapy
Have fun trying the many different relaxing oils. | Michael T. Murray, N.D., Joseph E. Pizzorno, N.D. See book keywords and concepts | Diabetic Foot Ulcers
Lack of blood supply and peripheral neuropathy are the key factors in the development of diabetic foot ulcers. The incidence of gangrene of the feet in diabetics is twenty times greater than normal.10 foot ulcers are largely preventable through proper foot care, the avoidance of injury and tobacco in any form, and employing methods to improve local blood circulation. Proper foot care includes keeping the feet clean, dry, and warm and wearing only well-fitted shoes. | Michael Friedman, ND See book keywords and concepts | Simple natural treatments can go a long way in preventing and treating diabetic foot ulcers.
IV Oxidative Therapy
IV Oxidative treatment is the use of ozone gas topically on the skin or by autohemotherapy. Autohe-motherapy is the process of taking blood out, ozonating it, mixing it with heparin to prevent clogging, and then putting the blood into the body. The ozone gas acts as a potent antimicrobial oxidant.
Hydrotherapy
Hydrotherapy will also make sure tissues are being nourished by strong blood flow. |
Textbook of Natural Medicine 2nd Edition Volume 2Michael T. Murray, ND See book keywords and concepts | | Diabetic foot ulcers
Ischemia and peripheral neuropathy are the key factors in the development of diabetic foot ulcers. The incidence of gangrene of the feet is 20 times that of matched controls.10 However, foot ulcers are largely preventable through proper foot care, the avoidance of injury and tobacco in any form, and employing methods to improve local circulation. Proper foot care includes keeping the feet clean, dry, and warm and wearing only well-fitted shoes. Tobacco constricts the peripheral blood vessels and can cause Buerger's disease. | Phyllis A. Balch, CNC See book keywords and concepts | Dermagraft is a skin substitute used to help wound closure associated with diabetic foot ulcers. It helps replace and rebuild damaged tissue. rj People with diabetes should be vigilant about blood fat and cholesterol levels. Optimum cholesterol levels are LDL ("bad cholesterol"), less than 130; HDL ("good cholesterol"), 60 or above; triglycerides, 150 or under. Your doctor may set different levels for you if you are diagnosed with diabetes. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | Two controlled trials of zinc-containing tape for foot ulcers due to leprosy concluded that zinc tape was similarly effective, but more convenient than conventional dressings.27,28
Pressure ulcers and diabetic ulcers frequently develop in malnourished and/or institutionalized people. A double-blind study29 of malnourished people compared topical application of 20 ml of a solution containing essential fatty acids (EFAs) and linoleic acid extracted from sunflower oil with a control solution containing topical mineral oil. Each solution was applied to the skin three times per day. | Michael T. Murray See book keywords and concepts | Very important in improving blood flow to the extremities, neuropathy, and foot ulcers.
Grapeseed extract or pine bark extract (95% procyanidolic oligomers)
150 to 300 mg
Systemic antioxidant; best choice for most people under 50, especially for retinopathy, high blood pressure, easy bruising, and poor wound healing. Also specific for the lungs, varicose veins, and protection against heart disease.
Green tea extract (60-70% total polyphenols)
150 to 300 mg
Best choice in the early stage of type 1 diabetes or if there is a family history of cancer. | | Poor Wound Healing þAloe vera gel—apply to affected areas twice daily
Diabetic foot ulcers þGinkgo biloba extract?20 to 240 mg daily; or grapeseed extract?50 to 300 mg daily
Appendix C
Supplementation Program for the Treatment of Type 2 Diabetes
The recommended supplementation program depends on the degree of blood sugar control as evident by self-monitored blood glucose and AjC levels. | | Poor Wound Healing þAloe vera gel—apply to affected areas twice daily
Diabetic foot ulcers þGinkgo biloba extract?20 to 240 mg daily; or grapeseed extract?50 to 300 mg daily
Appendix D
Open Letter to Physicians
Consider taking a copy of this letter to your physician when you discuss the use of alternative and complementary strategies for diabetes. | | More than 50 percent of cases of lower-limb amputation in the United States (70,000 each year) are due to diabetic foot ulcers.
Immune system dysfunction often begins to occur long before a diagnosis of diabetes is made. In fact, a recurrent vaginal or skin yeast infection is the clue that leads to the detection of diabetes in many cases. Immune system problems are made worse by poor glucose control, which puts the diabetic at risk for serious infections or complications of simple infections. | Phyllis A. Balch, CNC See book keywords and concepts | Lack of oxygen (because of poor circulation) and peripheral nerve damage (with loss of pain sensation) are major factors in the development of diabetic foot ulcers. Try to avoid injury, and take measures to improve the circulation in the feet and legs. (See circulatory problems in Part Two.)
Considerations
Q To compensate for the lack of insulin production, a person with type 1 diabetes must inject insulin on a daily basis. Injections are necessary because insulin cannot be absorbed from the gastrointestinal tract into the bloodstream if taken orally. | Mark Sircus See book keywords and concepts | Botox injections are a diluted form of botulism that will paralyze the specified muscle area.
Botulinum toxin is made by the bacteria Clostridium botuli-num. The bacteria themselves (and their spores) are harmless, but the toxin is considered one of the most lethal known poisons, one that has been a principle agent in biological warfare.66 It binds to nerve endings where they join muscles, leading to weakness or paralysis. Recovery from botulism occurs when the nerves grow new endings, which can take months, according to the FDA. | Phyllis A. Balch, CNC See book keywords and concepts | A wound dressing, called Apligraf, is available that helps heal diabetic foot ulcers, open foot sores that can lead to amputation. It is manufactured by Organogenesis, Inc.
Q Research indicates that supplementation with the hormone dehydroepiandrosterone in the form of 7-keto DHEA may help prevent diabetes. (See dhea therapy in Part Three.)
Q Hypothyroidism may be a leading cause of diabetes. Well-known researcher and author Stephen Langer, M.D., has noticed that neuropathies, together with other diabetic complications, disappear when thyroid hormone is administered. | Larry Trivieri, Jr. See book keywords and concepts | Diabetic foot ulcers: A lack of oxygen supply and peripheral nerve damage due to diabetic clogging of small blood vessels are the main causes of foot ulcers in diabetics. Without proper treatment, gangrene can form, necessitating amputation. To prevent this, the feet should be kept clean, dry, and warm. Diabetics should never go barefoot, as injuries such as cuts and bruises may not be noticed because of numbness from nerve damage, and ulcers may also occur. attained wealth and settled into a life of leisure, which included adopting a Western diet high in sugar, fat, and carbohydrates. | Ben Davis See book keywords and concepts | | Foot Ulcers
Father Kneipp treated foot ulcers or open sores, with great success. "No illness seems to me more easy to cure than such a disease in the foot," he said. Yet he never actually treated the foot itself. Here is his explanation of this:
"It is quite inconceivable to me that people do not believe that the cause of an open foot is a diseased body, and that to heal the feet, the body must be operated on (with washings). This healing can only take place when all foul matter in the body is dispersed and expelled and the system braced and strengthened... This is the only natural cure. | Dr. Vern Cherewatenko and Paul Perry See book keywords and concepts | Indiana University School of Medicine researchers found in a study of 352 people with type 2 diabetes that foot ulcers were most common among those over forty who also were overweight and had neuropathy in their legs, with an inability to sense temperature changes. Other predictors include:
Dry and/or cracked foot skin. Poorly trimmed toenails. Fungal foot and nail infections.
Treatment. Good blood glucose control and diligent foot care are still the best ways to prevent foot ulcers. | | More likely to occur when circulation to the foot is poor and blood glucose levels uncontrolled, foot ulcers and ulcerations occur when a minor injury goes untreated. Infections set in, rapidly desUoying layers of skin and other tissues and even reaching and infecting the bone.
Indiana University School of Medicine researchers found in a study of 352 people with type 2 diabetes that foot ulcers were most common among those over forty who also were overweight and had neuropathy in their legs, with an inability to sense temperature changes. |
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