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Posts for tag: diabetes

By Skokie Foot & Ankle Specialists
June 02, 2017
Category: Diabetes
Tags: diabetes   medication   canagliflozin   Invokana  

InvokanaBased on new data from clinical trials, the U.S. Food and Drug Administration (FDA) has concluded that a diabetes medication has an increased risk of amputation.  Canagliflozin (known by the brand names Invokana, Invokamet, and Invokamet XR) was approved for sale in the U.S. in 2013. New warnings will be added to the labels.

The purpose of diabetes medication is to lower the blood sugar level and reduce complications such as infection and amputation. Nevertheless, amputations occurred about twice as often in patients treated with canagliflozin compared to patients treated with placebo.

Amputations of the toe and middle of the foot were the most common. However, amputations of the leg also occurred.

Patients taking canagliflozin should notify their doctor right away if a new pain, sore, or infection develops in the leg or foot. Factors that predispose a diabetic to amputation include poor blood flow and numbness in feet.

The complications of diabetes are complex and costly. Dr. Steven Miller has extensive experiencing in treating diabetic foot ailments and preventing amputation. To schedule a comprehensive foot assessment with Dr. Miller, please call our office at (847) 675-3400 or CLICK HERE.

March 22, 2017
Category: Diabetes
Tags: diabetes   neuropathy   vitamin   metformin  

The American Diabetes Association recently published guidance regarding the most common form of nerve damage in feet. Called diabetic neuropathy, it is caused by elevated levels of sugar in the blood. 

Keeping blood sugar level at a normal level and exercise can prevent this nerve damage.

If a diabetic has neuropathy and it is painful, medication is usually needed.

Unfortunately, up to 50% of diabetics may not know they have this nerve damage. Diabetics should be assessed annually. Additional testing may be needed for those at risk for falling.

Evidence demonstrates an association between vitamin B12 deficiency and long-term metformin use, the most common oral diabetes medication. Given that vitamin B12 deficiency can also cause neuropathy, periodic measurement of B12 levels and supplementation may be needed.

If you suspect that you or a loved one has neuropathy, please schedule a thorough evalaution with Dr. Steven Miller by calling (847) 675-3400 or CLICK HERE.