Wednesday, June 4, 2014

Diabetes and Trigger Finger

I am continuing to learn about the many complications that can be caused by diabetes. My most recent discovery, Trigger Finger.

In my case, specifically my thumb. Although I've had a few scares with my middle finger.

So what is trigger finger? Well according to the Mayo Clinic, trigger finger is caused by a narrowing of the sheath that surrounds the tendon in the affected finger. Specifically if the tenosynovium, or the protective sheath that surrounds the tendon becomes inflamed frequently or for long periods, the space within the tendon sheath can become narrow and constricting. The tendon then will not be able to glide through the sheath easily and may catch the finger in a position before popping straight. With each catch, the tendon itself becomes more irritated and inflamed. And ultimately, your finger can get caught in a bent or extended position.

Lucky for me, my thumb stuck in the straight position. So what can you do to avoid trigger finger?
Well you are already at a greater risk of developing a trigger finger if you have any of the following conditions; rheumatoid arthritis, diabetes, hypothyroidism, amyloidosis, and certain infections such as tuberculosis. Diabetes is always on the risk factor list, right?! Oh, and trigger fingers are more common in women...nice. I'm still trying to figure out just what I can do to avoid trigger finger (especially since I feel I have another one coming). Because diabetes is a risk factor, I've been told better diabetic care. Get my numbers better, a better A1C, healthy diet and exercise. Oh well if that's all...

What are the treatments for trigger finger? Well it depends on the severity, but some of the treatments are;
--Finger exercises
--Avoiding repetitive gripping
--Nonsteroidal anti-inflammatory drugs (ibuprofen, Advil, Motrin) may relieve swelling.
--A steroid injection to the area. HOWEVER, this may not be as effective in people with other medical conditions such as rheumatoid arthritis and diabetes.
--Percutaneous trigger finger release. Performed with local anesthesia, doctors use a needle to release the locked finger. This procedure is most effective for the index, middle and ring finger.

Friday, December 13, 2013

Acanthosis Nigricans AKA crappy diabetic skin

I went to the doctor yesterday because I haven't been feeling well. Of course she ordered blood work and believe it or not I just marched myself down to the lab and had it done. All by myself.
This is actually a huge accomplishment for me. I am terrified of needles. I put off getting my blood drawn like some people put off a root canal or doing their taxes. Usually I drag my mom with me. I honestly think I take her with me to make sure I don't flake out, oh and then we usually get breakfast afterwards.

But yesterday my mom wasn't with me. I was all by my lonesome. Well I am an adult and I decided, I can do this. (Never too late to grow up right...I say this yet I am very grown up, I have a husband, a career and two dogs....) And you know what, it was literally the easiest blood draw I've ever experienced. It didn't hurt at all, and it fact I barely felt it. The woman was amazing. Will I continue to do blood draws on my own?  :)  No, if she's free, I'll still drag my mom with me, because then we can go get breakfast afterwards.

The point of this story though is to tell you about my doctor's appointment. Literally everything I complained about my doctor told me was text book examples of poor diabetes control. To name one of my issues...

Acanthosis nigricans

Women's neck with Acanthosis Nigricans
(this is not my neck, but this is an
accurate photo of the condition)
I read on line that the majority of cases of acanthosis nigricans are associated with obesity and is likely because of insulin resistance, and more likely to occur in darker-skinned persons. I find this interesting because yes I have diabetes, but I wouldn't consider myself obese, but this is a reality check because according to my BMI I am obese. Another interesting thing I am not a darker skinned person, in fact I'm one of the palest people you'll meet.
My doctor said there is not direct cure or treatment for this condition however it is reversible after years of good diabetic control. Which is in line with what I read on line, that obesity related acanthosis nigricans will improve with weight loss and controlling blood glucose levels through exercise and diet often improves symptoms.
I have had this skin condition for a few years now. I actually thought for a while it was caused by my necklace, that it must have been poor quality metal. I gave up wearing my necklace for months, but of course it never cleared up. My doctor did proscribe me prescription strength lightening cream but because its a cosmetic prescription I couldn't front the $96 bill for it. (Its Christmas time, I'm beyond broke right now). But there are several makeup companies that sell lightening cream. The difference, over the counter brands contain 2% of the whitening chemical compounds, while prescription creams contain 4%. I think for now I'll try the 2% and see if it helps, in fact, Mary Kay just released a dark spot reducer product for $40.
I'll give this a try and let you know how it works. It won't make my skin perfect I know. But if it could make the skin discoloration a little less noticeable, I'd really appreciate it. It would be nice to wear an updo with my hair again.
Does anyone else have this problem? What do you do to treat it? I guess as a woman I have it a little better. I can cover my neck with my hair. Well know you aren't alone, and its not your fault (unless it is, because like me your blood sugars aren't under control) but at least you know there is a light at the end of the tunnel. Get your diabetes in check and this may go away. 




Sunday, May 12, 2013

It's never too late, until it is.

I hate those blogs that apologize for not posting in a long time, but seriously, sorry I haven't posted in a LONG time.

I've been so busy with work and life that I haven't felt much drive or energy to post to the blog.
I think its important though because I can see that people are reading it, and its important for me to stay committed to good diabetic health.

Recently I decided I HAD to get healthy. I had to exercise and lose weight. This sudden desire was triggered by the conclusion of the Biggest Loser Game I played with my friends. One of my friends, who by no means was large when we began the game, lost 24 pounds in three and a half months. WOW. I was so amazed and inspired. How did she do it? Good old fashion exercise and eating right.

If she could do it, I knew I could do it, but unlike her I knew I wouldn't be able to do it on my own. So I bought a few personal training sessions with a trainer at my gym, 24 Hour Fitness.

The first week went great. In addition to exercising with a trainer I was using My Fitness Pal (will have to blog about that in another post, its amazing) and my blood sugars were coming back fantastic.

So why are my hands numb? I have experienced numbness in my hands off and on now for the past couple years. But almost the same time I began exercising my last two fingers in my hand went numb, 24 hours a day.
I said why? Why are my fingers numb?! I just began exercising and taking care of myself! Well after 25+ years of bad blood sugar numbers, it doesn't matter if you suddenly decide to exercise and take care of yourself, the damage is done. High blood sugars cause nerve damage and after years of high blood sugars diabetic neuropathy is likely to be present. Yes there is medication for this, there is medication for everything, but this is a road you don't want to go down. Damage is permanent.

This is my plea to you. If you have diabetes, whether you're newly diagnosed, or have had it for the past 20 years, take care of yourself. Take care of yourself TODAY. Don't wait until its too late to decide to be healthy.

I'll update you on my exercise and numbness.