Posts for category: Diabetes

By Affiliated Foot & Ankle Carel
June 20, 2018
Category: Diabetes
Tags: Diabetes  

This month, we at Affiliated Foot & Ankle Care are turning the spotlight on our male patients in honor of Men’s Health Month. Research has shown some common factors in the way that men deal with illness and treatment that can lead to increased risk and a greater number of complications. One area in particular that this has been shown to be true is in dealing with diabetes.

Diabetes is a condition that can have a serious impact on the health of your feet. Decreased circulation and neuropathy (or nerve damage)—two conditions commonly associated with diabetes—can result in injury to your feet and even amputation due to infections that are difficult to heal. If you are a man (or a woman who loves one), overcome the myths below and get the treatment you need to stay healthy and active for many years to come.

“I’m afraid of getting bad news.”

This is the number one reason men give for not bringing unusual symptoms to the doctor. It is estimated that 1.5 million Americans will be diagnosed with diabetes this year. Knowing the signs and seeking evaluation and treatment early will greatly decrease your risk of debilitating complications. It’s a good idea to get in the habit of inspecting your feet regularly and bringing anything unusual to the attention of our podiatrists, Dr. Varun (Ben) Gujral and Dr. Nrupa Shah. Some signs to look for include:

  • Sores or cuts on your feet that don’t seem to be healing
  • Swelling, bruising or pain in your feet
  • Loss of sensation and/or burning or tingling in your feet
  • Extreme thirst
  • Fatigue
  • Frequent urination
  • Blurred vision

“I have too many obligations to fit in doctor’s appointments and treatments.”

One study showed that for men and women who had equal access to health care for diabetes, women had better outcomes due to fewer missed appointments and adhered to treatment instructions better than men. Your family, your job, and your other commitments will suffer more if you become incapacitated from complications of diabetes. It’s an investment in yourself and the people you love to make the time for treatment and monitoring if you have diabetes.

“I don’t want to talk about it.”

You may feel embarrassed about talking about symptoms of diabetes. For example, erectile dysfunction is sometimes caused by this disease, but many men are not aware of that fact. Avoiding discussing symptoms or concerns won’t make them go away! If you have questions about your risk of diabetes or any unusual foot symptoms, contact our New Jersey offices in Monmouth Junction, Edison or Monroe office by calling: 732-662-3050. You and your loved ones will be glad you did!

By Affiliated Foot & Ankle Care
December 06, 2017
Category: Diabetes
Tags: Diabetes  

At Affiliated Foot & Ankle Care, we urge all of our patients (and particularly those with diabetes or autoimmune conditions) to contact our Monroe, Monmouth Junction or Edison office in New Jersey at the first sign of a wound or ulcer on the foot or lower extremity that does not seem to be healing promptly. Ulcers are wounds that are slow to heal and consequently can lead to dangerous infections. There are a number of different causes of foot ulcers and our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will diagnose your wound and prescribe the correct treatment.

In addition to following the foot doctor’s directions, you can help increase your immune response in several ways. One of them is by choosing healthy foods that contain specific elements that help fight infection and increase the effectiveness of your immune system. Below are 5 heavy hitters in the fighting of infections. With cold and flu season upon us, these items are good to add your menus even if you don’t currently have a foot infection.

  1. Kale—yes this super food makes the list for boosting your immune response too. That’s because it’s full of vitamin C. Long recognized as a powerful help in warding off colds and other common illnesses, this vitamin also helps other antioxidant levels to increase.
  2. Poultry—it’s a lean source of iron, critical to helping you deliver oxygen to your cells and also plays a role in clotting. Chicken, turkey, Cornish game hens and other fowl also contain zinc which can help regulate inflammation and grow new white blood cells.
  3. Garlic—certain chemicals in garlic have been found to actually help reduce the risk of cancer and Alzheimer’s disease. It contains power antioxidants known for defeating infections. In some cultures garlic is even applied directly to wounds as an antiseptic.
  4. Yogurt—be sure to choose the kind with live and active cultures. These cultures greatly enhance your immune system. In addition, you’ll be getting a dose of another infection fighter: vitamin D.
  5. Cauliflower—in addition to antioxidants, cauliflower contains choline, a chemical that improves cell movement and structure and also glutathione, an antioxidant which targets a number of specific infections.

If you have additional questions about foot or lower extremity wounds, contact us by calling: 732-662-3050.


Take control of your diabetes. Besides keeping your blood glucose at your ideal target range, if you haven’t already, consider a podiatrist as part of your health care team to help you manage and take control of your health. Our team at Affiliated Foot and Ankle Care is always ready to collaborate with your other health care team members. Regular appointments, education about diabetic foot care and your situation is a powerful enabler along your road of health. Diet and exercise can always be strong advocate.   

Every day foot checks. Take the time DAILY to inspect your bare feet. Look for changes, swelling, redness, blisters, rashes, or cuts. Someone else or a mirror may be helpful if you are unable to see the bottom of your feet. If you have concerns contact your podiatrist immediately, it is essential to maintain open communication with your podiatrist about the condition of your feet.

Foot hygiene. It is important to wash your feet on a daily basis, and it is just as important to dry your feet, especially in between your toes after a proper wash. If you are an individual who sweats a lot, consider options to change your socks throughout the day. Maintaining an environment for your feet that avoids moisture and dampness is ideal. If you choose to have pedicures done at a salon, consider bringing your own pedicure kit to avoid infection.

Keep blood flow in mind. As you go about your day, consider ways to enhance your body’s ability to keep blood flowing to your feet. Never sit or sit crossed legged for long periods of time. If possible elevate feet when sitting. Choose not to smoke, and do your best to remain hydrated. Habitual toe wiggling/crunching and ankle movement in 2-3 repetitions for 5 minutes throughout the day better maintains circulation to feet. Guard your feet against cold and hot temperatures. Test water temperatures, and do not use heating pads and blankets on your feet because burns can happen and you may not even realize it.

Never walk bare feet. It is smart to wear shoes and socks at all times to avoid sustaining an injury you are unaware of.  Before putting on shoes check the shoe and lining to insure they are smooth and there is nothing inside that may cause friction, blister, or injury. 

As podiatrists at Affiliate Foot and Ankle Care located in Monroe and Edison NJ we pride ourselves in being able to serve you with the best custom to you diabetic foot care in the area. If you have questions or would like more information about diabetic foot care call 732-662-3050 make your appointment.

By Varun Gujral

By Nrupa Shah
November 20, 2014
Category: Diabetes

Diabetes is an extremely popular subject talked about amongst all healthcare professionals. But, even more so in the month of November. Why? November is American Diabetes Month (ADM) and despite how “popular” diabetes may be, many people are unaware ADM exists. With that said, there is a story circulating right now about singer Bret Michaels who was recently hospitalized six times in two weeks and had to have surgery on both of his kidneys which was secondary to his type 1 diabetes. Michaels was actually scheduled to perform in Campaign, IL earlier this month but because of the severe pain he was in, unfortunately he was unable to.

It’s extremely important to realize how complex diabetes is and what it’s capable of doing to the body. Diabetes is diagnosed by increased sugar in your blood and if the sugar stays elevated for long periods of time it can cause severe damage to many parts of your body. Most people know that diabetes causes your feet to feel numb and tingly but they are unaware that it can subsequently cause blindness and kidney damage; hence why Bret Michaels had to have surgery on his kidneys. Although these complications can arise, they are more likely to do so in patients who are not compliant with their medications. It is unknown how compliant Michaels is with his medications so this problem could have been persisting over a long period of time.

 It is extremely important to take your medication as prescribed by your physician. Likewise, it is also recommended that all diabetic patients see a podiatrist to get preventative foot care. If you have any questions about your diabetes and preventative foot care please do not hesitate to contact your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ today!

 By Nrupa Shah


It’s not every day you get to hear (or read) about a celebrity talking about diabetes. When you do though I think it would make the conversation/article a little more “entertaining” coming from one of the Kings of Comedy, Cedric the Entertainer. He was invited by Pastor Corey Brooks of the New Beginnings Church in Chicago on Sunday to give a talk about “Step On Up”, a program developed by Pfizer, Inc. and the American Diabetes Association.

Diabetes is a condition that affects approximately 29 million people in the United States (of that, 21M are diagnosed and 8M are undiagnosed). According to Pfizer’s chief medical officer Freda Lewis-Hall, however, approximately 86 million people live with pre-diabetes, meaning their blood glucose levels are high but not high enough for diagnosis. Mr. Cedric shared his story with the crowd about his father and diabetes and how he is starting to deal with the beginning complications of the disease. In his talk he related the feeling of “shooting, stabbing pains in his hands and feet”, and Mrs. Lewis-Hall affirms that it is called Diabetic Nerve Pain or Painful Diabetic Peripheral Neuropathy (PDPN). With diabetes occurring at such a high rate, your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are highly trained medical professionals to risk stratify each and every patient. Risk stratifying patients who have recently been diagnosed with diabetes is something extremely important when performing preventative foot care. With that said, it is extremely important for recently-diagnosed diabetic patients to ask their primary care physicians for a referral to their local podiatrists to get an accurate diabetic foot screening and subsequent preventative foot healthcare thereafter.

Diabetes is a disease that is growing exponentially but it’s also something that, if caught soon enough, can be treated very easily without any of the major complications associated with it. If you have any questions at all, please don’t hesitate to call our office with any questions you may have.

By Varun Gujral