- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.read biographyclose window
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.
Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.
Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Diabetes: Coping with nail fungus
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
I have a friend who's so embarrassed about her nail fungus that no one is allowed to see her feet. Her feet are always covered with socks, slippers, shoes or water shoes (if she's at the beach or pool).
Nail fungal infections affect about 12 percent of people living in the United States, and toenail fungus is common in people who have diabetes. Toenail fungus has an inherited tendency and commonly runs in families. Besides being cosmetically unattractive, nail fungal infections can cause nail deformity, pain or discomfort while wearing shoes and odor. And it can lead to more serious foot complications if a secondary infection develops.
If treatment is prescribed, it's important to know that due to the thickness of toenail beds topical medications aren't absorbed easily. You must be persistent with topical medications, applying them daily for up to one year, and even this may not be effective in clearing up the infection.
Oral antifungal drugs can be effective, but they may cause side effects ranging from skin rashes to liver failure. And they aren't recommended for those with liver disease, heart failure or who are taking certain medications.
Recurrent infections are possible if feet are exposed to warm and moist conditions. Remember, keep nails trimmed, free of snags, clean and dry.
How do others deal with toenail fungus?
Have a great week.