June 19, 2012
|Typical Maya hairdo.|
In the US 8.3% of our population has diabetes, this is over 25 million people and it is believed that 3 x that many have pre-diabetes, which means 79 million people are on their way to getting diabetes. Our western sugar-laden and processed food has worked its way into the Maya diet and all our venous and foot ulcer patients are diabetic. As much as I talk about how good and healthy the food is here, people by nature, enjoy sweets. It is not easy to find something as sweet a Coca-Cola growing from a tree or grown from la tierra and its much easier to buy. Kids naturally get hooked on the sugared candies and it becomes a hard habit to break… just like cigarettes. It is believed Mexico's diabetes rate is 11% — more than the US and their soda pop consumption per persion is 160 liters.
|A short and long term accident waiting to happen, burn and diabetes, respectively. Family deep fries tortillas and sprinkles with sugar to sell, this may be the only way they know how to make a living.|
|The way we should all eat: beet soup, fresh leafy green salad and the agua del dia is watermelon. This is one of my favorite Chiapanecan dishes!|
|Blue corn atole is a breakfast soup that is soothing to the stomach.|
|The large blue-green stalk in the background is a brussel sprout tree.|
When patients have infections their blood sugar goes up, when their blood sugar is high, their wounds don't heal; a vicious cycle has started. This is what we are up against with wound care, what we need is a combination wound care clinic with a full-time endocrinologist and promotoras… quisiéramos! Don Sergio seems to almost always be successful with diabetic wound care although it can take months as opposed to weeks if all the right resources were in place.
|We usually have fewer patients when it rains but this evening we were quite busy.|
|At the end of the evening a few ladies come to just sit and chat with Don Sergio, he welcomes them all.|
Posted by Patricia Ferrer, PA-C