November Is National Diabetes Month. Vascular Surgeon Dr. Pushpinder Sivia Explains How to Recognize Poor Circulation Before It Leads to Serious Complications.
Most people with diabetes focus on controlling their blood sugar, protecting their eyesight and preventing kidney problems. But there's another dangerous complication that often goes unnoticed until it's too late: poor circulation that can lead to amputation.
It's called peripheral artery disease (PAD), a condition in which plaque buildup narrows the arteries, reducing blood flow to the legs and feet.
People with diabetes face a significantly higher risk of developing PAD, and the consequences can be devastating.
"Most people with diabetes know their blood sugar numbers. But almost nobody knows how well blood is flowing to their feet. That's a blind spot that can have devastating consequences," says&nbsp;<a href="https://empirevein.com/en/our-team/dr-pushpinder-sivia/" rel="noopener nofollow" target="_blank">Dr. Pushpinder Sivia</a>, board-certified vascular surgeon at Empire Vein &amp; Vascular Specialists, who has performed more than 5,000 angiogram procedures for <a href="https://empirevein.com/en/vascular-services/peripheral-artery-disease/?_utm_source=Patch_RIVERSIDE_&amp;utm_medium=PR_article&amp;utm_campaign=DIABETES_PAD" rel="noopener nofollow" target="_blank">PAD</a>.
PAD isn't just a threat to your legs. The same plaque buildup can affect arteries supplying the heart and brain, increasing the risk of heart attack and stroke.
<h3>1. Don't Automatically Blame Leg Pain on Aging</h3>
Do your calves ache when you walk but feel better when you stop? Do your legs feel unusually heavy or tired after walking a short distance?
Don't automatically blame arthritis, aging or being out of shape.
Leg pain that repeatedly appears with walking and disappears with rest is a classic warning sign of PAD. Your muscles may not be getting enough blood to meet their needs.
Other warning signs include:
<ul><li>One foot feeling colder than the other</li><li>Numbness, weakness or changes in skin color</li><li>Sores on the feet or toes that won't heal</li><li>Foot pain at night or while resting</li></ul>
<h3>2. The Scariest Symptom? Sometimes There Isn't One.</h3>
Diabetes can cause nerve damage, known as neuropathy, that makes it difficult to feel pain.
That means someone could have a serious circulation problem without experiencing the typical warning signs.
A patient might develop a small blister or cut and barely notice it. When poor circulation prevents that wound from healing, a seemingly minor problem can become a limb-threatening emergency.
This combination of diabetes, nerve damage and poor circulation makes regular foot checks especially important.
<h3>3. Who Should Be Screened?</h3>
People with diabetes should discuss PAD screening with their healthcare provider, especially if they:
<ul><li>Are age 50 or older</li><li>Smoke or previously smoked</li><li>Have high blood pressure, high cholesterol or kidney disease</li><li>Have neuropathy, foot ulcers or slow-healing wounds</li><li>Experience leg discomfort when walking</li></ul>
A simple, painless test called the ankle-brachial index (ABI)&nbsp;compares blood pressure in the ankles and arms to help identify blocked arteries. Additional testing may be needed for some patients with diabetes.
<h3>4. Five Simple Steps That Could Save Your Feet</h3>
Check your feet every day.&nbsp;Look for cuts, blisters, redness, swelling or changes in skin color. Don't forget between your toes.
Never walk barefoot.&nbsp;Even a small cut can become a serious problem, especially if you have reduced sensation.
Don't wait on a wound.&nbsp;A foot sore that isn't healing deserves prompt medical attention. Early treatment can prevent serious complications.
Keep walking.&nbsp;Regular exercise can improve walking ability and help manage vascular risk factors. Ask your physician about a safe exercise program.
Protect your arteries.&nbsp;Control blood sugar, blood pressure and cholesterol. If you smoke, quitting is one of the most important steps you can take.
<h3>5. Amputation Isn't Inevitable. There Are Treatments.</h3>
For many patients, PAD can be managed with medications, lifestyle changes and structured exercise programs.
When blood flow becomes severely restricted, minimally invasive procedures may help restore circulation and save threatened limbs.
These treatments include balloon angioplasty, stents, plaque-removal devices and intravascular lithotripsy (IVL), which uses sonic pressure waves to help open arteries hardened by calcium.<figure>&#65279;<img src="https://patch.com/img/cdn20/users/27251524/20261104/061003/pad-before-after___04181002430.jpg?width=600" id="PAD before-after.png" data-image="PAD before-after.png" srcset="https://patch.com/img/cdn20/users/27251524/20261104/061003/pad-before-after___04181002430.jpg?width=320 320w, https://patch.com/img/cdn20/users/27251524/20261104/061003/pad-before-after___04181002430.jpg?width=375 375w, https://patch.com/img/cdn20/users/27251524/20261104/061003/pad-before-after___04181002430.jpg?width=420 420w, https://patch.com/img/cdn20/users/27251524/20261104/061003/pad-before-after___04181002430.jpg?width=720 720w, https://patch.com/img/cdn20/users/27251524/20261104/061003/pad-before-after___04181002430.jpg?width=600 600w" sizes="(max-width: 325px) 320px, (max-width: 375px) 375px, (max-width: 420px) 420px, (max-width: 768px) 720px, 600px"></figure>
More advanced cases may require bypass surgery.
"Too many people believe that losing a toe, foot or leg is simply an unavoidable consequence of diabetes," says Dr. Sivia. "That's not true. With early detection and the right treatment, many amputations can be prevented."
<h3>The Bottom Line</h3>
You probably know your blood sugar numbers. But do you know how well blood is flowing to your feet?
This National Diabetes Month, take a few minutes to check your feet, pay attention to changes in your legs and ask your healthcare provider whether PAD screening makes sense for you.
Because protecting your feet today could mean keeping them tomorrow. Visit <a href="https://empirevein.com/en/vascular-services/peripheral-artery-disease/?_utm_source=Patch_RIVERSIDE_&amp;utm_medium=PR_article&amp;utm_campaign=DIABETES_PAD" rel="noopener nofollow" target="_blank">empirevein.com</a> for more information or to schedule a consultation.

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Diabetes and Amputation: The Warning Signs You...

November Is National Diabetes Month. Vascular Surgeon Dr. Pushpinder Sivia Explains How to Recognize Poor Circulation Before It Leads to Serious...

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&nbsp;VOLUNTEERS NEEDED!
<h2>Make a Difference at Sale Ranch Animal Sanctuary</h2>
Do you have a heart for animals and a little time to give? We&rsquo;d love to meet you!
Sale Ranch Animal Sanctuary is Temecula&rsquo;s only off-grid animal sanctuary specializing in caring for farmed animals with medical needs. We&rsquo;re looking for compassionate, animal loving volunteers to help us with ranch chores and spend time with our rescued animal residents
No experience necessary! We&rsquo;ll provide the training. All you need is a kind heart, a willingness to help, and a love for animals.
Volunteer Commitment:
<ul><li>Must be 18 years or older</li><li>One day per week</li><li>We have two, two hour shift opportunities : 8&ndash;10 AM or 3&ndash;5 PM</li><li>A 12-week commitment</li></ul>
Your time and compassion can make a meaningful difference in the lives of animals who need a little extra care.
Come be part of something special!
The ranch is located in wine country 20 minutes from the center of town. To learn more about volunteering with us visit <a href="http://www.saleranch.org/volunteer" rel="noopener nofollow" target="_blank">www.saleranch.org/volunteer</a> -&nbsp; please note we will respond via email so be sure to check your spam folder
Kindness changes lives&#128016;&#128055;&#128052;

Toni McAllister

San Diego Metropolitan Area

Temecula

Come Volunteer With Us!

Acne scars, enlarged pores and rough texture are frequent questions at Bella Vida MedSpa in Temecula. With Mosaic 3D fractional laser resurfacing added this fall, the physician-led medspa now has several ways to treat them. Mosaic 3D is used for acne scars, pores, fine lines and pigment. Potenza RF microneedling, which combines microneedling with radiofrequency, is another option for scarring and pores, with numbing and cooling for comfort. Some patients do best with a combination, which is why each plan starts with a free consultation. Most patients need three sessions, with three to four days of downtime (up to seven to ten), and results vary. Bella Vida pairs every device treatment with Alastin skincare to support recovery. The practice was founded in 2023 by Dr. Rick Herold, MD, an emergency physician and U.S. Navy veteran, and serves patients from Temecula, Murrieta, Menifee, Wildomar and Lake Elsinore. Financing is available through CareCredit and Cherry. Bella Vida MedSpa is at 26550 Ynez Rd, Ste B, Temecula, CA 92591, next to Jamba Juice across Ring Road from the Promenade. Call (951) 296-9988 or visit <a href="https://bellavida-medspa.com/services/laser-skin-resurfacing-rejuvenation-temecula-ca/?utm_source=patch&amp;utm_medium=post&amp;utm_campaign=mosaic-3d" rel="noopener nofollow" target="_blank">https://bellavida-medspa.com/services/laser-skin-resurfacing-rejuvenation-temecula-ca/?utm_source=patch&amp;utm_medium=post&amp;utm_campaign=mosaic-3d</a>. Physician-led. One-on-one. A plan built for you.

Temecula Physician Explains Options for Acne Scars

Acne scars, enlarged pores and rough texture are frequent questions at Bella Vida MedSpa in Temecula. With Mosaic 3D fractional laser resurfacing...

Bella Vida MedSpa, the physician-led medspa on Ynez Road in Temecula, now offers Mosaic 3D, a fractional laser resurfacing treatment for skin texture, enlarged pores, fine lines, acne scars and pigment. The practice was founded in May 2023 by Dr. Rick Herold, MD, an emergency physician who served in the U.S. Navy as an ER doctor. He also serves as medical director for XERF demo events across California, Texas and Florida. Mosaic 3D joins a laser lineup at Bella Vida that includes LaseMD Ultra, PicoSure Pro and Potenza RF microneedling. Mosaic 3D settings are adjusted to each patient's skin and recovery schedule. Bella Vida pairs every device treatment with Alastin skincare to prepare skin beforehand and support it afterward. Free consultations are available for patients from Temecula, Murrieta, Menifee, Wildomar, Lake Elsinore and Fallbrook. Financing is available through CareCredit and Cherry. Bella Vida MedSpa is at 26550 Ynez Rd, Ste B, Temecula, CA 92591, across Ring Road from the Macy's side of the Promenade Temecula, next to Jamba Juice. Learn more at bellavida-medspa.com or call (951) 296-9988. Physician-led. One-on-one. A plan built for you.

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XERF, a radiofrequency skin-tightening treatment developed in South Korea, has been getting national attention this year, including from Kim Kardashian, who has posted about getting it. Bella Vida MedSpa on Ynez Road was the first practice in Temecula to offer XERF. The treatment uses radiofrequency energy to tighten skin on the face and neck without surgery, and most patients return to normal activities the same day. "People hear about a treatment from a celebrity and want to know if it's right for them," said Dr. Rick Herold, a U.S. Navy veteran and emergency physician who founded Bella Vida in 2023. "The honest answer depends on your skin, your goals and who's doing the treatment. That's the conversation we have with every patient." Dr. Herold also serves as medical director for the manufacturer's XERF demonstration events in California, Texas and Florida. Bella Vida MedSpa is at 26550 Ynez Road, Suite B, Temecula. Information: (951) 296-9988 or bellavida-medspa.com.

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Altisima Winery is proud to welcome acclaimed Executive Chef Martin Corso to Gaspar&rsquo;s Restaurant, bringing more than four decades of culinary expertise, award-winning creativity, and an exceptional background in restaurant innovation to the heart of Temecula Wine Country.
A celebrated chef, restaurateur, and culinary strategist, Chef Martin has built an impressive career spanning fine dining, restaurant ownership, culinary consulting, and flavor development. His achievements include recognition at the prestigious So-Cal Chef Open, where he earned People&rsquo;s Choice honors and was a runner-up for the Pinnacle Award across the 2018, 2019, and 2021 competitions.
Throughout his career, Chef Martin has owned and operated five full-service restaurants, including The Chef&rsquo;s Grille and Roni&rsquo;s West in Murrieta, earning recognition from publications including The New York Times, Hartford Courant, and Inland Empire Magazine.
His culinary influence extends well beyond the restaurant kitchen. As founder of The M Group, a culinary strategy and consulting firm, Chef Martin has worked with nationally recognized restaurant brands including Black Angus, Outback Steakhouse, Applebee&rsquo;s, and TGI Fridays, specializing in menu innovation, flavor development, and operational excellence.
A graduate of Johnson &amp; Wales University and founding member of the Research Chefs Association, Chef Martin brings a distinctive combination of culinary artistry, technical expertise, and a deep appreciation for food and wine pairing.
His arrival marks an exciting new chapter for Gaspar&rsquo;s Restaurant, as Altisima Winery continues its commitment to elevating the guest experience through exceptional cuisine, innovative menus, and memorable wine country dining.
With Chef Martin leading the kitchen, guests can look forward to a renewed culinary focus that celebrates bold flavors, thoughtful food and wine pairings, and the quality and hospitality synonymous with Altisima Winery.

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