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Have you heard of Tere’s inspiring diabetic story?

“My Doctor told me I have less than a year to live if I won’t let them amputate my leg, but I didn’t let them . . . here’s how I am still alive now!”


When doctors initially told 60-year-old Theresa “Tere” Schaufer that she had diabetes, she went into denial for 20 years.

“I was diagnosed with diabetes 20 years ago, and only when my doctor told me that they needed to cut my leg, did I realize that my diabetes was serious,” she says.

A major contributing factor

“Doctors told me the only way to survive this fight was to amputate my leg,” Schaufer says.  


She acknowledges that she had lived an unhealthy lifestyle for many years. Working in a restaurant as a cashier, she did very little exercise, ate fast food and drank sodas on a regular basis.

“If the doctor tells you you’re a diabetic, don’t ignore it. You have to know why foot care is important for someone with diabetes. Don’t get to where I am. The sooner you accept things, the better it is for your health.”

Only after her doctor advised amputation did she realize the seriousness of her situation. Schaufer’s lifestyle had a hugely negative impact on controlling her diabetes


It was very painful!

Schaufer had puss from underneath her foot and necrotic toe. “After the doctor examined my foot, it was like decaying,” she says. “I couldn’t handle the pain. It was excruciating!” She was given less than a year to live because of her poor lifestyle.


I started to accept the situation.

Schaufer finally accepted her fate as a diabetic after the doctor told her that her leg would have to be amputated.


“I saw it coming. The pain was terrible. I could no longer handle it. At this point I was prepared; whatever came had to be.”


Unexpected turn of events

“I was browsing a support page I found on the web and read about a colleague’s experience with the microcirculation therapy she had tried. She noted that it had an amazing effect on her diabetic foot ulcer,” Schaufer says.


Right there on the support page, the woman raved, “There is this new technology you can buy online, D’OXYVA, which was voted one of the Top 10 Diabetes Care Solution Providers 2018! I didn’t have to amputate my leg because of this amazing product. In just four weeks, I can see my diabetic foot ulcer improving!”


“I read these words, and it gave me the hope I’d been praying for,” noted Schaufer.

She only had a month before her scheduled amputation, and without hesitation, she used the remaining days to try out D’OXYVA. She ordered the product online and closely collaborated with their in-house support.


“I was under D’OXYVA therapy for one month, taking it twice a day, once in the morning and once before bed as advised. It was very easy to use and non-invasive. In the first few days, I was skeptical as I wasn’t seeing any improvements, but I continued anyway and followed their suggested therapy guide,” Schaufer explains.

Thankful for D’OXYVA

When it was time for her to go back to her doctor and give her consent to amputate, her doctor was shocked to see her leg.

“What happened?” Those were the exact words my doctor asked upon seeing my leg after only a month. “Your wounds seemed to be healing from the inside,” my doctor said.

After a thorough check-up and the usual diagnostic check of my foot’s PI (perfusion index), he said the words that I never expected to hear. “We don’t need to amputate your leg anymore, but you need to continue whatever you’ve been doing for the past month.”

I then introduced him to D’OXYVA, and he was amazed by how this product had saved me.


Helping others

“I’m on my third month of D’OXYVA therapy, and it does amazing things for my health! I don’t think I have thanked D’OXYVA enough for this chance to live longer. I wouldn’t have the outlook on life that I have now,” Schaufer continues cheerfully. 

She is now also leading a healthy life. “This changed how I live my life, and I will continue sharing my experience as much as I can to help others.”


Schaufer often spends time with other “to-be-amputees” struggling to deal with their situation. “God gave me my situation to help others,” she maintains.

One of the ladies she counselled remarked how Schaufer had helped her tremendously. “She told me that I gave her her life back,” Schaufer says, breaking into tears.

“I’m in a way thankful for what I have been through with my diabetes because, without it, I wouldn’t have stumbled across my strength and my ability to help others.”

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Foot blood flow, polyneuropathy and foot ulceration in diabetes mellitus.

Corbin DO1, Young RJ, Morrison DC, Hoskins P, McDicken WN, Housley E, Clarke BF.
Peripheral Vascular Clinic, Royal Infirmary, Edinburgh, Scotland.

Comparable groups of diabetic patients asymptomatic of neuropathy (Group A), with chronic painful polyneuropathy (Group B) and painless polyneuropathy causing recurrent foot ulceration (Group C) were studied for differences in pedal blood flow, peripheral somatic and autonomic neuropathy and vascular calcification.

Blood flow abnormalities detected by doppler waveform analysis and consistent with reduced peripheral vascular resistance were found in all three diabetic patient groups. The abnormalities were of similar severity in Groups A and B but generally more marked in Group C. Test results of peripheral somatic nerve function became progressively more abnormal from Group A to Group C. Autonomic neuropathy was equally severe in Groups B and C, although mild abnormalities were recorded in diabetic patients asymptomatic of neuropathy.

A similar pattern was seen for vascular calcification in the tarsal and metatarsal arteries: marked in both neuropathic groups (B and C) but mild in Group A. It was concluded that abnormal blood flow consistent with reduced peripheral vascular resistance is very common in the feet of diabetic patients, whether or not they are symptomatic of neuropathy, and is most severe in those with chronic painless polyneuropathy and recurrent foot ulceration. No clear relationship was found between autonomic nerve dysfunction and the degree of blood flow abnormality.


Clinical studies with D’OXYVA®  (deoxyhemoglobin vasodilator) have shown extraordinary results for the role of transdermal noninvasive wound care and significant improvement of blood flow using ultra-purified, nontoxic, FDA-cleared molecules, such as CO2especially when all other approaches failed.

In an ongoing multiyear, multi-country, multicenter, randomized clinical trial on patients with diabetic foot ulcers, D’OXYVA has demonstrated speeding up diabetic wound healing and ultimately wound closure to an average of 5 weeks**.

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Why foot care is important for someone with diabetes?

diabetes, foot care

November is National Diabetes Awareness Month. Diabetes is one of the leading causes of disability and death in the United States. Diabetes can cause blindness, nerve damage, kidney disease, and other problems if it is not controlled.

One serious complication with diabetes is foot ulcers. Those with diabetes commonly develop nerve damage called peripheral neuropathy which leaves them unable to feel their feet properly. Uncontrolled diabetes can lead to poor circulation and an impaired immune system. These factors all combine to make it difficult for wounds, like foot ulcers, to heal.

“Diabetes is the leading cause of non-traumatic amputation,” said Dr. Leon Reber, DPM, a foot and ankle physician in St. George. “About 85% of non-traumatic amputations begin with a diabetic foot ulcer. Many of those amputations could have been prevented with proper foot care. Educating those with diabetes and pre-diabetes is very important.”

The leading cause of foot ulcers is neuropathy, or nerve damage. Neuropathy leaves people unable to feel their feet. According to Reber, “feeling pain is a gift when it comes to feet.” Any unnoticed rubbing, blistering, or injury to the foot may become infected and put the foot at risk for more serious complications.

Reber gave five great suggestions on how to properly care for feet, especially the feet of those with diabetes and neuropathy.

  1. Keep blood sugar levels and diabetes under control. Exercise and walk regularly, eat healthily, and stop smoking. “Smoking can lead to a decrease in circulation to the feet,” Reber said. “Decreased circulation makes wounds to the feet harder to heal.”
  2. Inspect both feet every day. “Seeing the bottom of your feet may be difficult, so use a mirror or enlist the help of a friend or spouse,” said Reber. “Any visibly red, blistered, burned, swollen, or injured areas should be seen promptly by a medical professional.”
  3. Wear well-fitting shoes and socks and avoid going barefoot. “Ill-fitting shoes along with other feet issues such as hammer toes, bunions, and heel spurs can lead to blisters that can become infected,” Reber said. “When you can’t feel pain in your feet, don’t walk barefoot outside or test bath water temperatures with your foot to avoid burns and or frostbite.”
  4. Wash feet with soap and water and moisturize every day. “Be sure to dry between your toes really well,” said Reber. “Moisture between the toes can cause the skin to break down allowing bacteria to enter. Likewise, when moisturizing feet to prevent cracks or callouses, try not to get lotion and added moisture between the toes.”
  5. Be careful when trimming toenails. “Accidentally cutting the skin while clipping toenails or developing an ingrown toenail can be disastrous for those who have neuropathy,” Reber said. “Consider having nails trimmed regularly by a doctor or other professional.”

If a wound or ulcer does occur, seek medical attention. A podiatrist, or foot doctor, can help the wound heal, prevent infection, or treat infection if necessary. Trimming away unhealthy skin, offloading — or taking pressure off the wound — are best left to professionals.

“If you observe any wound to the foot and are diabetic please come in right away,” Reber said. “There are many good treatment options. If we can heal the wound before it becomes infected, so many complications can be avoided. Seeing a podiatrist regularly is a great way for everyone to take good care of their feet.”


Clinical studies with D’OXYVA®  (deoxyhemoglobin vasodilator) have shown extraordinary results for the role of transdermal noninvasive wound care using ultra-purified, nontoxic, FDA-cleared molecules, such as CO2especially when all other approaches failed.

In an ongoing multiyear, multi-country, multicenter, randomized clinical trial on patients with diabetic foot ulcers, D’OXYVA has demonstrated speeding up diabetic wound healing and ultimately wound closure to an average of 5 weeks**.

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What you need to know when wounds are difficult to heal


What do you do if you accidentally cut yourself with a knife while cooking or scrape your knees when you fall down? Usually, you clean and cover the wound with a bandage and ignore it. Within a few days, the wound heals, as the body has the ability to repair injuries.

However, in certain cases, it takes longer for a wound to heal. Wounds that do not respond to treatment after four weeks or have not healed in two months are considered chronic.

Askina Healthcare Centre Medical Director Dr. Divya Panicker says any injury can become a chronic wound if not treated appropriately. The larger the wound, the higher the risk for it to become non-healing and turn chronic.

Various factors affect the healing process. These include a lack of oxygen to the wound, bacterial infections on the wound surface, swelling due to a weak natural defense mechanism and the poor circulation of blood to affected areas.

“Chronic wounds fail to heal when they do not go through the four phases of healing—hemostasis, inflammatory, granulation, and remodeling.”

“Healing can remain stagnant in the inflammatory or granulation phases and will result in prolonged and lengthened recovery and, in some cases, the wound never completely heals. Some common examples of chronic wounds are ulcers—diabetic foot, pressure, arterial, venous—and radiation-induced wounds.”

Infection and immune-compromising conditions like diabetes, auto-immune diseases, and certain medications can predispose a person to the development of chronic wounds, as these conditions interfere with the body’s normal healing pathways.

Dr. Divya says that general conditions affecting the body can also result in chronic wounds, such as medications that depress the immune system, poor nutrition, advanced age, and diseases such as diabetes mellitus.

“Diabetes is one of the many causes of chronic wounds, as persistent high blood glucose levels can affect wound healing.

Uncontrolled diabetes causes narrowing of blood vessels, leading to poor nutrition and a lack of oxygenation to the wound. Decreased nerve sensation leads to an increased risk for trauma and neglected wounds as well as an increased risk of infection.

“The progress of infection in diabetics is also greatly accelerated, as it retards the immune system, which makes it difficult for the body’s natural infection control reactions to take place. Due to this, wound care in diabetics has to be administered early and properly to prevent complications.”


The major concern for diabetic patients is always the high risk of infection and rapid spread, which generally involves deeper structures such as tendons and bones. The lack of sensation at the feet makes it hard to recognize wounds early, and this leads to neglected wounds.

“The dreaded complication of all diabetic foot ulcers is amputation. Levels of amputation vary depending on the extent and site of the wound. In some cases, especially where treatment is delayed, chronic wounds can lead to generalized infections and multi-organ failure, which leads to death.

“Patients should be aware that a non-healing wound, no matter what size, is a problem that needs expert and rapid attention. Its condition can deteriorate very quickly, especially if the patient has diabetes mellitus. If the right treatment is commenced in a timely manner, a lot of major life-threatening and debilitating complications can be avoided.”


Treatment of a chronic wound is challenging because it needs personalized care focusing on wound management, compared to a simplistic approach. There is also a relatively longer management plan with the need to review and adjust plans frequently.

“Treatment for chronic wounds is complicated, and there is a need for a holistic multi-disciplinary management plan based on international guidelines. A specialist wound management center is able to provide the patient with the medical expertise and technology to maximize healing compared to general care.”



Clinical studies with D’OXYVA®  (deoxyhemoglobin vasodilator) have shown extraordinary results for the role of transdermal noninvasive wound care using ultra-purified, nontoxic, FDA-cleared molecules, such as CO2especially when all other approaches failed.

In an ongoing multiyear, multi-country, multicenter, randomized clinical trial on patients with diabetic foot ulcers, D’OXYVA has demonstrated speeding up diabetic wound healing and ultimately wound closure to an average of 5 weeks**.

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The contribution of depth, infection, and ischemia to risk of amputation


OBJECTIVE To validate a wound classification instrument that includes assessment of depth, infection, and ischemia based on the eventual outcome of the wound.


RESEARCH DESIGN AND METHODS We evaluated the medical records of 360 diabetic patients presenting for care of foot wounds at a multidisciplinary tertiary care foot clinic. As per protocol, all patients had a standardized evaluation to assess wound depth, sensory neuropathy, vascular insufficiency, and infection. Patients were assessed at 6 months after their initial evaluation to see whether an amputation had been performed.


RESULTS There was a significant overall trend toward increased prevalence of amputations as wounds increased in both depth (χ2trend = 143.1, P < 0.001) and stage (χ2trend = 91.0, P < 0.001). This was true for every subcategory as well with the exception of noninfected, nonischemic ulcers. There were no amputations performed within this stage during the follow-up period. Patients were more than 11 times more likely to receive a midfoot or higher level amputation if their wound probed to bone (18.3 vs. 2.0%, P < 0.001, χ2 = 31.5, odds ratio (OR) = 11.1, CI = 4.0–30.3). Patients with infection and ischemia were nearly 90 times more likely to receive a midfoot or higher amputation compared with patients in less advanced wound stages (76.5 vs. 3.5%, P < 0.001, χ2 = 133.5, OR = 89.6, CI = 25–316).


CONCLUSIONS Outcomes deteriorated with increasing grade and stage of wounds when measured using the University of Texas Wound Classification System.

  • Received November 20, 1997.
  • Accepted January 15, 1998.