Neuropathy, which refers not only to sensory and motor dysfunction but also to autonomic compromise, is a common and often distressing complication of diabetes. Approximately 4% of people with diabetes will have undergone some form of amputation, ranging from a single digit to major below or above knee surgery (Scott, 2002). A person with diabetes has 15 times the risk of requiring amputation than a person without diabetes. The coexistence of vascular, neurological and structural dysfunction may potentially lead to amputation. Diabetic foot problems are a common complication of diabetes 23–42% of people with diabetes develop neuropathy, 9–23% develop vascular disease and 5–7% develop foot ulceration (Williams and Airey, 2000). It has been suggested that complications associated with the diabetic foot have major medical, social, and economic problems of global proportions (Boulton and Vileikyte, 2000). Support Joslin: The Priscilla White Society honors those individuals who have chosen to leave a legacy to support Joslin's mission to improve the lives of people with diabetes and its complications through innovative care, education, and research that will lead to prevention and cure of the disease.Diabetes is a metabolic disorder which is emerging as the world’s commonest disease (Scott, 2002). Each year, the program attracts more than 200 mothers-to-be, with all forms of diabetes, from around New England. Today, the Pregnancy Program at Joslin continues to thrive under the direction of Florence Brown, M.D. Her legacy continues through basic and clinical research programs at Joslin, as well as the outstanding care provided by the Joslin-Beth Israel Deaconess Diabetes and Pregnancy Programteam.
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When she retired, the hallways of Joslin were flooded with thankful mothers and children celebrating her professional expertise and courage. dedicated her life to her patients, often staying with them during childbirth. Refined over the years, it categorizes patients according to their risk as determined by age of diabetes onset, duration, and presence of heart, kidney and eye complications. The White Classification of Diabetic Pregnancies is still used today. In addition, she advocated for adjusting medications and diet to align with hormonal changes that occur during pregnancy. Joslin’s stance that tight control of diabetes was the best way to stave off complications. White fought the prevailing opinion that women with diabetes should avoid pregnancy. Her pioneering research on pregnancy was at a time when insulin had just been introduced at Joslin Diabetes Center. Thanks to her perseverance, today women with diabetes are able to achieve successful pregnancies at a rate nearly matching mothers without diabetes.ĭonald Barnett, M.D., Retired Joslin diabetologist and historian.
Joslin hired her in an era when women were even having trouble getting into medical school.
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White began her career by putting a big crack in that “glass ceiling” when she graduated third in her class from Tufts Medical School at a time when women doctors were rare.ĭr. Because of her work over almost 50 years, the success rate for women with diabetes giving birth to healthy babies rose from 54 percent to more than 90 percent, approaching where it stands today-approximately 95 percent.Ī Boston native, Dr. She revolutionized the field of diabetes management for pregnant women and type one diabetes, using a small team of obstetric and diabetes experts who closely supervised patients.
White was one of the founding members of Joslin Diabetes Center and made it her life’s work to help pregnant women with diabetes throughout their pregnancies, so they could give birth to healthy babies while maintaining their own health.
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