June 6, 2009 ~ Vascular Disease in Diabetes with Dr. James F. McGuckin and Dr. Nasser I. Youssef

Diabetes Living Today® radio program, provides listeners with education, inspiration and motivation to live healthy and well with diabetes. Whether you have diabetes or know someone who does Diabetes Living Today® radio program offers experience, insight, education and tips to manage life with diabetes. Through interviews, including “World Class” Research Scientist, physicians and people living with diabetes, living well tips and questions from the listening audience, host Kitty Castellini and Endocrinologist Dr. Joseph J. Fallon, Jr. are there every step of the way to offer guidance, advice, and most of all, support.

This week Kitty and Dr. Fallon will interview Dr. James F. McGuckin, Founder, CEO, Medical Director at Vascular Access Center and Dr.Nasser I. Youssef, Transplant Surgeon at Our Lady of Lourdes Medical Center.

Dr. James F. McGuckin

James F. McGuckin, Jr., M.D. Founder Vascular Access Centers and co-founder Rex Medical with Whitfield Gardner in 1999 and directs R & D.

Dr. McGuckin is Director of the Philadelphia Vascular Institute located in Philadelphia, Pennsylvania.  Dr. McGuckin’s research interest include:  Cardiovascular Systems, Endoscopy and Endosurgey, Peripheral Arterial Disease, Limb Salvage, Percutaneous Oncologic Therapy and therapy related to the End Stage Renal Disease population.  Dr. McGuckin is currently researching recanalization of Central Venous Occlusion using RF ablation.  He holds 39 patents and has over 170 pending patents.  Dr. McGuckin double majored in Mechanical Engineering and Pre-Medical from the University of Notre Dame in 1983, and received his M.D. from Hahnemann University in 1987, Gereral Surgery in 1988, Masters Degree in Bioengineering at the University of Pennsylvania in 1990.  Diagnostic Imaging in 1995, and completes his Fellowship in Interventional Rediology at the Hospital of the University of Pennsylvania in 1996.

Photo Above:  Dr. James F. McGuckin

Dr. Nasser I. Youssef

Dr. Youssef has been the Director of Kidney/Pancreas Transplantation with Our Lady of Lourdes Medical Center since 1994. He has extensive fellowship training focusing on the transplantation of the liver, kidney ad the pancreas. Dr. Youssef completed his transplant training at Mt. Sinai, Boston University Medical Center and at the University of Minnesota.

Photo Above:  Dr. Nasser I. Youssef

Listen to Diabetes Living Today® interview with Dr. James F. McGuckin and Dr. Nasser I. Youssef

June 6, 2009 ~ Vascular Disease in Diabetes with Dr. James F. McGuckin and Dr. Nasser I. Youssef

The Facts About Diabetes Complications You Should Know

Diabetes fact sheet.

Heart disease and stroke

  • Heart disease and stroke account for about 65% of deaths in people with diabetes.
  • Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
  • The risk for stroke is 2 to 4 times higher and the risk of death from stroke is 2.8 times higher among people with diabetes.

High blood pressure

  • About 73% of adults with diabetes have blood pressure greater than or equal to 130/80 millimeters of mercury (mm Hg) or use prescription medications for hypertension.

Kidney Disease

  • Diabetes is the leading cause of kidney failure, accounting for 44% of new cases in 2005.
  • In 2005, 46,739 people with diabetes began treatment for end-stage renal disease (ESRD).
  • In 2002, a total of 178,689 people with ESRD due to diabetes were living on chronic dialysis or with a kidney transplant.

Nervous system disease

  • Almost 30% of people with diabetes aged 40 years or older have impaired sensation in the feet (i.e., at least one area that lacks feeling). Diabetic Peripheral Nephropathy
  • Severe forms of diabetic nerve disease are a major contributing cause of lower-extremity amputations.


  • More than 60% of nontraumatic lower-limb amputations occur in people with diabetes.
  • In 2004, about 71,000 nontraumatic lower-limb amputations were performed in people with diabetes.
  • The rate of amputation for people with diabetes is 10 times higher than for people without diabetes.

ESRD fact sheet

Anyone can get chronic kidney disease at any age. However, some people are more likely than others to develop kidney disease. You may have an increased risk for kidney disease if you:

  • Have diabetes
  • Have high blood pressure
  • Have a family history of chronic kidney disease
  • Are older
  • belong to a population group that has a high rate of diabetes or high blood pressure, such as African Americans, Hispanic Americans, Asians, Pacific Islanders and American Indians
  • 23% of ESRD patients are estimated to also have PAD

PAD fact sheet

Peripheral arterial disease (P.A.D.) affects 8 to 12 million people in the United States. African Americans are more than twice as likely as Caucasians to have P.A.D. The major risk factors for P.A.D. are smoking, age, and having certain diseases or conditions.


Smoking is more closely related to getting P.A.D. than any other risk factor. Your risk for P.A.D. increases four times if you smoke or have a history of smoking. On average, smokers who develop P.A.D. have symptoms 10 years earlier than nonsmokers who develop P.A.D.


As you get older, your risk for P.A.D. increases. Genetic or lifestyle factors cause plaque to build in your arteries as you age. About 5 percent of U.S. adults who are older than 50 have P.A.D. Among adults aged 65 and older, 12 to 20 percent may have P.A.D. Older age combined with other risk factors, such as smoking or diabetes, also puts you at higher risk.

Diseases and Conditions

A number of diseases and conditions can raise your risk for P.A.D. These include:

  • Diabetes. One in three people who has diabetes and is older than 50 is likely to have P.A.D.
  • High blood pressure or a family history of it.
  • High blood cholesterol or a family history of it.
  • Heart disease or a family history of it.
  • Stroke or a family history of it.