Monday 23 May 2016

Foot problems in diabetes

From Times of India

People with diabetes can develop many different foot problems. Too much glucose, also called sugar, in your blood from diabetes can cause nerve damage and poor blood flow, which can lead to serious foot problems.

Skin Changes

Diabetes can cause changes in the skin of your foot. At times your foot may become very dry. The skin may peel and crack. The problem is that the nerves that control the oil and moisture in your foot no longer work.
Poor Blood Flow

Poor blood flow means not enough blood flows to your legs and feet through your blood vessels. Poor blood flow makes it hard for a sore or an infection to heal. This problem is called peripheral artery disease, also called PAD.

Sometimes, a bad infection never heals. The infection might cause gangrene. If you have gangrene, the skin and tissue around the sore die. The area becomes black and smelly.

Nerve Damage (Neuropathy)

Damaged nerves may stop sending signals, or they may send signals too slowly or at the wrong times. Nerve damage can cause you to lose feeling in your feet.

You may not feel pain, heat, or cold in your legs and feet. You may not feel a pebble inside your sock that is causing a sore. You may not feel a blister caused by poorly fitting shoes.

Calluses

Calluses occur more often and build up faster on the feet of people with diabetes. This is because there are high-pressure areas under the foot. Too many calluses may mean that you will need therapeutic shoes and inserts.

Foot Ulcers

Ulcers occur most often on the ball of the foot or on the bottom of the big toe. Ulcers on the sides of the foot are usually due to poorly fitting shoes.

Remember, even though some ulcers do not hurt, every ulcer should be seen by your health care provider right away. Neglecting ulcers can result in difficult to heal and antibiotic resistant infections, which in turn can lead to loss of a limb.

An important tip:

See your doctor at least once a year for a foot exam, or more often if you have foot problems.
http://timesofindia.indiatimes.com/life-style/listen-to-your-sugar/Foot-problems-in-diabetes/articleshow/52396502.cms

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