standard-title Diabetes

Diabetes

What is Diabetes?

Diabetes is the  persistent elevation of glucose ( sugar) levels. Insulin is a hormone that signals the bodies cells to take up glucose from the blood to be used for energy or to be stored.

Diabetic Screenings

Diabetic screenings should be done by your podiatrist at least once a year to monitor any changes in the structure, function and sensation in your feet. Early detection of such problems is crucial in the prevention of various complications in the diabetic patient.

Diabetes Affect Your Feet

Nerves2

Nerve Damage:

Diabetic Peripheral Neuropathy.Interferes with the normal functioning of the nerve by delaying impulses or sending impulses at incorrect times.Leads to loss of sensation in the legs and feet, pain and foot deformities.

blood

Blood Vessel Damage:

Peripheral Arterial Disease (PAD). Decrease in blood and oxygen supply to tissues. Poor circulation. Decrease in healing rate. Increased risk of infection, gangrene and amputation

 

Ulcers

Diabetic Foot Ulcer.

A diabetic foot ulcer is an open sore or wound that most commonly occurs on the bottom of the foot in approximately 15 percent of patients with diabetes.Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication.

Amputation

Lower Extremity Amputations.

Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States, and approximately 14 to 24 percent of patients with diabetes who develop a foot ulcer have an amputation. Research, however, has shown that the development of a foot ulcer is preventable.

Ulcers

Ulcers form due to a combination of factors, such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes. Patients who have diabetes for many years can develop neuropathy, a reduced or complete lack of feeling in the feet due to nerve damage caused by elevated blood glucose levels over time. The nerve damage often can occur without pain and one may not even be aware of the problem. Your podiatrist can test feet for neuropathy with a simple and painless tool called a monofilament.

Vascular disease can complicate a foot ulcer, reducing the body’s ability to heal and increasing the risk for an infection. Elevations in blood glucose can reduce the body’s ability to fight off a potential infection and also retard healing.

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