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Diabetic neuropathy is one of the more severe complications that
can occur with diabetes. It is a condition where the nerves are so
damaged that you no longer have any feeling, not even pain. The feet
are the most commonly affected area and, if not caught in time, this
neuropathy can lead to amputation. Complications from this condition
are the reason behind most of the amputations not due to trauma in
the industrialized world. Almost one-quarter of hospital admissions
in the US for people with diabetes were for diabetic neuropathy of
the foot.
What is most distressing about these findings is that diabetic
neuropathy testing is relatively simple. One test requires a piece
of monofilament nylon (fishing line) attached to a stick. The doctor
touched the line to the foot and the patient tells the doctor when
he can feel it. A simple test, but one not done nearly often enough.
People with diabetes also should take especially good care of
their feet and visit the podiatrist at least once a year. There are
socks and shoes designed for people with diabetes designed to
prevent diabetic foot ulcers and issues with circulation. If you
have diabetes, be sure to check your feet every day to make sure
there are no cuts, punctures or scrapes on them that may get
infected. If you have a cut or puncture that you cannot remember
getting, make sure to go to a health care professional to be tested
for neuropathy.
Following a routine is a good way to minimize foot discomfort and
avoid the severe complications that can follow foot ulcers. Wash
your feet every day, paying attention to the sides of the feet and
in between the toes. When trimming toenails, cut straight across,
not into the cuticles. Always wear shoes or slippers inside the home
and out.
Diabetes has many severe complications, from heart disease to
foot ulcers. Constant diligence on the part of the patient and his
health care team is the best way to avoid these serious, sometimes
fatal, conditions.
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