Tuesday, May 26, 2009

Diabetic Ulcers

Over ten million people in the United States suffer from diabetes mellitus. Also known as “the sugars” or just simply diabetes, the two main forms -Type I and Type II- both result in a higher level of glucose in the blood which can cause problems throughout the body. Unfortunately with this condition, your feet are at especially high risk.
Roughly two thirds of diabetics will experience a condition known as peripheral neuropathy in which the nerves of the feet and lower legs become damaged so that individuals will start to lose muscle function, reflexes, and most importantly the sensation of their lower limbs. As nerves become compromised, it becomes more difficult for the diabetic to protect and care for his or her feet. In most cases, both feet are affected, and the sensory loss begins in the toes, then spreads gradually across the foot and through the ankle. Eventually this leads to abnormal walking, unsteadiness, and a diminished ability to perceive pain or temperatures.
The sensory loss of diabetes is made even worse by other complications. The disease not only causes stiffness in the joints and blood-flow problems, it also compromises kidney function which can ultimately make it more difficult for wounds to heal. Diabetics are also more vulnerable to infections because their immune systems are weakened, and the excess sugar in the blood becomes food for bacteria, making it easier for them to survive and spread. In addition, diabetes causes weakened vision so it becomes even harder for individuals to balance or examine their feet properly.
The ultimate fear of a diabetic foot is an ulcer. This is rather common, and occurs when the patient develops a wound from stepping on a needle or other object when walking barefoot. The patient doesn’t feel anything, and thus rarely addresses or even notices the wound. Eventually it becomes infected and serious, potentially life-threatening results can follow.
If you have diabetes, you should definitely pay close attention to the condition and health of your feet. Avoid walking barefoot as much as possible, and schedule a visit at least once annually with your podiatrist. He or she, along with other specialists, will play a critical role in the management of your feet and overall health. Prevention and management are huge with diabetes.

Advanced Foot Care
Robert E. Kuvent, DPM
3225 S Alma School Rd
Chandler, AZ 85248
480.917.2300
http://www.yourfeetfixer.com

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