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No one in the world may like to scratch or prickle all the time, but this is one condition, that most of the diabetic patients, have to face throughout their life.
But, all thanks to the pharmacy companies and these anti-itching ointments, diabetics can take a deep breath of relief and relax a bit, as these ointments are easily available and can be applied on the affected area, to get instant relief. But, have you ever given a thought, as to what are the causes behind this diabetic itching?
Before we explain these causes, the first thing to be understood is that, diabetes in itself is not responsible for itching, neither is it a side effect of diabetic medications.
There are certain bacteria like Staphylococcus that can cause infections on the skin, resulting in swelling, rashes and itching. Although, these bacteria can infect any person exposed to them, but the diabetic patients tend to get infected more, than the normal people. Fungal infections are generally seen on those areas of the body that remain moist for long time, like foot, toes, armpits etc.
The other most common fungal infections that cause itching in diabetic patients include athlete’s foot, ring worm and jock itch, in addition to the genital infections. Some people are allergic to certain things, like some specific drugs, needles, insect bites, some particular foods, and even to the insulin.
Another condition that diabetic patients suffer most often is poor circulation of bloodin their body. Sometimes diabetics face the problem of peripheral nerve damage, in which case, the peripheral nerves, mostly in legs and feet, of the person get damaged. Atherosclerosis is a condition, wherein the arteries of the person thicken, and is most commonly found in the diabetic patients.
The skin conditions like dry or overly moist skin can also cause rashes and itching in the diabetic patients. Itching has become almost synonymous with the symptoms and side effects of diabetes, and there seems to be no respite from it. May be not, but it is necessary to know as well as understand these factors that may result in itching. In fact, as we know, diabetes enhances all other medical conditions, and increases their severity; same is the case with itching.
These bacterial infections are a major cause for itching in diabetics, and can be treated by applying some creams or taking some pills. The most frequently spotted fungus, causing infections and rashes in the diabetic people, is Candida albicans.


So, if you are diabetic and are having any kind of allergies, then these allergies may also surface in the form of itching and you need to immediately rush to the doctor. This poor circulation often hardens the blood vessels and narrows them down, resulting in insufficient availability of blood to the lower body parts, which may result into severe itching. This results into burning and itching sensation, in the affected areas, and need immediate medical help.
This condition leads to poor supply of blood to the skin cell, which results in skin damage, again resulting into severe itching. Poor blood circulation, and yeast infection may also cause rashes in the skin of such patients, leading to itching. By reducing the pressure with an orthotic pain as well as the callus build up will resolve. This is a fact that, diabetics have to face the problem of itching more, as compared to other people, but these problems can be kept under control, or reduced to quite an extent, by maintaining proper sanitation, hygiene and regular exercising.
Direct pressure and friction forces can create thickening of the skin eventually leading to the development of a callus.
Orthotics not only reduce direct pressure on the callus region but also decreases the friction forces that occur during the various phases of the gait cycle.
Also, don’t forget to slip an anti-itching ointment, in your pocket or purse, whenever you go anywhere, to come in handy, at the time of need. Additional padding on the store purchased or custom orthotics additionally reduce pressure to help relieve pain.Callus occurring on the non-weight-bearing portion of the foot generally occur related to contact friction that occurs between the skin and the surface of the shoe. The excess callus on the foot can cause pain related to an increase in pressure on the underlying sensory nerves of the skin. Callus on the foot can occur on the weight bearing and non weight bearing surfaces of the foot.
These corns often occur related to preexisting deformity of the feet including at toes with flexion contractures called hammertoes.Shoe selection is critical in the reduction of pressure to all areas of the foot.
The weight bearing surface of the foot would be generally considered the bottom of the foot with the non weight bearing surfaces the top of the foot.
Callus on the weight bearing surface of the foot occurs related to pressure and friction forces that develop between the bottom surface of the foot and the ground while callus on the non weight bearing surface of the foot generally occurs related to friction pressures between the skin and the shoe surface.Callus on the bottom of the foot is generally seen at the heel or the ball of the foot.


The narrower fit in the ball of the foot can increase friction forces on the toes which can secondarily build up painful corns. Pressure and friction forces are experienced through the three phases of walking including heel contact, midstance and propulsion.
Reducing the friction forces at the toes with the use of a shoe that is wider in the ball of the foot can help reduce the thickness of corns over time. The medically guided use of corn or callus removal agents, along with the use of pumice stones can also help in pain reduction. If deformities including hammertoes are present, surgical correction may be indicated if adequate shoe changes have not provided pain relief from the corn. The surgical correction of a hammertoe relieves pain by removing the underlying prominent bone which will secondarily reduce the friction forces occurring between the skin and the shoe surface. Each of the five metatarsal can take up different pressures and friction forces during walking with callus occurring at the metatarsal that experiences the greatest direct weight bearing and friction forces. Callus occurring on the bottom of the foot can often times be treated by pressure reduction with the use of an orthotic device as well as reducing the thickness of the callus tissue. Diffuse callus like the development of callus in the palm of your hand typically does not cause pain. Callus occurring on the top of the foot and the toes is generally treated with pressure reduction with the use of a well accommodating shoe which will reduce the friction forces occurring on the toes or elsewhere on the foot. Localized callus or keratoma can be quite painful related to the direct pressure placed on the underlying sensory nerves. Reducing the thickness of the callus can be performed by thinning the callus with the use of over the counter debridement agents like pumice stones as well as the medically guided use of topical corn or callus removal agents.
The pain related to the callus can be relieved by reducing the thickness of the callus in conjunction with padding that is used to help separate the toes.



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