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If you answered YES to any of these questions, you should take a look at My Diabetes My Way. The record is sourced from SCI-DC, the NHS diabetes record used daily by healthcare professionals. When you are seen at a new clinic, or at an unfamiliar hospital or surgery, you could show it to staff there, even if you are away on holiday. It allows you to keep track on the diabetes information recorded about you and can be used to remind you of agreed goals and targets. In the future we plan to allow you to send your home-recorded blood glucose and blood pressure results, etc to the NHS record. Your information cannot be accessed by anyone other than you or your health care professionals. This 1-page, printer-friendly handout focuses on the prevention of foot ulcers in people with diabetes. Foot team studies picturesFoot therapist Ingeleiv Rafdal Falkeid treats Ammund Vestbostad’s feet. While his scientific contemporaries were exhuming skulls from Sami graves to measure them, the Finnish geologist and amateur anthropologist Vaino Tanner tried to see the Skolt Sami through their own eyes.


People with diabetes can develop nerve problems at any time, but the longer a person has diabetes, the greater the risk.
Peripheral nerve injuries may affect cranial nerves or nerves from the spinal column and their branches. Peripheral neuropathy may also cause muscle weakness and loss of reflexes, especially at the ankle, leading to changes in gait (walking). Blisters and sores may appear on numb areas of the foot because pressure or injury goes unnoticed. This is a Scottish Government initiative aiming to allow secure electronic access to various public services.
Describing the causes of foot ulcers, it highlights the importance of blood sugar control and how peripheral neuropathy can contribute to and mask foot injuries. At right is Olaug Beathe Wiig, a nurse who specialises in diabetes treatment at the Stavanger University Hospital’s Section of Endocrinology. An estimated 50% of those with diabetes have some form of neuropathy, but not all with neuropathy have symptoms. Also called distal symmetric neuropathy, it causes either pain or loss of feeling in the toes, feet, legs, hands, and arms.


If foot injuries are not treated promptly, the infection may spread to the bone, and the foot may then have to be amputated. Tips for proper foot care to prevent infection, including periodic evaulation by a podiatrist as needed, are also outlined. Neuropathies lead to numbness and sometimes pain and weakness in the hands, arms, feet, and legs. Early on, intermittent pain and tingling is noted in the extremities, particularly the feet. Some experts estimate that half of all such amputations are preventable if minor problems are caught and treated in time.
Diabetic neuropathy also appears to be more common in people who have had problems controlling their blood glucose levels, in those with high levels of blood fat and blood pressure, in overweight people, and in people over the age of 40.
This greatly increases the risk of severe tissue injury because pain no longer alerts the person to injury.



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