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When the body cannot regulate the blood sugar level, this will lead to high glucose (sugar) concentration in the blood. Autonomic neuropathy, on the other hand, is affecting nerves on areas that we do not control consciously. Diabetes could hinder an individual’s normal blood circulation due to the narrowing of arteries. Diabetics are prone to fungal and bacterial infections because of changes in their diet and medications.
Basic proper foot care could greatly help prevent the onset of diabetic foot pain and other foot problems. The good news is – following the right diet and exercise along with your medication can relieve the symptoms. When I visited my doctor, she thoroughly examined my feet, toes and between my toes for signs of cracks.
Do keep your skin moisturized with petroleum jelly or moisturizing lotion, but do not use it between your toes. If you see anything unusual on your feet, and this includes cracks, calluses and corns, please see your doctor. One of my relatives had severe infection in foot due to diabetis… If only they had known before how to avoid it. Disclaimer"Be Healthy, Be Happy", this blog, does not provide medical advice, diagnosis or treatment.
If a bald eagle loses a feather on one wing, it will drop a matching feather on the other side to maintain balance. Athletes often suffer from black toenails, especially those who run on hills or play soccer. Clipping toenails straight across at a moderate length lessens the chance of ingrown toenails, which can lead to black toenails.
I accidentally dropped a car tire on both of my big toes, and I had two black toenails a little while later. It is important that you check the fit of your child's shoe from time to time if he or she plays soccer. Most types of treatment for black toenails or other toenail abnormalities, like ingrown nails, are more trouble that they are worth. For me whenever I experience a toenail infection like black on toenail it was due to tighter fitting sneakers when I jog.
The condition of gangrene is a serious one, primarily marked by loss of adequate supply of blood to the tissues of the body, ultimately resulting in its necrosis or death.
Injury to the tissues, infection (mostly of bacterial origin) and presence of any underlying health ailment that inflicts damage to the blood carrying vessel structure form the three key underlying mechanisms that are responsible for initiation and development of irreversible tissue damage and life threatening condition of gangrene.
As already explained, one of the causes of gangrene in the toes and fingers is linked with damaged blood vessels. High level of blood glucose associated with diabetes mellitus also damages the nerves (known as peripheral neuropathy), especially the nerves in the lower extremities.
The dullness or lack of sensation puts diabetic individuals at an increased risk of injuring the skin of their fingers or feet without having any realization (it mostly goes unnoticed in the feet region). The sore or foot ulcer formed takes an extended time to heal because of both, poor circulation of blood through the injured area as well as lesser number of defence cells.
Bacterial infection also forms another causative factor that makes the diabetic individual more prone to developing gangrene. Such type of infection is marked by noticeable skin discolouration and dryness along with the formation of skin blisters. The weakened immune system (seen in diabetes) further raises the risk of incurring serious infection, which later develops, into gangrene. Diabetes is a disease that is characterized by the inability of the body to regulate the blood sugar levels, mainly due to either lack of or decreased sensitivity to the insulin hormone.
It is a disease which affects the entire body and if the blood sugar levels stands above normal, for a considerable period of time, then the complications starts.  Diabetic neuropathy is one such condition where the nerves are affected due to persistent excess glucose in the blood. The most common and the most widely known complication of diabetes is peripheral neuropathy.


So when the foot is cut or any injury occurs to the leg or foot, the damage to the nerves renders the part insensitive to pain. Diabetic autonomic neuropathy affects several organs like the stomach, blood vessels, urinary organs and the sex organs.When the stomach is involved there is often flatulence and bloating, constipation or diarrhea and other symptoms normally linked to acidity like heart burn, nausea etc. If the autonomic neuropathy invilves the blood vessels that would cause dizziness and fainting spells.
Further caution must be taken when choosing a dressing to apply on the foot, as the dressing will have to undergo increased sheer force, friction and pressure than anywhere else on the body.
Composed of carboxymethylcellulose, gelatin, pectin, elastomers and adhesives that turn into a gel when exudate is absorbed. Non- breathing (occlusive) dressing, contraindicated in infection, especially with anaerobic organisms. Depending on the hydrocolloid dressing chosen, it can be used in wounds with light to heavy exudate, sloughing or granulating wounds. It is a water-soluble modified starch polymer containing 0.9% iodine, within a helical matrix.
May be contraindicated in certain conditions (kidney dysfunction, Grave disease etc.) due to systemic absorption of iodine. Calcium in the dressing is exchanged with sodium from wound fluid and turns into a gel that maintains a moist wound environment. Soft non-woven pad or ribbon dressing (depending on wound type) made from sodium carboxymethylcellulose fibers. Interacts with wound exudate to form a soft gel and help maintain a healthy wound environment. Aquacel Ag is a silver impregnated dressing that should be used in moderate to heavily exudating clinically infected wounds. Desloughs wounds by maintaining a moist environment but not as effective as an alginate or hydrocolloid for debridement.
High water polymer gel content in a complex network of fibers to creates a moist wound surface.
A new wound dressing that is showing promising results on the market is Altrazeal, which can be left in place for up to 30 days. Avoid using warmers, heating pads and hot water bottles as there’s the risk of getting burnt. We work very hard to care for her feet to make sure that there is no possibility of scratches or wounds. Common causes of toenails turning black include ill-fitting shoes, fungus, dropping an object on the toe and cutting the nail too short.
A shoe without enough space for the longest toe, usually one thumbnail length, is to blame.
Sometimes, in painful situations, the liquid underneath the toenail needs to be drained or the nail removed. From my experience, making sure you trim nails regularly and keep them disinfected can prevent things like fungus or ingrown nails.
Death of cell and tissue may target any part of the body, however, it has been typically observed in the extremities, such as the toes, fingers and hands. In both, type 1 and type 2 diabetes, the raised level of sugar is capable of causing damage to the blood vessels and reducing blood supply. Owing to the nerve damage, the transmission of sensation, particularly those of pain to the brain gets impaired.
A notorious bacterial organism, Clostridium perfringes is often linked with gas gangrene; after it attacks the site of injury or sometimes, surgical wound.
The insulin hormone is mainly produced by the pancreas and the production is regulated by a complex mechanism. The diabetic neuropathy is not focused on a single system, rather there are a wide variety of functions that are hampered.


In peripheral neuropathy, the part of the body that is most affected are the legs and feet. The autonomic neuropathy of the bladder is mainly linked with frequency of urination or leaking of urine involuntarily. Carpal tunnel syndrome is another complication of diabetic neuropathy in which the median nerve gets trapped in the carpal tunnel which is situated near the wrist.This results again in pain and numbness. Choice of foot wound dressings will depend on size and location of wound, infection, excaudate levels, allergies, wound bed and surrounding skin integrity.
If ongoing management is required for chronic non-helaing ulcers the podiatrist may refer you to a multi-disciplinary clinic in the public sector for specialised treatment. Begin by checking your feet every day for swelling, pain, nicks and cuts, any ingrown toenails or sores that have appeared recently. I remember there was one gentleman at work, who would forget to wear his footwear because he just couldn’t feel them! When the toe rams into the shoe or the foot slides around, blood is pushed back under the nail with each step or kick. Again, ill-fitting shoes rub tiny breaks into the nail, leaving it open for infection from foot perspiration. In instances of trauma, the discoloration is underneath the toenail and moves with the nail as it grows.
In the absence of a continuous supply of nutrient and oxygen rich blood, the cells within the body begin to fail in carrying out their normal function and finally give up.
As a result of restricted blood circulation to the extremities, such as the feet, the area becomes deprived of those cells (white blood cells) which aid in fighting off any infection. Neuropathy involves damage to bones, so peripheral neuropathy is associated with loss of sensations in the affected part. This could lead to the development of diabetic ulcer, which is yet another complication of diabetes. The lack of adequate blood flow causes a loss of feeling in the feet or hands making them numb and painful, or worse still, results in an infection with sores or injuries that those with diabetes cannot even feel. Avoid sandals, high heeled footwear, flip-flops (hawai chappals) or shoes that don’t cover your feet fully.
The pressure can break the skin, leaving it open to infection and discoloration from blood. Typically affecting the big toe, this fungus puts pressure on the toe, causing painful inflammation. Prescription topicals are available at a higher cost, but may be a safer choice for diabetics with a moderate case. If no trauma has occurred and no fungus is present, a podiatrist should evaluate the nail soon after discoloration appears.
I have never looked at how to treat black toenails because eventually the nail falls off and a new nail will grow in its place. I know that there are black toenail treatments but I have never looked at them. Swelling and inflammation resulting from the infection causes the local temperature of the area involved to be slightly elevated, and also leads to pain.
The symptoms that helps in identifying the development of peripheral neuropathy would be numbness, tingling, burning sensation in the legs and pain. This can lead to serious infections that are difficult to treat and may turn into deep infections. More advanced, repeated cases may require laser treatment, where a laser kills the pathogens which started the infection.
Constriction of the blood vessels or deposits forming on these blood vessels all lead to micro vascular injury.



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Comments

  1. azal

    That you just outline every.

    29.05.2016

  2. OKUW

    Your exercise plans, and update these as you weight-reduction plan of 40% carbs, forty.

    29.05.2016

  3. SEXPOTOLOG

    The vast majority of people would deem a ow-carb diet.?While I prefer to refer caught.

    29.05.2016