Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus, affecting the nerves, typically in the feet. Painful neuropathy can develop over time due to a lack of feeling or numbness that can place one at risk for burns, injuries, foot ulceration and amputations.
Wash your feet daily but do not use hot water or soak your feet because this may soften the skin and make it easier to get a tear in your skin that may lead to infection. It is best not to use a clipper or scissors to cut your toenails because you may cut yourself and get an infection.
Wear good fitting shoes (no open toes), and socks, that support your feet and are comfortable from day number one. Always tip your shoes over before you put them on to remove any pebbles or other objects that may be inside the shoes. Check feet daily and look for signs of infection which may include redness, swelling, drainage or cuts that do not heal, and notify your provider right away.
If you have difficulty seeing your feet or reaching down to check your feet, you can use a mirror with a long handle to see the bottom of your feet or ask someone to check your feet for you. Take care of cuts and scratches, and call your doctor right away if you have cuts that do not heal.
Your doctor should do a foot exam at least once a year or more often if you have neuropathy, poor circulation, foot infections, or if you smoke. Painful diabetic peripheral neuropathy is a common complication of diabetes mellitus and can have serious consequences with a significant impact on quality of life. Neuropathy means damage to the nerves that run throughout the body, connecting the spinal cord to muscles, skin, blood vessels, and other organs.
Preventive treatment for very dry to cracked skin at risk of infection for patients with diabetes mellitus . Allpresan® diabetic Foam Cream INTENSIVE is a medical device for the specific treatment of very dry to chapped skin in patients with diabetes mellitus. The specially designed active formula forms a breathable, two-dimensional protective coating. Mornings and evenings, apply an amount about the size of a hazelnut or walnut to the affected areas of the feet. The patented actively breathable Allpresan formula creates a fine mesh on the skin which repairs and strengthens the damaged skin barrier and thus, protects against skin infections and ulcerations4,5. Approximately 80% of people with diabetes mellitus suffer from some kind of skin problem as a consequence of high blood sugar levels.
The sweat and sebaceous glands become imbalanced and often fail to work properly, leaving the skin without an adequate supply of oil & moisture. Our body lives more comfortable with Nature and works better in Harmony with Natural products and Natural Treatments.
Fungus toenails is an infection of the nail, or onychomycosis, is often ignored because the infection can be present for years without causing any pain. The disease is characterized by a progressive change in a toenail’s quality and color, which is often ugly and embarrassing.
In reality, the condition is an infection underneath the surface of the nail caused by fungi. This is not a medication but home remedies with Ayurvedic principles can simplify the treatment for fungus toenails.  I have also seen and read about the use of potato, vinegar and tumeric powder that will help cure toenail fungus. Because it is difficult to avoid contact with microscopic organisms like fungi, the fungal toenails are especially vulnerable around damp areas where people are likely to be walking barefoot, such as swimming pools, locker rooms, and showers, for example. Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal toenails. Washing the feet with soap and water, remembering to dry thoroughly, is the best way to prevent an infection.
Toenails should be clipped straight across so that the nail does not extend beyond the tip of the toe. Don’t apply polish to nails suspected of infection?those that are red, discolored, or swollen, for example.
A podiatric physician can detect a fungal infection early, culture the nail, determine the cause, and form a suitable treatment plan, which may include prescribing topical or oral medication, and debridement (removal of diseased nail matter and debris) of an infected nail. Newer oral antifungals, approved by the Food and Drug Administration, may be the most effective treatment. Trying to solve the infection without the qualified help of a podiatric physician can lead to more problems. Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails. Make an appointment today to see your options for getting rid of those ugly fungus toenails. Don't Tip-Toe Around Toenail Maintenance Peripheral neuropathy is one such chronic development of diabetes.
Over Supination or simply, Supination is the opposite of pronation and refers to the outward roll of the foot during normal motion. Excessive pronation and supination can cause a number of ailments that affect the foot, ankle, knees, hips and back.
Over Supination are bio-mechanical problems, and are best treated and prevented with orthotic inserts.


A nail that is curling (involuted or convoluted) into the flesh, but isn’t actually piercing the skin isn’t an ingrowing toenail, but can feel very painful and also appear red and inflamed as well. There are many genetic factors that can make you prone to ingrowing toenails, explains registered podiatrist Medical Expert , such as your posture (the way you stand), your gait (the way you walk), a foot deformity such as a bunion, hammer toes or excessive pronation of the feet (when your foot rolls in excessively).
If you’ve booked an appointment with a podiatrist, relieve the discomfort in the meantime by bathing your foot in a salty footbath. If you have diabetes, are taking steroids or are on anti-coagulants, don’t attempt to cut your nails or remove the ingrowing spike of nail yourself. If your toe is too painful to touch, your podiatrist may inject a local anaesthetic before removing the offending portion of nail.
If you have involuted nails, your podiatrist may remove the bit that’s curling into the flesh and file the edges of the nail to a smooth surface.
If you have bleeding or discharge from an infection, or even excessive healing flesh (hypergranulation tissue) around the nail, you’ll need antibiotics to beat the infection as well as having the offending spike removed.
Medical Expert explains that not everyone coming to him with an ingrowing toenail actually has an ingrowing toenail. If you are particularly prone to ingrowing toenails from underlying problems such as poor gait, your podiatrist may recommend correction of the underlying problem as well as a more permanent solution to the nail itself, such as partial nail avulsion (PNA).
After surgery, the overall appearance of the nail looks normal – to the extent that some people even forget which nail they’ve had done!
It is seen in about 50 percent of patients with diabetes and contributes up to 27 percent of the direct medical costs associated with diabetes.
Painful neuropathy symptoms are often described as “paresthesias”[ [par-uhs-thee-zhuhs] - tingling sensations similar to when you have crossed your legs and then your foot feels like it has “fallen asleep.” Painful neuropathy can also be felt as a burning-type pain usually first felt in the feet and lower extremities, progressing to the hands.
High blood sugars can affect the small blood vessels leading to damage of the nerves in your feet.
After you wash your feet, dry them well -- especially in between the toes -- and apply lotion to areas of dry skin, but not in between your toes.
For example, if you have numbness in your feet and you are walking on the beach and step on a shell, you may cut your foot and not feel it, and an infection may set in.
Taking your shoes and socks off in the exam room will help remind your doctor to do this exam.
About a third of patients with long-standing diabetes have diabetic neuropathy, of which about two-thirds report it affected their quality of life. Latha Dulipsingh is an endocrinologist and Medical Director of the Joslin Diabetes Center affiliate at The Hospital of Central Connecticut and Endocrine and Bone Health Center.
Susan Zailskas is supervisor of the Metabolic Research Center and a Certified Diabetes Educator at The Hospital of Central Connecticut Joslin affiliate. For issues of an individual clinical nature please consult your physician, as medical advice will not be provided through this site. Early testing, new medical treatments and improvements in diabetic control are protective measures. It strengthens the barrier function, protects against external impacts, and reduces mechanical stresses such as friction without impairing natural skin function3. Typical symptoms include extreme dryness, calluses, pressure ulcers and cracks on the feet, foot fungus and the tiniest wound being a real danger for them1.
Our focus is on foam creams and their innovative route of administration for the care and treatment of medical and cosmetic skin problems. When the tiny organisms take hold, the nail often becomes darker in color and foul smelling. Injury to the nail bed may make it more susceptible to all types of infection, including fungal toenails infection. A daily routine of cleansing over a period of many months may temporarily suppress mild infections. They offer a shorter treatment regimen of approximately three months and improved effectiveness. Temporary removal of the infected nail can be performed to permit direct application of a topical antifungal.
With new technical advances in combination with simple preventive measures, the treatment of this lightly regarded health problem can often be successful.  See other conditions that can look like fungus toenails.
Massage your feet daily with creams, lotions, oils or even petroleum jelly products to keep the feet smooth and moisturized. Diabetics must not develop infections in their feet, as this would increase the seriousness of any swelling due to circulation problems. A natural amount of supination occurs during the push-off phase of the running gait as the heel lifts off the ground and the forefoot and toes are used to propel the body forward. But before you run out to buy orthotics it makes sense to get the right advice on footwear, and the best advice I can give you, is to go and see a qualified podiatrist for a complete foot-strike and running gait analysis. Good quality footwear will go a long way in helping to prevent over supination (or pronation).  If needed, invest in a pair of orthotic inserts to further prevent excessive supination.
Younger people are more likely to get it (as they pick their nails more, compared to older people who may not reach their toes!) Women often develop them as a result of cutting nails too low in order to relieve the pressure and discomfort of an involuted nail. Your nails may also naturally splay or curl out instead of growing straight, encouraging your nail to grow outwards or inwards into the flesh. Avoid moist, soggy feet by rotating your footwear so each pair has a chance to dry out thoroughly.


For the most basic painful and irritable ingrowing toenail, your podiatrist will remove the offending spike of nail and cover with an antiseptic dressing.
This is done under a local anaesthetic, where 8-10% of the nail is removed (including the root) so that the nail permanently becomes slightly narrower. People with painful neuropathy frequently experience depression, problems with sleep, and interference with activities of daily living and quality of life. The foot exam includes checking the sensation (feeling) in your feet with a monofilament, which is a small piece of plastic or a tuning fork. If you have numbness, tingling or pain in your extremities, it is important you discuss this with your healthcare provider and seek appropriate treatment. She is a Diplomate of the American Board of Endocrinology and Metabolism and American Board of Internal Medicine and a Fellow of the American College of Physicians and the American College of Endocrinology.
Allpresan® diabetic Foam Cream INTENSIVE promotes the healing process and supports recovery of the damaged skin barrier4,5.
The skin is optimally supplied with moisture, and Pentavitin® also guards against moisture loss.
Allpresan® diabetic Foam Cream offers excellent convenience in use, since it is very easy to rub in. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails. Those who suffer from chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails.
White markings that appear on the surface of the nail can be filed off, followed by the application of an over-the-counter liquid antifungal agent.
Podiatrists may also prescribe a topical treatment for onychomycosis, which can be an effective treatment modality for fungal nails. Permanent removal of a chronically painful nail that has not responded to any other treatment permits the fungal infection to be cured and prevents the return of a deformed nail. However, excessive supination (outward rolling) places a large strain on the muscles and tendons that stabilize the ankle, and can lead to the ankle rolling completely over, resulting in an ankle sprain or total ligament rupture. They will be able to tell you if there are any concerns regarding the way your running gait is functioning. If you have brittle nails with sharp edges or are in the habit of breaking off bits of nails that are sticking out, you’re more likely to get an ingrowing toenail.” However, one of the most common causes is not cutting your toenails properly.
However, if it’s a corn, the pain tends to be throbbing as opposed to the sharp pain you get with an ingrowing toenail.” If this is the case, your podiatrist will remove the debris, and if necessary, thin the nail. Feet are particularly at risk of being affected by neuropathy, as well as being affected by circulation changes, so taking care of your feet on a daily basis by looking at them and having any persisting changes in skin appearance checked by your doctor should be a very important part of your self-care when you have diabetes. She also serves as Associate Professor of Medicine, University of Connecticut Health Center. Intensive daily care to the feet must therefore include an appropriate skin care regime to replenish the skin’s moisture and fat content, as well as create a protective layer against the outside environment1.
If ignored, the infection can spread and possibly impair one’s ability to work or even walk. Other contributing factors may be a history of athlete’s foot and excessive perspiration.
However, even the best over-the-counter treatments may not prevent a fungal infection from coming back.
Ingrowing toenails most commonly affect the big toenail, but can affect the other toes too.
Estimates of painful neuropathy vary and are difficult to determine precisely because of differing definitions of neuropathy, differing diagnostic criteria for this type of neuropathy, and the specific people being included in studies defining neuropathy.
Your doctor may want you to go to a foot doctor (podiatrist) to trim your toenails, or remove corns or calluses. They carry information to the brain about shape, movement, texture, warmth, coolness or pain from special sensors in the skin and from deep in the body.
There is reduced risk of slipping, and you can put on your stockings – even compression stockings – immediately after use.
This happens because the resulting thicker nails are difficult to trim and make walking painful when wearing shoes. Onychomycosis can also be accompanied by a secondary bacterial or yeast infection in or about the nail plate.
These nerves have functions such as controlling the pace of heartbeats, maintaining blood pressure, and controlling sweating.Some symptoms of neuropathy occur when the nerve fibers are lost. If the loss affects the sensory fiber, it can cause loss of feeling and of the loss of functions not normally under conscious control like digestion.Neuropathy symptoms can also be caused by nerves that are damaged or are healing. These symptoms include prickling, tingling, burning, aching or sharp jabs of needle-like pain. There are signs of the increased nerve activity that occurs in damaged or healing nerves.For more interesting and very important health related and medical articles, click on the links below1.



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Type 2 diabetes annual review dat


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