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People who suffer from diabetes has higher risks of serious health complications such as heart disease, stroke, vision loss, kidney failure, hypertension, and even premature death. Diabetes can cause severe nerve damage and low blood circulation that can eventually lead to the amputation of limbs, most commonly the foot.
Diabetes can cause a range of complications, the most prevalent among them being a change in the musculoskeletal system, a joint term used to refer to your muscles, bones, joints, ligaments, and tendons. With its incidence rate increasing day by day, diabetes has become the leading  cause of progressive wasting and weakening of the muscles, making it excruciatingly painful for diabetic patients to carry out their daily activities. Elevated blood sugar levels can lead to diabetic neuropathy, a condition characterized by the pathology of nerves that innervate various parts of the body, especially feet and legs.
Muscular dystrophies and Myopathies can be caused by endocrine disorders like diabetes, inflammation of muscles, genetic mutations, etc. They are most often an outcome of diabetic neuropathies that lead to a reduction in the strength of muscles, located along the back of the ankle and the lower leg. Excess amounts of glucose in the blood ruptures and damages the walls of the arteries, thus leading to the accumulation of fatty deposits in the arterial walls. Muscular damage can also be caused by mutations in the genes that are responsible for expressing proteins like collagen and elastic fibers that are essential for maintaining the integrity of the muscular tissue and for imparting strength to muscles. This condition is exacerbated in patients who lead a sedentary lifestyle since, exercise mimics the activity of insulin in the body and aids the muscles in utilizing the excess sugar as a source of energy. Laden with excess sugar, it takes longer for the blood to reach the inflamed muscles thus, making muscle repair a daunting task for the body.
When injured, muscles are capable of repairing themselves, provided that the blood carries the essential nutrients required for promoting growth and repair of the muscular tissue. Many diabetic patients report muscle aches, persistent muscle soreness and frozen shoulders, which most often occur as a side effect of certain medications used to treat insulin deficiencies. However, every individual’s body reacts differently to anti-diabetic medications, making it impossible to categorize medications on the basis of the adverse effects that they cause. Having a well-balanced diet is crucially important for diabetic patients, not only for controlling blood sugar levels but also for replenishing your body with the nutrients that are lost while undergoing treatment for diabetes.
Researchers suggest that a person may experience muscle pain due to one of these causes or can have a multi-factorial predisposition to any of the factors mentioned above. Diabetic-ShockAlarmingly low level of blood sugar leads to Diabetic Shock or Insulin shock.
Diabetic-CareDiabetic Care involves- regular exercise, foot care, controlled diet, avoidance of alcohol and cigarette, and regular monitoring of blood glucose level. HypoglycemiaHypoglycemia is the indication of decline in the blood sugar level below normal. Complications-of-diabetesComplications-of-diabetes include- Hypoglycemia, Hyperglycemia, Diabetic, Cardiomyopathy, Diabetic Nephropathy, Diabetic Neuropathy, Diabetic Retinopathy. Diabetes MellitusAn imbalance in the blood glucose level may indicate low blood sugar or high blood sugar. Diabetes-and-DepressionDiabetes leads to Depression and sometimes even more complications. Causes-of-DiabetesVarious Causes of Diabetes can be-genetic, obesity, abnormal functioning of pancreas and liver, unhealthy Food and lifestyle and certain infections.
Diabetic-DietDiabetic-Diet should incorporate plenty of greens and vegetables, no-sugar,colocasia,rice or potato and chicken, mutton should be consumed sparingly. Tingling in hands and feet, Sudden weight loss, Always hungry, Always thirsty, Wounds take time to heal, Blurry Vision. Prevent-DiabetesDiabetes can be successfully prevented by leading healthy lifestyle, less intake of sugar and avoiding alcohol consumption and cigarette smoking.
Risk-factors-for-diabetesModifiable Risk Factors Of Diabetes-Lifestyle, Eating Habits, Existing Health Problems.
Is-Diabetes-HereditaryPeople with diabetes heredity have higher chances of getting this metabolic disorder.
Diabetes MellitusWhen the blood sugar is either below or above the normal level then it may lead to a disorder called diabetes mellitus. Nephrogenic-Diabetes-InsipidusNephrogenic Diabetes Insipidus is caused by insufficient amount of antidiuretic hormone in the body. Diabetic people who are manifesting the signs and symptoms of diabetic neuropathy may suffer from various health problems.
Clinical experts believe that this condition is asymptomatic (absence of symptoms), yet organ damages may develop. These are the types of diabetic neuropathy, which are caused by unmanaged diabetes mellitus. The preventive measures used for these complications of diabetes mellitus involve constant monitoring of blood glucose and normal functioning of the nerves.
Patents living with diabetes are at risk of developing a number of other serious health problems. Peripheral neuropathy, one of many forms for diabetic neuropathy, causes numbness and decreased feeling in the feet and toes, pain when walking, and muscle weakness. Treatment has traditionally been achieved through the use of casting, custom footware, surgery, or even amputation depending on how far the condition has advanced.
Based on scientific findings from research by leading institutes including Toronto’s Princess Margaret Hospital and Harvard Medical School, Theralase lasers work by supplying the body with billions of photons of light at very specific wavelengths. To find out more about how Theralase non-thermal laser therapy can help your diabetic patients, join us for a free informational webinar, Laser Therapy for Diabetic Neuropathy, Thursday, April 23 at 12:00 PM EST. For patients wanting to find out more about how Theralase non-thermal laser therapy can help, visit our clinic locator to find a practitioner near you.
Effect of low level laser therapy on neurovascular function of diabetic peripheral neuropathy.
If you are a diabetic, it is critical that you see your primary care doctor regularly and check your blood sugar frequently to control its levels. To learn more about diabetic foot care or to schedule a consultation with our orthopedic foot doctor, use our online contact form or call our Next Step Orthopedics McKinney clinic at 972-924-5677. Dorothy L.After suffering for years with bunions and hammer toes, I never thought anything could help with my foot pain. Of the sixteen million Britain’s with diabetes, 25% will develop foot problems related to the disease. Diabetic Neuropathy can cause insensitivity or a loss of ability to feel pain, heat, and cold. It is very important for diabetics to take the necessary precautions to prevent all foot related injuries.
Diabetes often leads to peripheral vascular disease that inhibits a person’s blood circulation.
Rocker Soles designed to reduce pressure in the areas of the foot most susceptible to pain, most notably the ball-of-the-foot. If you are a diabetic, you should be particularly alert to any problems you may be having with your feet. Treatments with botulinum toxin-A may help reduce painful diabetic neuropathy, according to a new meta-analysis. But many people with Diabetes are not aware that uncontrolled blood sugar can lead to problems relating to their oral health. There’s a correlation between high blood glucose levels and an increased risk of gum disease.
In addition, the areas around the teeth become populated with bacteria (and subsequent infections) and this in turn leads to an increase in blood sugar.
Fact: Diabetics are more susceptible to bacterial infections and a decreased ability to fight bacteria that enter the gums. This all comes back to our overall Wellness and how we all need to work on every aspect of ourselves…our mind, body and soul. The joints of the foot are seriously damaged and in medical terms this disorder is called neurogenic arthropathy. The main cause for getting Charcot foot is diabetic neuropathy which reduces the sensation in the nerves.


Charcot foot can be caused by peripheral neuropathy, spinal cord injury, neurosyphillis and Hansen’s disease.
Normally such neuropathic disorders may take several years to develop, but Charcot foot can progress rapidly within a week or two.
An individual with neuropathic problems like Achilles tendon is likely to develop Charcot foot. It is necessary to diagnose the problem in initial stages to prevent more damage to the joints and bones. If the surgeon insists on using wheelchair or casting for a while, you should follow his instructions. Lastly one has to make necessary changes in lifestyle to prevent further damage to the affected feet. In case of severe deformity surgery is done for repairing the joints and bones which have lost shape due to neuropathy. Avoid injury or trauma to your feet while walking or running and do not overdo any type of exercises if you are diabetic.
Lastly you should follow the advice of your doctor in wearing castles or braces until the foot are completely healed.
Diabetic nerve damage or diabetic neuropathy, as it is more commonly called, is a neuropathic disorder associated with damage of nerves because of high glucose levels in the blood. Diabetic neuropathy is a symptomatic problem, but in some diabetics with nerve damage, there are no symptoms at all. Diabetic patients often complain of numbness, pain or tingling in their toes, feet, legs, arms, hands, fingers, hips, buttocks, and thighs.
Due to diabetic nerve damage, you may develop troubles in digesting food, which further leads to indigestion, nausea, vomiting, feeling fuller even after eating small amount of food, constipation, diarrhea and troubles while swallowing food. You may also suffer from high heart beat and pain in the chest, which can eventually lead to heart attack. Due to autonomic neuropathy, diabetic patients may suffer dis-functioning of sexual organs.
Diabetic neuropathy can lead to overall weakness in the body, fatigue, and frequent sweating, even when the temperature is cool.
Early detection and treatment is the best way of controlling diabetic nerve disorder and preventing its long-term consequences.
Approximately 29 million Americans today are diabetics and every 1 in 4 of them does not even know. Unfortunately, aside from these complications, diabetes also has one more severe repercussion that can be life changing, amputation of the limbs.
There are different foot complications that can be caused by diabetes, each can lead to severe outcomes when worsened. These changes can lead to painful muscles, swelling and limited muscular flexibility in fingers, hands, wrists, shoulders, neck, spine and  feet in diabetic patients. For reasons unknown, certain patients are more susceptible to experience this connective tissue disorder than others.
Proximal neuropathy or nerve damage in the lower body parts, specifically targets the muscles leading to the weakening of muscles in the legs.
Metabolic factors like high glucose levels and low levels of insulin serves as a primary cause of muscular atrophies, a condition referred to the wasting away of muscles in hands and feet.
This in turn, leads to a reduction in the volume of the muscles in the affected regions of the leg. This in turn, causes narrowing of arteries that supply blood to the arms and legs thereby, preventing the circulation of adequate amounts of blood to the muscles present in the limbs.
Hence, a genetic predisposition for acquiring these mutations can also result in muscle pains in diabetic patients. However, when diabetic patients develop a resistance to insulin or completely lack insulin in their bodies, this conversion is hindered, thus leading to the accumulation of excess sugar in and around the muscles.
Moreover, muscle damage induced by diabetic neuropathies  are worsened by the lack of exercise, which works wonders in strengthening weaker muscles. Unfortunately, even if you consume sufficient amounts of vitamins and minerals, the excess sugar in the bloodstream hinders them from being delivered to the site of inflammation in the muscles. Metformin is one such example but there could be other medications too that are responsible for causing muscle pains in diabetic patients. Hence, never hesitate to inform your doctor about experiencing a pain in your muscles and get your prescriptions changed to those which suit your body better. Diabetic patient tend to have lower potassium, magnesium and sodium levels due to the large doses of insulin and other fluids administered in their bodies to treat diabetic ketoacidosis. Most importantly, it acts as a co-enzyme for many metabolic pathways involved in catabolizing and mobilizing glucose in the body to be utilized as the main source of energy.
Since, the weakening of muscles in diabetic patients is a very slow process, it mostly goes unnoticed if the progress of this condition is not monitored well. This condition primarily starts in the extremities (lower and upper) that is arms and legs.
In this case pancreas is able to produce insulin, however, it is not sufficient enough to stabilize the glucose level in the blood. People with this condition may not be aware of their problem until they suffer from the worsening complications of diabetes mellitus. This specific branch of nervous system is responsible for the vital organ functioning of the body.
People who are diagnosed with any types of diabetes mellitus may be predisposed of developing this complication.
Their only aim is to share their opinion on the concerned topic, and help the reader understand it better. Prolonged exposure to high blood glucose levels can lead to a myriad of diseases which can affect the eyes, kidneys, teeth, nerves and circulatory system. Charcot Foot, a progressive degenerative condition that affects the joints in the feet, is a frequent result of peripheral neuropathy.
The body absorbs this laser light on a cellular level and transforms it into chemical energy, which the body then naturally uses to repair its own tissue.
Unfortunately, many Americans are affected by diabetes, which in turn can have an adverse impact on the foot known as diabetic foot syndrome. For a diabetic, this is dangerous because he or she may not realize the foot is injured or cut. This is usually because of the blood vessels inability to bring enough blood and oxygen to the wound.
You should also routinely look over your foot and practice good hygiene to minimize diabetic foot disease. Diabetic foot conditions develop from a combination of causes including poor circulation and neuropathy.
Diabetics suffering from neuropathy can develop minor cuts, scrapes, blisters, or pressure sores that they may not be aware of due to the insensitivity.
With this condition, there is a narrowing of the arteries that frequently leads to significantly decreased circulation in the lower part of the legs and the feet. Preventing foot complications is more critical for the diabetic patient because poor circulation impairs the healing process and can lead to ulcers, infection, and other serious foot conditions.
Orthotics designed with material designed to accommodate pressure hotspots by conforming to heat and pressure. It is very important for diabetics with neuropathy to take necessary precautions to prevent injury and keep their feet healthy. Inhaled cannabis may have an analgesic effect in neuropathic pain syndromes, including treatment-refractory diabetic peripheral neuropathy. If your blood sugar levels are not controlled, then this can lead to such systemic disorders as heart disease, stroke and kidney disease. And not only do the gums become infected, but we also tend to lose the bone that is holding onto the roots of the teeth. Infections lead to an increase in blood sugar and this makes the diabetes harder to control…again…a vicious circle.


The nerves of the foot get damaged due to loss of blood flow and subsequently the bones are also weakened.
Since the nerve begins to lose sensation the affected person will not feel any pain on his foot even when it is hurt or damaged. The nerves will not send signals to the brain when there is any injury or pain in the foot. If left untreated, the affected feet may gradually change its shape getting badly deformed. If diagnosed with the problem of Charcot foot, it is necessary for you to follow the instructions of your doctor.
These types of symptoms commonly occur in peripheral neuropathy, which is said to affect toes, feet, legs, arms and hands. Due to this, you may feel weakness or loss of sensation in the muscles of your feet or hands. Due to weakening of nerves, they may face issues in holding up urine for long periods, may leak urine or face issues in telling when their bladder is full. Men may face erectile dysfunction, while women report vaginal dryness and difficulty in achieving orgasm. However, the causes of diabetic muscle pain have been clearly outlined, all of which lead to the inflammation and damage of the muscular tissues. This causes numbness, tingling, burning sensation and muscle pain, thereby limiting the range of motion and making walking difficult in diabetic patients. The muscular pain also leads to an improper body posture in diabetic patients who tend to put maximum weight on one side of the leg. This can lead to a distressing condition, characterized by numbness and painful muscles in diabetic patients.
Adequate amounts of potassium are required by the body to regulate the proper functioning of muscles.
Medications can also deprive the body of sodium, calcium and creatine that play an important role in providing a quick source of energy for strengthening muscles and promoting nerve transmission. Hence, it is important to stay vigilant and bear in mind the above mentioned causes, so as to adopt preventive measures for avoiding muscle pains associated with diabetes.
However, there are cases wherein peripheral neuropathy may begin at legs and feet area then later will affect the arms and hands. It is suggested to consult the doctor to avail of prompt treatment that can control the worsening of diabetes mellitus. Good or bad, Right or wrong is solely readers decision and should be taken under the guidance of a medical expert. As many as 60% of diabetics suffer from some form of diabetic neuropathy, which most commonly presents in older patients with a long history of diabetes, or those with high blood pressure or excess body fat. Decreases in pain and sensation, combined with decreasing muscle reflexes and control, subject the feet to repeated trauma and injury causing progressive damage to the ligaments, cartilage, and bones. The bio-stimulating effect of laser therapy causes decreases in both pain and inflammation, and an increase in tissue regeneration and accelerated healing. Alex Peplow will explore the physiological benefits of Laser Therapy in treating Diabetic Neuropathy.
For a diabetic, high glucose can lead to nerve damage in the foot, numbness, and an improper blood flow. If these minor injuries are left untreated, complications may result and lead to ulceration and possibly even amputation. When a diabetic patient takes the necessary preventative footcare measures, he or she reduces the risks of serious foot conditions. Poor circulation contributes to diabetic foot problems by reducing the amount of oxygen and nutrition supplied to the skin and other tissue, causing injuries to heal poorly. By customising to the foot, the material provides the comfort and protection needed in diabetic footcare.
If you have diabetes and are experiencing a foot problem, immediately consult your clinician. Diabetes patients appear to have elevated levels of neutrophils, which impair wound healing.
If a person continues to walk with Charcot foot without taking treatment, it can cause change in shape of his foot. This condition gives rise to serious deformity and change in shape of the foot and hence diabetic patients should regularly check their foot to ensure that there is no nerve damage. Diabetes is the main cause for getting peripheral neuropathy and the patient will continue walking since there is no pain making the disease to worsen.
Due to repeated carelessness the position of the foot becomes worse which may again cause more injury to the jonts while walking.
Very often the pain may not be felt by the person and if at all they feel it only as bearable pain. The affected feet should be totally immobilized until the inflammation is healed completely. Some patients will have to use crutches for balancing the weight and to prevent further damage to the affected feet.
By wearing braces one can prevent the formation of ulcers in the feet which may lead to the amputation of the feet. Check both the feet each day to notice any swelling or tenderness which is indicative of Charcot foot.
Though diabetics can develop diabetic neuropathy at any time during their life, the risk is said increase as the age or disease progresses. The most common early signs of diabetic nerve damage include numbness or pain in feet and hands, along with tingling. Neuropathy also causes poor blood circulation in the limbs, increasing the risk of gangrene, or tissue death, that can lead to amputation.
They tend to walk with a limp so as to avoid putting their weight on the painful muscles, thus leading to an awkward gait in diabetic patients.
Also, hyperglycemia promotes the excretion of these minerals in the urine, further aggravating muscular damage.
This can lead to serious problem in the foot such as ulcers, infections, deformities, and bone and joint pain. As your diabetic foot care center, Next Step Orthopedics can safeguard that problems are detected and treated properly.
There is every chance for the person to get his feet hurt without his knowledge and they will feel very minimal pain.
If yes, then do you have diabetes? If you face any of the above symptoms, then there are fair amount of chances that you are suffering from diabetic nerve damage – a progressive disease that can lead to serious health problems. Moreover, the risk is said to be higher in patients who fail to keep their blood sugar levels under control.
If worsened, it can lead to gangrene, which is the death of tissue, and could require amputations so that the infection will not spread throughout the limb. Hence, a deficiency of any of these minerals can lead to muscle weakness of the limbs and often leads to involuntary contractions of muscles or leg cramps that can be very painful.
Our foot doctor at Next Step Orthopedics in McKinney has the expertise to properly care for diabetic foot disease. Subsequently the bones begin to regenerate in shape giving rock like appearance on the foot.
One should be very cautious in not damaging the feet in order to prevent further damage or deformity to the foot.
Since nerve damage occurs over the years, most of the times, initial symptoms are often minor and go unnoticed. Charcot foot affects the metatarsal bones of the feet and very often this affects both the feet.



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