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People with diabetes are at risk of developing ulcerations and infections within their feet, which have the potential to require an amputation of the foot or leg.
Our podiatrists are very experienced in the care of people with diabetes, and Anthony Short is a consultant podiatrist to the Queensland Diabetes Centre at the Mater Hospital in Brisbane. One of the lesser known, but most devastating, complications of diabetes is known as a Charcot neuroarthropathy (or a Charcot joint).
Charcot neuroarthopathy is a situation where one or more joints within the foot can ‘collapse’ and cause serious deformity and instability, often after a seemingly trivial or inconsequential injury. Most typically, neuropathic foot ulcers are painless wounds under the joints of the front of the foot, or around the toes.
The use of special dressings to heal these wounds is typically not of great importance, and simple sterile dressings are usually sufficient because the focus is on removing pressure from these areas. Our podiatrists will need to see the wound regularly for wound debridements, and to evaluate the effectiveness of pressure offloading approaches. By contrast, ischaemic ulcers are due to a lack of blood supply (caused by peripheral arterial disease) reaching the foot, and necrosis of the skin following often trivial injury. 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. Hi, this is Cesar Giral MD, one of the founders of DiabeTV, a virtual place conceived to inspire diabetic people.
To fulfill our objectives, DiabeTV has put together an interdisciplinary team that permanently looks for the most recent and advanced information from a variety of fields. When the founder of AirFeet insoles was forced to switch jobs after years of brutalizing his body doing construction work, he needed a new path, and his aching back and feet led the way. He decided that he wanted to do what he could to prevent others from experiencing the same aches and pains just from living their daily lives, and AirFeet insoles were born. Designed to help increase circulation through the grooves and channels that cover the insole and provide constant massage to the base of the foot, the thin insoles provide cushioning with something they call Active Flow Media, a patented substance that flows back and forth with every step, providing support to the entire foot.


In addition, AirFeet insoles can be popped into the freezer for an added cooling effect that will sooth aching, sore feet, especially those with the tingling of neuropathy, which is often treated with cold packs.
AirFeet also help with a number of other pain issues such as back pain, joint paint and is exceptional for plantar fasciitis. Marie, a woman who picked her insoles up at a festival celebrating blueberries, said, “I had numbness in both legs when I walked in the AirFeet Booth.
Total Foot Recovery Cream with Tea Tree Oil—Tea tree oil has natural antibacterial activity, which may help prevent infections, one of the goals of diabetic foot care. 6.  Trim your toenails carefully and cut them straight across the top, to avoid an ingrown nail. There are a number of different orthopedic shoe styles to choose from, as well as seamless socks designed specifically for diabetic feet.  They will not restrict circulation, but resist sagging and bunching.
Another good alternative for diabetic neuropathy and diabetic foot care, in general, is the Arch Craft customized insole, which can be worn with your own shoes.  They cradle your feet in comfort, eliminating pressure points and pain, without restricting circulation. If you are concerned about diabetic feet and related skin issues like me and so many of my family members are, you should check out the new skin purifying cleanser and treatment “Sacred Divinity”.
In fact, the most common reason a person with diabetes will require hospitalisation is for a foot complication.
We have also been involved in Diabetes Programs with the Divisions of General Practice, and training programs for doctors involved in the Royal Australian College of General Practitioners, along with community education seminars with Diabetes Australia (QLD).
The name is derived from a French physician, Dr Jean-Martin Charcot, who first identified this condition in patients with peripheral neuropathy (in this case, due to syphilis) whilst working in Paris in the 1800’s. The foot can change appearance quite dramatically over the course of a few months, and it is difficult to diagnose at first – as it is often confused with infection or gout. These wounds can be difficult to heal unless a good understanding of the cause of the problem is taken into consideration. They are primarily caused by unremitting pressure over bony prominences, altered biomechanics, and the lack of ability to feel pain. They are far more difficult to heal unless restoration of blood flow to the foot can be achieved.
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. Through scientific information and practical tips we hope to convince you that diabetes is not an obstacle to enjoy a healthy, long lasting, and productive life.
We hope to improve significantly your capabilities to exert a strict control over your diabetes and prevent its complications. Trouble is, drugs don’t always work for everyone, and some may have undesirable side effects. Of all of the foot problems our patients can present with, there is little that is more serious to life or limb than a foot complication due to diabetes.
Even trivial or minor injuries to the foot have the potential to become very serious and threaten a limb. Long term, patients with a Charcot joint can be left with a severely deformed foot and high risk of ulceration or amputation.
If blood flow is still good, they are usually relatively easy to heal once suitable pressure offloading is done with either special footwear, orthotics, bracing or casts.
We will often work with your GP and vascular surgeon to look for ways to get better blood flow back into the foot, in order for these to heal. 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 pain can range from tingling and burning to stabbing pain that feels as though hundreds of needles are being forced into the soles of the feet, but the one thing that remains the same is that it’s uncomfortable for all who have it. Once I put the AF insoles in my shoes, within 10 minutes I could walk straighter, my numbness was gone, and my pain in my feet reduced! There is usually a preponderance of hyperkeratotic tissue (hard skin callus) around the wound, along with non-viable tissue that needs removal by surgical debridement.
It may be important to use protective footwear or bracing during this period to protect these fragile tissues from any further pressure or injury. The symptoms that helps in identifying the development of peripheral neuropathy would be numbness, tingling, burning sensation in the legs and pain. Constriction of the blood vessels or deposits forming on these blood vessels all lead to micro vascular injury.



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Comments to «Diabetic neuropathy vascular disease»

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