2 Diabetic Foot

Why do so many people with Type 2 Diabetes require amputation at some point in their life? Diabetes causes many complications. One of the most devastating is diabetic neuropathy. This is actually the diabetes doing damage to the nerves in the periphery nervous system. It happens most often in the legs and feet. The problem often starts with a tingling feeling in the area. Eventually the tingling turns to pain or numbness. A further problem that Type two Diabetes can cause in the feet is reduced blood supply. In the extremities of the feet, the size of the blood vessels constrict due to diabetes. When these to risks combine, it can lead to severe problems in the feet or lower legs. You might know that this is when amputation may become an option.

How do you avoid getting to the point of an amputation with type 2 Diabetes? Good footcare is very important. This means monitoring the feet for any signs of infection. It means keeping them clean at all times. It means wearing good shoes and the proper support socks. It means approaching any minor injury as a major one. If a minor injury happens in an area with nerve damage and poor circulation, infection becomes a real possibility. Severe infection can lead to gangrene. That, of course, could lead to amputation. Seeing your doctor about any injury to the foot is important for that reason alone.

There are other ways to help prevent the need for amputation if you have type 2 diabetes. Sufferers with Type 2 Diabetes are advised to quit smoking since it also affects the size of blood vessels throughout the body. Keep a close eye on your glucose levels. Managing those levels will help keep diabetes damage to the nerves down to a minimum. Get and stay physically active. This helps increase circulation to the legs and feet. It also helps with flexibility. Visit your doctor regularly to monitor for any problems. Get your weight under control. Extra weight on the legs and feet do not really help.

If you already have nerve damage or circulation issues in your feet, don’t think that amputation is inevitable. Taking good care of your feet is extremely important. Visit your doctor if you find sores developing on your feet. Take care with wearing shoes at all times. Loss of sensation may not let you know if you step on something that causes a wound. With type 2 diabetes, taking care of your feet is almost as important as monitoring your blood sugar .

Frequently Asked Questions

  1. QUESTION:
    Type 2 Diabetic Foot Ulcer?
    I’m type 2 diabetic and i have what looks like a small callus on the side of my small toe,can ulcer’s develop on the side of a toe? i thought they were on the bottom and top?

    • ANSWER:
      yes they can. A diabetic ulcer can develop in any part of your toes, feet or even ankle. It is sooo important that you have yourself checked by a podiatrist, diabetic ulcers can be such a nightmare, remember that you won’t feel them because you may have already the neuropathy and they can be really fast as you probably may have bad capillar circulation.

  2. QUESTION:
    does anyone have diabetic foot neuropathy? my husband has it and tried Lyrica for a while but pain is back?
    my husband was diagnosed with diabetic foot neuropothy about a year ago. has been tested for everything they could think of and found no reason for the pain. they put him on vicotin and lyrica for about 2 mos. it worked but now the pain is getting worse again. trying to find someone who is going through the same and if they have found any relief.

    • ANSWER:
      diabetic foot neuropathy is caused from diabetes killing your nerve endings, thats the reason for the pain. my husband has had the same thing for years. you should talk to your dr. and you could try neurontin, cymbalta is an anti depressant but also helps with neuropathy, amitriptyline is also an anti-depressant/sleep med but also works for neuropathy. we have yet to find relief. Good luck. I know how he feels.

  3. QUESTION:
    Do diabetic foot ulcers ever heal?
    My mom has had one for about 2 months. It still looks terrible but her hospice nurse says that it “looks ok”. If it is not infected, will they go away or just kinda stay the way they are?

    • ANSWER:
      I just went to the doctor yesterday about the diabetic ulcer on my toe. I’ve had it since early December. He says that they can heal, if the patient gets good care and nutrition. Mine has been healing very slowly, but it is getting better.

      They do look horrid, don’t they? I have to have my husband bandage mine, and he often comments that it’s very ugly looking. I must agree with him, my ulcer is not a pretty sight.

      The most important thing is proper care. She probably needs to have it cleaned and bandaged a couple of times a day. She needs to eat properly, too. It’s VERY important that she gets all of her vitamins and minerals. However, she must take care that her blood sugars stay in control. If her blood sugars are too high, that ulcer won’t heal, and it might get worse. So if she’s not taking a multivitamin, have her ask her doctor if she should be taking one.

  4. QUESTION:
    Diabetic Foot Ulcer. Please help! :(?
    Hi, fellow Yahoo users.
    I have a question about Diabetic foot ulcers.
    But first, a history of my ‘re-occuring’ problem.

    I, unfortunately, developed an ulcer/hole on the ball of my left foot, at the end of June.
    It became so badly infected, and was weeping like no tomorrow.
    I bandaged it, packed it up, and kept it as hygenic as possible, up to five times a day.
    After seeing my doctor, he admitted me to my local hospital, on the 10th of July.
    A group of specialist assessed my wound, and told me that there was a possibility I’d have to have my middle toe amputated.
    Turns out that my toe had become swollen and a slightly deeper shade.
    And the infected nail (That I’ve had for two years, now) was showing no signs of improvement.
    I had almost-immediate surgery, where the hole was made bigger, so the surgeons could scrape out as much infected tissue as possible.
    I was then in the hospital for a further two weeks, taking numerous antibiotics and painkillers as tablets/capsules and through an IV.
    I was on..

    1: Penicillin.
    2: Omeprazole
    3: Flucloxacillin.
    4: Codeiine
    5: Hyoscine-N-Butylbromide.

    Anyway, I was eventually discharged, which briings me to my question.

    it’s been a week, and for some strange reason, my foot is almost as swollen as when it was badly infected.
    I’ve kept it as clean as possible, and kept off it as much as I can.
    But the middle toe is significantly redder and more swollen than the others.
    The hole underneath my foot is about the size of the baby fingernail on an average hand.
    it’s got a dull green/rust-coloured soft ‘scab’ covering.

    I’ve made an immediate appointment to see my doctor.
    But I need advice.
    Should I return to hospital and risk losing a possible toe that COULD be saved?
    Or.. I don’t know.

    I’m sorry.. I’m really worried out of my mind.

    Thank you all for reading and responding.
    I really appreciate any help I get.

    Jamie.
    Hi, everybody.
    had some luck seeing the doctor at my local surgery/clinic.
    I’ve been put on Flucloxicillin and Amoxycillin syrups.
    And I’ve got an appointment on the 11th of August, at my local Orthopaedic clinic.
    My foot is still very much reddened, swollen and bloody ‘orrible, but I’m managing.

    Really very kind of you all to help me.
    I can’t remember the user’s name on here, but I’ll try putting pillows under my legs at night.
    Thank you very much.

    Jamie x.x

    • ANSWER:
      As someone who lost all the toes on one foot in similar circumstances my advice is don’t muck around … get to hospital as fast as possible. Infection is hard to contain I was in hospital for 2 months before I got rid of the infection so the sooner you start getting treatment the better you will be. It wont just go away by itself

      Try this site lots of good advice by fellow diabetics in the U.K.

      http://www.diabetes-support.org.uk/

      Good Luck

  5. QUESTION:
    Scabs on diabetic foot – how to deal with them?
    Hello.

    My dad is 53, CKD / diabetic.

    He has been in the hospital for a long time now and will get amputation on one leg due to infection.
    Ever since this event I have looking daily at his other foot. I’ve noticed 2 scabs forming on his heel.
    I posted a link to a picture of one of the scabs below.

    Do you put creams on this? One nurse put xenaderm (antibacterial) . Is that good?
    Another nurse recommended keeping the heel from touching the bed by propping with a pillow.

    Any of you have experience with cracks in skin and scabs on diabetic feet?

    http://www.flickr.com/photos/bergamotagrande/4495830638/

    • ANSWER:
      Dad needs to see a podiatrist NOW.
      Don’t wait.

  6. QUESTION:
    DIABETIC FOOt PAin?????????????
    over the years ever since i got diabetes and recently i feel like its getting worse,,, (( ive been getting really cold feet,, feels just like my feet came out of the freezer.. )) and then i have to wear like 4 pair of socks just trying to warm it up,, i also it more near my toast and the bottom of my feet. I also get some type of a pain sometime that feels like clotted blood,,<<(( might not be that but just feels like it ))

    I havent told my doctor about this ,, should i or is this normal???

    ive been diabetic for 2 years now.
    srry.. i have some spelling mistakes up there from typing to fast,, lol
    i also wanted to say that im sure that my feet get sensitive during that time so i do feel stuff touching my feet,, (( but really i havent paid that much attention about that,, this is a guess)

    thanks for those who answerd

    • ANSWER:
      everybody is responsible for his/her own body. health comes when you follow the right dietary strategy and a healthy lifestyle. when we fail to do so we finish to have disease.

      let’s go to your case. you’re a diabetic and having leg pain, but you don’t dare to report it to your doctor. i just want to advise you the following consequences of your actions until now.

      when you’re diabetic, your body suffers of excess of sugar. one of problems you may have {that you actually have)is because of poor blood circulation in your leg and feet caused by this excessive sugar.

      but if you faces also arteriosclerosis which causes blood vessels to narrow, then there is a reduced healthy oxygen rich blood flow to muscles in your legs. this leads to the pain you’re feeling.

      furthermore,what happens is that when you have diabetes, it’s common for you to face nerve damages (called neuropathy). And the nerves that go to legs and feet are longer than those that reach other parts of your body.This characteristic makes them be more vulnerable to diabetic nerve damages.

      so, taking all the above into consideration, and the fact that you’re not taking proper care for your leg and foot, the final result will be foot or leg amputation, and lots of other problems like blisters, infections etc….

      i’m just advising you to collaborate with your doctor for all sorts of health problems you’re facing, in order to prevent other severer problems.

  7. QUESTION:
    please let me know the best ointment to cure ulcers or gangrene of diabetic foot?
    1 plermin of dr reddy laboratories
    2 regen d 150 himalaya pharmaceuticals

    • ANSWER:
      Right now Plermin is a better choice. Then the latest to complete trial in 2007 is GALNOBAX.

      Refer: http://www.moneycontrol.com/news/business/vlife-announces-completiontrialsgalnobax_311671.html

  8. QUESTION:
    does any1 hav a cure for pain in the foot?
    my father is a diabetic. for past 2 days he has been having sever pain in his foot. he is not able to walk properly. it is not a diabetic foot. the pain killers r also not efffective.
    my father is a diabetic… he is having severe pain in his left foot. v have alreary consulted the doc & he says it is due to over weight… also that it is not a diabetic foot. he didnt evn hurt his leg anywhere. does any1 know how can his pain subside…

    • ANSWER:
      He just needs to see the doctor . Are you a specialist? How do you know it isn’t the beginning of neuropathy? This is what happened to my Mom. pains in the feet and then soon she lost feeling. I suggest he tells the doctor.

      When you have diabetes it affects all parts of your body- vital organs, skin, feet and legs.

  9. QUESTION:
    Diabetic foot ulcer???????
    My mom is a type 2 diabetic with fibromyalgia. She just told me about a sore on her toe & I looked at it and saw that it is a brown scab (not the healing type of scab if you get what I mean). She also has a very small one on the toe beside it, though that one isn’t as bad-looks as if it’s just starting. The word gangrene crossed my mind, so here I am. Knowing how serious that can be, Im wondering if she should go see the doctor asap. She has a routine appt. Monday, but should she be seen sooner?

    • ANSWER:
      One of the best treatments for a foot uler is HONEY. Apply it a couple times a day. Thats what the wound care centers use.

      Take care

      TIN

  10. QUESTION:
    Diabetic Foot Care Question?
    I have type 2 diabetes and I’m 24yrs old, I have lots of dry skin on my feet I was them and always put lotion on them, So tonight I decided to use the scrub pad egg you know the scraper that gets the dried skin off your heals? I really needed to use that Cause it was turning icky dry skin, So is that okay to use? My Diabetes has been okay in the right range I take one pill in the morning the lowest dose, metformin What is also a better cream to get rid of all the dry skin?

    And I wondered two other things Can someone be on the verge of diabetes? can they subscribe a pill for that so it wont get worst?

    And the other question I use Acu Check Blood meeter, And can the big circle battery in the back go dead? how would you get that replaced and how would you tell if it’s not working right? I do use the control solution that I got with it, And last time I checked it said Lo 41 or 42 some where between them two.

    Thanks…..
    *I Wash Them*

    • ANSWER:
      For the one question about preventing damage and further higher glucose problems :Metformin is a great drug.
      Metformin appears to work in three ways. First, it decreases the absorption of dietary carbohydrates through the intestines.

      Second, it reduces the production of glucose by the liver.(2) The liver uses the raw material in your food to create a reserve supply of blood sugar. When your body experiences stress, the liver releases the reserve glucose to supply your brain and muscles with an immediate source of energy to cope with the stress. Glucophage suppresses the production of this reserve fuel.

      Third, and perhaps most importantly, metformin increases the sensitivity of muscle cells to insulin.(2) Insulin is the hormone that delivers glucose into your cells to be burned as fuel, or stored. Women with PCOS frequently have “insulin resistance”, a condition where excessive amounts of insulin are required in order to get blood glucose moved into cells, where it belongs. Glucophage helps your body to transport glucose with relatively less insulin, thus lowering your insulin levels. Chronically high levels of either glucose or insulin in your blood contributes to obesity, heart disease, infertility, and certain cancers, as well as the development of diabetes.

      Don’t forget daily exercise: Very important !!!!! and a low glycemic index diet.

      http://www.mendosa.com/gilists.htm

      For the skin problems I would try Keri lotion.

      Take out the battery and there will be a number on it . Go to walmart and just buy one and replace.

      Take care

      TIN

  11. QUESTION:
    If an MRI shows infection in the bone of a foot of a diabetic, can they recover without losing their foot?
    This is a 80+ year old man with a skin infection for 2 weeks who has been on antibiotics for a few days, the sore appears better already but an MRI shows bone infection. I thought once it was in the bone it had to be amputated. Thanks for any insight.

    • ANSWER:
      It doesn’t HAVE to be amputated…in fact, the doctors will likely try to do everything in their power to prevent it – even in an elderly person.

      The thing is, they will not WAIT long for the patient to respond to the antibiotics before they resort to that option, mostly because of the diabetes.

      There comes a time when one must weigh the odds of losing limb vs. losing life, a decision the patient must make when the doctors advise those are the only options.

      ADDED:

      http://www.lifebridgehealth.org/body.cfm?id=2944

      Here is a link to a simple website that talks about ways bone infections can be treated using minimally invasive cleansing treatments, as well as other treatments such as antibotics, etc.

      Hope this helps.

  12. QUESTION:
    My dad is diabetic type 2 and his right foot is swollen, what can i do to help?
    It’s not the first time his foot got swollen, this is his second time, but it got worse. He’s been a diabetic type 2 for 25 yrs. and the first time this happened was last year and his foot got better and it was actually the same size as the other foot. He has trouble putting on his right shoe because his foot can’t fit in it anymore. He’s been wanting to go to the Galveston beach because his doctor told him that the salt waters can help the swollen foot heal and decrease the swolleness. But he can’t drive that far anymore and i REALLY want to help RIGHT NOW! We tried putting his foot in a bucket of water with salt in it but that didn’t work right, I feel bad that im not doing anything and im just here looking at his foot get bigger and bigger…!

    If there is anyone out there that knows what i can do, please let me know.

    • ANSWER:
      the condition of the feet are related to the overall condition and care of the diabetic. I know you are looking for an immediate solution but the ultimate goal is to have his diabetes managed carefully to avoid this situation all together. Also, care of the feet is important like keeping them clean, aggressively treating any cuts or wounds on the feet, etc…

      If salt water is good for the feet, you can prepare a basin of warm water and sea salt and soak his foot in it. Your dr. should give more advice and attention considering he is a diabetic.

      Swelling is also a sign of infection. Is there a cut? Did strain his ankle? If so, the cause needs to be treated to improve the swelling.

      Your dad should definitely visit his dr. for treatment. Make sure your dad is taking better care of his diabetes (taking his proper meds, eating a healthy low carb diet, not smoking or drinking, getting some sort of exercise) otherwise problems like this will continue to occur.

      Hope he feels better!

  13. QUESTION:
    Diabetic feet. How do i take care of them.?
    Its been a battle the last couple moths taking care of my diabetes. Im only 19 years old, ive been a chunky kid from the start, and diabetes runs heavy on both sides of my family. I recently went to a doctors office where a doctor told me i was fat and the walked out of the door wasnt concered about me or my well being at all. I dont have health insurace so i dont have many options. I drink a lot of water and have changed my diet. I cut out all sugar and eat as little carbs as i can get away with. My fiance is helping me out a lot we try to go to the gym as much as possible. Yet im still feeling terrible. Im very stessed out planning my wedding and dealing with family drama. Im sure that contributes to some of my health issues.

    But onto my feet, i was using diabetic foot balm for a couple weeks and didnt see any improvement. They have been getting worse in the last 2 or 3 weeks. So about a week ago i started using hydrocortisone plus and still arent seeing any improvement!

    so what do you guys think i should do. keep in mind i have no insurance.

    • ANSWER:
      I’m diabetic and have no insurance either. It is financially hard for my family and my husband gets frustrated sometimes. So I feel your stress and worry. BUT you really need to see a podiatrist. Call and set one up, explain the situation, find out how much the visit is and ask them if they will accept half and let you float on the rest until next payday. If that one says no, keep calling till you find one that will. I had to do this. He’s out of town but at least I can get the care I need.

  14. QUESTION:
    Are foot-sole blisters a pre-cursor to type 2 diabetic circulatory,hyper-insulism or imune system break-downs?
    Seems my 45 year-old body is getting it’s butt kicked by very common fungas invasions that attack at ever deeper levels. I want to stop it-yesterday! I’m very clean and very frustrated with common solutions. Any idea’s will be try’ed!

    • ANSWER:
      I am going to answer your question in 2 ways, because the wording makes it very ambiguous.

      If you are asking if foot blisters and infections that don’t seem to clear up are a precursor to type 2 diabetes, if they are symptoms… They can be. The only way to tell for sure is to get a glucose tolerance test. Then you can begin to get on a treatment plan that will help clear up those symptoms and prevent further circulatory or immune system breakdown.

      If you are asking if foot blisters are a precursor to those complications and you already have type 2 diabetes… Then yes, they can be also. If you have had sustained high blood sugar, lack of circulation to the extremities is a common complication. Your immune system is also impacted by elevated blood sugar levels. It is said that only 40 grams of refined sugars can cause up to a full day of immune system impaction, even in healthy adults… Im not sure if theres been much research to back that up, but I have lived by only eating necessary carbs, and complex carbs and starches instead of refined sugars when sick and it always helps me get better that much more quickly. Placebo effect? Well, maybe anti-placebo, we are talking about less sugar, not more in pill form ;)

      Prognosis, for either:

      If its a fungal infection, it can be treated with anti-fungal creams. Bacterial can be treated with antibiotics. No matter how clean you are, it is best to trust the doctors to prescribe the correct medication to get rid of the problem. If you are Type 2 diabetic, you are much more susceptible to infection, so the effects caused by fungal infections or bacterial infections can seem worse than normal. Infections can easily spread and become systemic if not taken care of quickly.

      If you are not Type 2, consider this as a possible precursor, but don’t panic. It could very well be something else entirely. Its relatively quick and easy to get tested, for peace of mind, and for your own health and safety. If in doubt, ask a doctor!

  15. QUESTION:
    I am a type 2 diabetic I love to swim most days but I have developed a soreness between my toes on one foot?
    and I can not seem to get it any better I have been prescribed CANESTEN CREAM for athletes foot that has had no effect at all, is it safe to go swimming or can I infect others? I am sure I picked it up from the pool but I would hate to think I am adding to the problem.

    • ANSWER:
      I would give up swimming for a while and see the doctor again right away. A sore on the foot that does not heal properly needs special attention. It is very possible for things like this to get gangrene in diabetics, and it is more common than you think. This can lead to amputation. If your doctor can’t help it, there are wound treatment centers that you can go to. They specialize in the treatment of hard to heal wounds on people, usually diabetics. You need to keep a very close tab on this, and if it does not get any better, keep seeing your doctor or a podiatrist. It is nothing to take lightly..

  16. QUESTION:
    Are there any home treatments for black toenails?
    My father-in-law has type 2 diabetes and the other day my mother-in-law told me they had discussed how his feet were feeling numb and that two of his toes (one on either foot) were black underneath his toenails. Being a diabetic and having no insurance, I was asked to look up any home remedies for black toenails. All I could find about diabetic foot care was how to wash them and how to pick out the right footwear. All of that helps, but it’s not quite what I’m looking for – any advice would be great! Thanks

    • ANSWER:
      This is a sign of necrosis which is dead skin – he need to see his doctor about this.

  17. QUESTION:
    What do you think these are symptoms of?
    My husband has feet that seem very sensitive to the touch (on the sides), joint pains, weakened grip. GP is arranging blood tests for vitiamin B12 and folate levels but he is also arranging a referral to a neurologist. He said the neurologist will check for many things including MS – I am devastated! He has recently been diagnosed as having type 2 diabetes and the chiropodist doing his diabetic foot care thinks he may be suffering from the equivalent of carpal tunnel syndrome in his feet.
    Please help.

    • ANSWER:
      Why are you devastated you don’t even know what it is yet. Chances are it will be treatable and he’ll be fine. He needs your support and strength at the moment so just be there for him and not let him think the worst before the drs have even finished examining him.

  18. QUESTION:
    stomach swollen diabetic.how will it go?
    hi
    My mum is diabetic for 18 years now.She is in her 40s
    She has a diabetic foot. There is a wound in her heel which has not yet healed.It has been more than three months.
    Now, two weeks back, she suddnely fell very weak and got fever. she was shivering and she felt a burning sensation in her stomach. we rushed her to the hospital. they admitted her an gave her loads of insulin injections. the other day when we went to see her at the hospital, her stomach was unusually bloated and stiff and also her legs were swollen. the doctor was not very experet i guess cz he kept on saaying “ï dont know whts wrong with her..its just gas and it will go” ..(.but i am sure its not gas..cz it havent gone as yet)..and finally we had to take her home. She still has this swollen tummy and she is not at all well.. we went to gyenacologist (she is not pregnant ) just to know if she could help but she came up with a new story saying she has “Water” in her stomach!!
    and she needs to be taken to foreign for treatment!!
    I a very worried cz this nevr happened to her .She was very fit jss 2 weks ago. She dd all the chores and cuold move around and walk eaily.Now she cant even walk. we have to takeher on weelchair. My Qtn is tht is it normal for a diabetic patient cz i think the doctors were not vwell experienced or sumthn.and every clinic we take her. they sort of not know whaqt really it is
    any one can tell what is goin on with her ad will it go?
    idon wan take her to forien cz i dont think she has some big disease. She was !00% fit juss 2 weeks back!!
    please help !!

    • ANSWER:
      sounds to me like she is having serious trouble with fluid rentention which has manifested as ascites (fluid in abdominal cavity). A cause of this could be kidney failure. make sure the doctors did liver and kidney function tests. kidney failure can be a complication of diabetes. whatever the cause she sounds like she needs more treatment, so keep taking her back until you are happy with her treatment. “i dont know” simply isnt good enough!

  19. QUESTION:
    I have type 2 diabetes which has caused diabetic neroupathy in my feet.?
    Over the past 10 days my left foot has become extremely swollen. The top of my foot looks like a baseball and my big toe is bright red. I have mild swelling in my right foot. Does anyone have any suggestions on how to reduce the swelling or what this could be?

    • ANSWER:
      You need to check with your doctor. You could have gout, or a number of other things wrong. It could even be some sort of insect bite. Put an cold pack on it to help reduce the swelling, but see your doctor right away.

  20. QUESTION:
    Is this athlete foot or not?
    I didn’t have any pain or anything until last night, I rubbed my foot and felt a sore area so I looked and between two of my toes and around the bottom of the 2 toes I had what appeared to me to be a blister that had popped, it was red, sore , had peeling skin and kinda like cuts in it..it was late at night so I just assumed maybe my toes had rubbed together,formed a blister that had popped and this what the result so I just put some peroxide on it and went to bed, well as I layed there it burned so I got up and checked my other toes and on one foot I have sores between and around 2 toes and a little by the pinkie and one foot I have sore between the last 3 toes…it looks gross! Like an open blister kinda and little paper cuts kind of, they bleed just a little but I think its because I’m a freak of a worrier and I constantly am pulling my toes apart to “examine” the sites and the skin is cracking and then the movement of being pulled and tugged on probably is enough to make them bleed?? Anyway I goggled athlete’s foot and it kind of sounds like it and some pictures look similair but how do u just get it? I haven’t been anywhere expect I do have house guest that share our shower that’s the only thing I can think of? Anyway this morning after having peroxide on them they are sore (funny becuz never had pain before) but I can feel them everytime I walk or move , it kinda feels like the skin is tearing! I’m so upset about this that I can’t eat I’m such a worrier, I go the dr allllll the time and I have no health insurance so I just am at a point I dnt know what to do….I worry about diabetic foot or whatever because I am overweight but I’ve had blood tests done allllll the time so anyway I put some lotrmin ultra cream made for athletes foot between the toes and I put it on thick so now I am walking around my house barefoot well it drys then ill put socks on! I’m such a worrier I keep touching, re-applying onimnet, looking extra but I wash my hands really good afterwar

    • ANSWER:
      How to get Athlete’s foot:
      Wear closed shoes, especially if they are plastic-lined
      Keep your feet wet for prolonged periods of time
      Sweat a lot
      Develop a minor skin or nail injury

      They say peeing on your feet cures Athlete’s foot

  21. QUESTION:
    injured foot about 2 months ago, skin below toenail is still purple i’m diabetic….?
    about 2 months ago a concrete lentil fell on my foot, nothing was broken but alot of bruising and that. Anyway as i said the skin under my big toe nail is still purple as is my toenail itself. How long does it take to heal. I’m a 30 year old diabetic woman.

    • ANSWER:
      What you described is not a normal healing process probably due to some circulation/nerve issues within your feet, if your blood sugars are out of control (by that I mean consistently high most of the time) then it would be time to seek out the opinions of professionals (podiatrists, that are specifically trained in treating diabetic patients).

      You know what happens if it’s ignored.

  22. QUESTION:
    Diabetic — injury to foot?
    Hi i’m a type 2 diabetic. For a couple of weeks now i’ve had unexplained pains in my foot. It was like it was at both sides of my foot, no-where else. Anyway a week and a half ago, a concrete block fell on my foot. My toes and top of my foot ( same foot as pains were in) were hurt the worst, nothing broke but badly bruised and swollen. My foot feels fine now, and the swelling has gone, although not the bruising but my big toe feels like its on fire, its constantly paining me, although im takin diafene painkillers its not easing the pain at all, and it all red!! how long should it take to heal, or being a diabetic what should i watch out for as i know you have to take specail care with your feet when your a diabetic.
    I did attend a&e as i first thought it was broke, it was so swollen, but nothing broken they said, just sent me home with painkiller/anti-inflammatory tablets, and didn’t say wether i should visit gp afterwards or anything??

    • ANSWER:
      Yes, damage to feet is a problem when youre diabetic because of circulation issues. If you havent done so, get yourself to the GP and get your feet looked at. Hopefully Dr Frank (an answers contributor), will pick up this question and give you some advice. His advice is always spot on.

  23. QUESTION:
    i am a type 2 diabetic , i have a infected abcess on the arch of my foot , from a previous operation , he tell
    tells me i have a staph infection and will possibly have to operate and drain it. How complicated is this kind of thing and is there any other options that i might have . ?

    • ANSWER:
      GET to the doctors NOW. My mother just lost her leg a week ago thanks to putting off an infected abcess on her foot. She’s a Type2 diabetic. They operated on the abcess and put in pump/sponge for a few days. When they went to remove the pump, they did a bone scan and saw the infection had gotten to the bone. She lost her leg 5″ from below the knee. All this from putting off an infected toe..which led to the foot..and then to the leg. Get off the keyboard and go straight to the doctor adn get it taken care of NOW.

  24. QUESTION:
    Itchy hands and feet of a diabetic type 2 can result in?
    And what is a neurotic diabetic, Please help asap! I’m looking in to the itchy hands and feet poor blood circulation But i’m not a doctor he’s going to see the doctor soon, But I’d like to know a little on my own personal time. He’s a male. He’s 50 years old

    • ANSWER:
      This may be due to whats called “neuropathy.” If his diabetes is poorly managed then high blood glucose levels can damage nerves over long periods of time. The result of this damage sounds similar to the symptoms you’ve described. The doctor might do a Hemoglobin A1C test. This will show how well his blood sugar has been in recent months

  25. QUESTION:
    I have diabetic neurapothy in my feet from my type 2 diabetes?
    My sugar levels are excellent yet my neurpathy in my feet seems to be getting worse. They swell up. have very little feeling, seem cold, and at times give me a lot of pain. What’s out there to help with this?

    • ANSWER:
      here are some books that might help
      you could also get these books on ebay or amazon or a half price book store. (last two are very similar)..
      1.Oxford Handbook of Clinical Medicine
      2.Handbook of Diseases (Lippencott)
      3.Professional Guide to Diseases (Springhouse)

      sometimes the docs give neurontin or lyrica or cymbalta..maybe some narcotic pain meds.. it can be difficult to treat..I read one article about hyperbaric oxygen treatment http://www.medicalnewstoday.com/youropin…

      sometimes in the feet it could be something akin to carpal tunnel in the hands and they sometimes do a new surgery to open up the sheath in the ankles (not sure if it works with diabetics)

      http://www.ninds.nih.gov/disorders/carpa…

      here is an article and the link to it on peripheral neuropathy

      Peripheral neuropathy from chemo or radiation
      Neuropathy: Detailed Information
      What is neuropathy?
      Neuropathy – sometimes called peripheral neuropathy – is a condition that occurs after peripheral nerve damage. Neuropathy may affect a single nerve or several.
      The nervous system is divided into central and peripheral parts:
      The brain and spinal cord make up the central nervous system.
      The peripheral nervous system includes the nerves that leave the brain and the nerve roots that come off the spinal cord and go to the internal organs, limbs and skin.
      Diseases, injuries and toxins, such as chemotherapy, can cause neuropathy in cancer survivors. The damage may lead to changes in sensation or muscle function and can be mild or severe. Cancer survivors may experience this condition as tingling or numbness in certain areas of the body, especially the hands and feet. These sensations range from mild to painful.
      Neuropathy can be an upsetting, and sometimes scary, condition for survivors. If you begin to notice symptoms, talk to your health care team immediately.

      What causes neuropathy?
      Neuropathy is a common disorder, affecting about 1 to 2 percent of Americans.
      Some causes include:
      Diabetes mellitus (sugar diabetes) – the most common cause of neuropathy in the industrialized world
      Infections (such as leprosy, syphilis, HIV and some forms of hepatitis)
      Nutritional deficiency (particularly of thiamine)
      Inherited disorders of metabolism and other diseases passed down through families
      Alcohol
      Pesticides
      Drugs used in cancer treatment, particularly the platinum compounds, the taxanes, the vinca alkaloids and thalidomide
      Hypothyroidism
      Renal failure
      Extreme stress (such as the stress of living with a chronic illness)
      Radiation therapy (effects may be delayed for many years)
      Some cancer tumors are associated with neuropathy as a remote effect.
      What are the symptoms of neuropathy?

      The types and severity of neuropathy symptoms vary greatly. Determining the amount of peripheral nerve injury just by the amount of symptoms produced is difficult. Symptoms are almost always greatest at night. Common signs and symptoms of peripheral neuropathy include:
      Fatigue
      Weakness
      Clumsiness
      Loss of balance, particularly in the dark
      Dizziness, especially when getting up from a bed or a chair
      Numbness, especially of hands or feet
      Cramps, commonly in the calf muscles
      Pain, often burning or shooting in quality
      Sexual dysfunction
      Sensitivity to temperature
      Muscle wasting in the hands and feet
      Loss of reflexes
      Smooth, dry and red skin of hands and feet

      Which cancer survivors are at risk?
      Neuropathy can affect almost any cancer survivor, but the following are high risk conditions.
      Cancer types
      Lung
      Breast
      Ovarian
      Prostate
      Myeloma
      Lymphoma and Hodgkin’s disease
      Testicular
      Having one or more of the following characteristics may increase the chances of developing neuropathy.
      Advanced age
      A family history of neuropathy (familial, diabetes)
      Malnourishment
      Excessive use of alcohol
      Some medications, including chemotherapy medications, also increase risk. Discuss your medication-related risk with your health care team.

      Chemotherapy medications that increase your neuropathy risk include:
      Platinum
      Taxanes
      Vinca alkaloids
      Thalidomide
      Cytosine arabinoside
      Misonidazole
      Interferon
      Can a survivor experience neuropathy during, immediately after and/or years after treatment?
      Neuropathy related to cancer may develop in the course of treatment (such as with vinca alkaloids) or shortly after. More often, neuropathy has a delayed onset, with symptoms developing weeks or months after therapy has ended. Nerve injury from radiation therapy may be quite delayed, with symptoms occurring in some instances years after treatment.
      Peripheral neuropathy symptoms are often ignored by both patients and health care professionals and frequently are not recognized as being related to peripheral nerve damage. For lung cancer, neuropathy may be the earliest sign of the cancer. Report any symptoms to your health care team right away.
      Can neuropathy be cured?
      The peripheral nerves have a great ability to heal. Even though it may take months, most patients recover. However, in some situations, neuropathy is difficult to cure. Nerve injury caused by radiation often does not recover well. Neuropathy caused by platinum chemotherapy is also difficult to cure — recovery may take 18 months to five years or longer. During recovery of platinum-induced neuropathy, patients may suffer increased symptoms. Unfortunately, some patients with platinum neuropathy never recover.
      Even if your neuropathy cannot be cured, you may benefit from treatments to relieve your symptoms and from rehabilitation designed to help you maintain your physical abilities.
      What are the treatments for neuropathy?
      The treatment for peripheral neuropathy depends on the cause.
      Recovery can be helped by:
      Adequate nutrition (foods rich in thiamine, protein and antioxidants)
      Controlling and correcting contributing conditions such as diabetes or hypothyroidism
      Pain medications
      Physical therapy
      Medications being researched in clinical trials show promise in helping peripheral nerves to heal.
      How will a cancer survivor’s life change if s/he has neuropathy?
      Pain and other symptoms of neuropathy can be mild or severe. Each survivor’s experience will be different. However, with appropriate treatment, the effects of neuropathy can be limited. Medications, lifestyle changes, rehabilitation and other treatments can be used.
      Neuropathy can make standing for long periods or walking without assistance difficult.
      Balance can be affected, increasing the risk of falling.
      Activities like buttoning and tying laces or ties can be difficult.
      Survivors may be sensitive to heat or cold. Survivors with this sensitivity should avoid extreme temperatures if possible and use protective clothing and hats when needed.
      Neuropathy may cause a lack of pain sensation. Survivors should pay careful attention to the skin on their hands and feet because they could receive a wound or a break in the skin and not feel it.
      If neuropathy affects your ability to feel the foot pedals of your car, you should not drive unless your car is adapted for hand controls. Neuropathy can slow your reaction time in moving your foot from the accelerator to the break pedal and may cause an accident. Losing your ability to drive is upsetting. You may feel you are losing your independence. However, consider the increased risk to your safety and to the safety of others on the road. Talk to your health care team about your symptoms.
      Physical and occupational therapists can provide suggestions and special equipment to make daily tasks safe and easier to manage. The suggestions may include night lights, grab bars and other home safety measures to help reduce the risk of falling. Therapists can assist survivors with physical exercises that can help them maintain physical abilities.
      Pain from neuropathy can greatly affect your daily activities and quality of life. For some, the pain and changes required to manage it can lead to physical and mental stress. Watch for signs of depression and talk to your health care team or a mental health care professional about managing your feelings.
      Good communication with your health care team about your symptoms and the changes they are bringing to your life is important. The team can help you manage these changes and provide referrals to other helpful resources.

      http://www.livestrong.org/site/c.jvKZLbMRIsG/b.670193/k.4151/Neuropathy_Detailed_Information.htm

  26. QUESTION:
    what are some diabetic support products?
    I want to buy some products for a diabetic patient like foot cream, supplements and socks.Are these products really helpful for type 2 diabetes? which are some good brands

    • ANSWER:
      It depends on which stage the disease is. Normally for type 2, there may not be big danger from foot injury hence socks for that may be. General creams may not be required.

      As rightly said above, physical activity and control in diet is important. Less of sugary stuff like potato, banana, cakes etc.

      A walk for 30 minutes daily in morning and evening is great help. Being out doors helps.

      take care and god bless.

  27. QUESTION:
    Diabetic Feet Worries?
    Okay well my Mother was diagnosed with type-2 diabetes about 4 years ago.
    She is 45 and to be honest a BIT overwieght.
    I am really worried about her health.. she says she trying but she eats sweets and hardly ever excercises.
    Now it’s affecting her feet. She’s losing nerve’s and her feet get really hot and tingly. Any tips on how to improve this?

    I love my Mum heaps and would be lost without her but she just say negative things like “oh it doesn’t matter anyway I’ll be gone by the time in 50.”
    What can she do to improve? And is there anything I can do to help?
    Do you think if she got her blood sugar levels down it would help her feet and general health?

    Help’s appreciated!
    And when she tests her sugar levels it’s constantly around 13-15! She says it’s normal for her but I have a feeling it’s too high.. ?

    • ANSWER:
      Oh, my… that’s way too high. Should be between 3.9 and 6.1. There’s not much you can do. I’d sure like to have a chat with her though. I’ve been through depression, beaten that… and after a lot of hard work, have dispensed with the diabetes meds. She’s apparently given up. She needs something to motivate her to press on. I really can’t give you any advice on how to motivate her… that has to come from within. I sadly watched as my mom slowly slid down that nasty slope. In a way, it was a good thing because I vowed that if I ever became diabetic, I would not go the way my mother did at the hands of her doctors and that I would fight it into submission myself. Now, after 5 long, hard years, I’ve succeeded. Maybe if she heard a few success stories. How about having her read my story? The link is under my profile.

  28. QUESTION:
    A type 1 diabetic with a broken foot….?
    Okay so I’m an 18 year old type 1 diabetic, and i broke my foot. It’s been almost 2 months, and i’ve been released from my soft cast. The doctor said to just keep walking, no horse play or anything else (of course!) but being diabetic i really need the exercise, even more so because i’m a pretty hefty girl. I know i need to keep off my foot as much as possible, but any ideas on any exercises or anything i can do to keep active while still injured?

    • ANSWER:
      Do you have access to a pool? You can exercise in water and it is a very good way to do it (water aerobics). You can also do exercises with the upper body and the upper legs. You might ask your dabetic coordinator for some or even a physical therapy referral.

  29. QUESTION:
    Does ‘every’ diabetic lose their leg/foot/toe(s)?
    My aunt sent my family a letter saying merry christmas & stuff and then in one part she said her husband lost 2 toes beause his diabetic,and my parents are diabetic…
    so does every diabetic lose their toes/foot/leg(s)?

    • ANSWER:
      No. Good blood sugar control is the most important thing. Diabetes can affect circulation which can couse problems in the legs/feet/toes. Also if a diabetic gets an infection in these areas, it is harder for them to fight to it. A family friend had his leg amputated after an infection just kept coming back. Now he feels much better (health wise). Now do not panic one bad glucose reading does not mean amputation. Usually it occurs after years of poor control or unhealthy lifestyle. The best way to avoid amputation is glucose control!

  30. QUESTION:
    Diabetic with cut on foot. Advice?
    I have type 2 diabetes. I noticed that due to the dry weather (Arizona) my foot has a split where my smallest toe meets the rest of the foot. I’ll keep an eye on it so it doesn’t get infected, but any other advice since I’m diabetic and at higher risk of issues?

    • ANSWER:
      Put any disinfectant spray on your foot and cover it with a band aid when you’re out and about, take the band aid off when you’re home so it can get some air. Keep an eye on it til it goes away :)

      I used to get huge cuts from softball.. I did this and it worked perfectly.

  31. QUESTION:
    If you have been taking an antibiotic can that mess up your time of the month at all?
    I was on 2 antibiotics for almost a month to get rid of a cold and an infection I had in my foot.(Diabetic) but now my period is late can that effect this?

    • ANSWER:
      Depending on your body nearly any kind of medication can have symptoms such as this on the human body.
      I would ask my doctor on my next visit, but would not lose any sleep over it.

      Best of Luck,

      Mark

  32. QUESTION:
    please i urgently need answers on statistics test methods?
    please i need u to help me answer the following. Which statistical test would u use for the following:

    1. to identify the difference in skinfold thickness between children delivered at 4 levels of health care

    2. to identify predictors of diabetic foot ulceration: age, sex drug complaince

    3 inestigation of relationship between bmi and Forced expiratory volume

    4. investigation of relationship between apgar score and place of delivery

    5. relationship between screening test result and a standard

    • ANSWER:
      Most of the tests are based on the assumption of normality of data. If they don’t meet the requirement, you may have to use nonparametric tests.
      1) Analysis of Variance.
      2) Multiple Linear Regression.
      3,4,5 ) Simple Linear Regression.
      (if the relation is not linear, a suitable non-linear regression test).

  33. QUESTION:
    How to treat non-diabetic peripheral neuropathy in my feet?
    I have peripheral neuropathy ( numbness) in my feet. I am not a diabetic. I have had this now for 1 1/2 years. The 2 neuroligist I’ve been to do not know the cause. I’ve taken Neurontin and it really has been no help. Does anyony know of any kind of treatment program which might include some therapy like electronic stimulation and maybe a more effective drug. I am desperate. This is ruining my life.

    • ANSWER:
      There is generally no treatment when damage has occured, the only thing that might be possible is to prevent further damage and deterioration;

  34. QUESTION:
    i’m type 2 diabetic have nerve damage in my feet and hands was a heavy drinker and pack a day smoker..got my?
    sugar levels down to 6.5 with exercise and better diet,cut down drinking to weekends …but still have the pain…anybody have anything that can get rid of this nerve damage ?

    • ANSWER:
      The damage is already done there is nothing you can do to stop it Ask your dr about medicine to treat the neuropathy like gabapentin or cymbalta there is medicine to help treat it and stop it from progressing any farther.

  35. QUESTION:
    Type 2 Diabetic with “Hot feet, Cold Feet” symptoms?
    My feet can never seem to make up their mind!! As we get closer to colder weather though, I find myself constantly needing socks & footwear on as they err to the cold side most of the time. Now, the exception to this is when I crawl into bed for the night they flash over HOT ! This when it is the most uncomfortable. I find that if I exercise rigorously right before I go to bed, and/or have eaten very well for the day, then its better. Any over the counter meds, or foods that anyone knows that works for them to help especially the hot feet symptom, (so I can get some sleep).. would be greatly appreciated!!

    • ANSWER:
      First ask your doctor. and ask about the following remedies.

      you may wish to try taking baby asprin 81 mg a day…. thats only 1 pill….

      or you could also try Ginko baloba it will help improve vascular circulation.

  36. QUESTION:
    I am diabetic. Every time I buy a shoes, after 2 months of use or less, I start getting?
    a pain in the bottom, back part of my foot. Sometimes in both of them. When I buy a new one, the pain goes away. Is this normal?

    • ANSWER:
      I would recommend that you make an appointment with a podiatrist. They can help diagnose any foot condition.

  37. QUESTION:
    Pregnant, Diabetic and hot feet. Is this bad?
    I am type 2 diabetic, but my sugars are more than under control. I am experiencing hot feet…the soles of my feet get really really hot and it probably happens a few times a week or so. It’s not prickly and it seems to happen over my whole foot. It’s just like…really hot. Is this a bad sign? Is there anything to do? I’m scared as I am only 29 and I just got diagnosed with diabetes.

    Also, I am five months pregnant and this just started happening in the last month or two.

    • ANSWER:
      You should definitely call your OB to be sure.

  38. QUESTION:
    What causes Pain on bottom of right foot on 51 Yr. old Female?
    Female 51 years old, 5 Ft.3inches and 220 Pounds has pain on bottom of right foot. Both parents are Type 2 Diabetics and also has 2 brothers that are Type 2 Diabetics. Does pain start in bottom of feet, if you are a Diabetic?

    • ANSWER:
      Could just be gout. Get a blood test for Uric Acid and Diabetes at the same time.

  39. QUESTION:
    I am diabetic and about 1 hour after I take insulin I get severe cramps in my hands legs and feet for 2-3hrs.?
    I have tried several different insulins and all of them cause severe cramps that are so bad that I can not stand up or walk. I have seen doctors and they do not know what is happening. Has anyone had this problem? Does anybody know what I can do to prevent this? My glucose is running over 500.

    • ANSWER:
      well are you certain it is in fact from the insulin, or is it from the high blood sugars?
      when blood sugars increase the body’s initial reaction is to flush out the excessive glucose so it will draw fluids from the muscles in order to do this thus causing cramping and discomfort.

      have you seen a Neurologist yet? the pain may be from Diabetic Neuropathy which is caused from prolonged high blood sugars and insulin resistance.

      i had a problem with horrible cramping in my feet and legs about a year ago and it turned out to be sensory neuropathy. luckily i caught it early enough to reverse the damage. see my problem was i was on the wrong insulin and had a long haul of high blood sugars.
      so i changed insulin (ofcourse with the guide lines of a new doctor) and started jogging. it killed my legs at first but after 2 months and losing 10 pounds the pain totally stopped and my nerves have shown significant healing since that time.

      i wish you the best of luck and hope you find a solution.

      M:)

  40. QUESTION:
    what are the symptoms of going intyo a type 2 diabetic coma?
    I have type 2 diabetes last 2 days I have had tingling in my hands and feet and they are swollen this is also followed by an occasional headache and upset stomach.I have no way to test my sugar levels untill I recieve a meter next week,should I be worried?

    • ANSWER:
      2 out of 3 diabetic patients suffer from heart attack. Diabetic neuropathy can cause numbness or tingling sensation. More over the swelling of feet is a symptom of heart disease / Kidney disease.
      Consult a cardiologist.
      ABCs for good Diabetes Care.
      (1) Get your Glycosylated hemoglobin (HbA1c) test done at least four times a year. (Target: Below 7).
      (2) Urea, creatinine, potassium-blood test to be done every year for kidney function.
      (3) Albumin-creatinine ratio. Get your urine test done atleast once in a year for kidney function. (Target:Micro-albuminuria: Below 30).
      (4) Aspirin Check with your doctor if you need to take aspirin daily.
      (5) Blood pressure. Get your blood pressure checked every visit. (Target: For diabetic patients below 130/80 mm Hg. Others 140/90 mm Hg.)
      (6) Abdominal circumference (Target: For male-90 cms. For female-80 cms)
      (7) Fasting lipid profile (Cholesterol) Get your LDL (bad cholesterol) levels checked at least once a year. (Target: For diabetic patients-below 70 mg/dL. Others below 100 mg/dL). Triglycerides. (Target: Less than 150 mg/dL) Serum Cholesterol (Target: Less than 200 mg/dL) HDL (good cholesterol) (Target: More than 40 mg/dL)
      (8) Diabetes Education. Know about diabetes & get updated regularly.
      (9) Eye exam. Get your eyes examined regularly, get checked at least once a year.
      (10) Teeth. Get your teeth examined by a Dentist and get tartar (plaque) removed once in a year.
      (11) Foot care. Check your feet daily . Request your doctor to check them every visit. Get an extensive foot examination done once in a year.
      (12) Mono-filament test & Bio-thesiometry for every year for assessing neuropathy.
      (13)Glucose (Sugar) test. Control your blood glucose & do self-monitoring as & when required. (Target: Fasting blood sugar 60-100 mg/dL; Postprandial blood sugar 2 hours after food-Less than 140 mg/dL)
      (14)Health life style. Exercise regularly & stay healthy.
      (15)Identify special medical needs. Voice your health concerns to your doctor . Follow your doctor’s advice.

  41. QUESTION:
    DM case CAN HELP ME ????
    56 years male – DM “diabetes mullets” for 15 Years ,cardiac problem for 5 years -complaing of tenderness,swelling of the RT leg . 1 week duration
    FINAL DIAGNOSIS: diabetic foot , cellulitis “infection”

    LAB result show “hyponatremia” and “hyperkalemia”
    uncontrolled diabetes
    Culture :1-staph.aureus and 2-type of gram negative bacteria

    medication:
    RI 10 unit TID
    NPH 10 unit OD at P.M
    CLOXACILLIN 500MG Q6hrs
    ZOCOR 20 mg OD
    CAPOTEIN 12.5 TDS
    ISORDIL 10 MG TDS
    FUCIDIN LOCALLY BID

    1-WHY DOCTOR GIVE HIM ZOCOR???
    2-AUGMENTIN IS SENSITIVE FOR TOW TYPES OF BACTERIA WHY DOCTOR GIVE HIM CLOXA. AND ZINA.????
    3-WHAT IS THE RANGE OF SODIUM THAT NEED MANAGMENT SINIFICANT “CLINICAL”???

    4- WHY DOCTOR GIVE HIM A FIXED DOSE OF INSULIN ?

    • ANSWER:
      You are far better off putting these questions to a Doctor, not on here.
      With so many drugs on the market, no one can give you that kind of information on answers.

  42. QUESTION:
    I am Type 2 Diabetic. I have been suffering Severe Feet pain and Swelling..burning pain..Probable Cause?
    The pain is a burning pain that originates in the ball area of my foot and raises to The calf muscle area. The tops of my feet swell, so much so they will no longer fit in my shoes. This has been going on for about a month, and now it is so sever I had to come home from work early tonight. My doctor said elevate my feet, if pain or swelling does not go away go to the emergency room. I’ve checked web md….they have way too many probable causes from bad arches to a blod clot…Any type 2 diabtics out there have something similar happen to them…if so what is the cause, and what can I do to alleviate it.

    ***Blood sugar isn’t elevated or too low, I’ve been watching my diet like a hawk…nothing out of ordinary food wise….Tried changing my shoes, didnt make things better or worse.

    • ANSWER:
      You have diabetic Neuropathy.

      Diabetes is the leading known* cause of neuropathy in developed countries, and neuropathy is the most common complication and greatest source of morbidity and mortality in diabetes patients. It is estimated that the prevalence of neuropathy in diabetes patients is approximately 20%. Diabetic neuropathy is implicated in 50-75% of nontraumatic amputations.

      The main risk factor for diabetic neuropathy is hyperglycemia. It is important to note that people with diabetes are more likely to develop symptoms relating to peripheral neuropathy as the excess glucose in the blood results in a condition known as Glucojasinogen. This condition is affiliated with erectile dysfunction and epigastric tenderness which in turn results in lack of blood flow to the peripheral intrapectine nerves which govern the movement of the arms and legs. In the DCCT (Diabetes Control and Complications Trial, 1995) study, the annual incidence of neuropathy was 2% per year, but dropped to 0.56% with intensive treatment of Type 1 diabetics. The progression of neuropathy is dependent on the degree of glycemic control in both Type 1 and Type 2 diabetes. Duration of diabetes, age, cigarette smoking, hypertension, height and hyperlipidemia are also risk factors for diabetic neuropathy.

      *The largest group of patients are of unknown cause, referred to as idiopathic in origin. Of the roughly 100 known causes, diabetes is by far the largest. Other known causes include genetic factors, damaging chemical agents such as chemotherapy drugs, and HIV.

      [edit] Treatment
      Despite advances in the understanding of the metabolic causes of neuropathy, treatments aimed at interrupting these pathological processes have been limited by side effects and lack of efficacy. Thus, with the exception of tight glucose control, treatments are for reducing pain and other symptoms and do not address the underlying problems.

      Agents for pain control include tricyclic antidepressants (TCAs), serotonin reuptake inhibitors (SSRIs) and antiepileptic drugs (AEDs). A systematic review concluded that “tricyclic antidepressants and traditional anticonvulsants are better for short term pain relief than newer generation anticonvulsants.”[1]

      In addition to pharmacological treatment there are several other modalities that help some cases. These have shown to reduce pain and improve patient quality of life particularly for chronic neuropathic pain: Interferential Stimulation; Acupuncture; Meditation; Cognitive Therapy; and prescribed exercise. In more recent years, Photo Energy Therapy devices are becoming more widely used to treat neuropathic symptoms. Photo Energy Therapy devices emit near infrared light (NIR Therapy) typically at a wavelength of 880 nm. This wavelength is believed to stimulate the release of Nitric Oxide, an Endothelium-derived relaxing factor into the bloodstream, thus vasodilating the capilaries and venuoles in the microcirculatory system. This increase in circulation has been shown effective in various clinical studies to decrease pain in diabetic and non-diabetic patients. [2] Photo Energy Therapy devices seem to address the underlying problem of neuropathies, poor microcirculation, which leads to pain and numbness in the extremities[3], [4].

      So get the sugar under control. I take a anti-depressant, 500 mcg. Mecobalamin and of course a pain reliever Tramadol. Force the doctor to prescribe a pain reliever.They usually let you suffer.
      TIN

  43. QUESTION:
    Im a type 2 diabetic, have a hard time exercising due to problems with my feet. How can I get my weight down?

    • ANSWER:
      I am also a type 2 diabetic, I got my weight down by going on a high protein diet. It controls your blood sugar without pills because…well you aren’t eating sugar or carbohydrates.

      It takes a lot of self control to stay on that diet, but it pays off. I have dropped about 30 lbs and my fasting blood sugars without medication are normal.

      Once you lose the weight the trick is to not use processed sugar (like soda) and eat “good” carbs such as whole wheat bread.

      Good luck…..it’s a horrible illness.

  44. QUESTION:
    I am type 2 diabetic, will tingling and numbness go away?
    I am type 2 diabetic for past two days I just started having tingling and numbness in my feet and hands and around calf and chin area. I want to know has anyone experienced this too and than it got better or went away. If so what did you do to get rid of it, what can doctors do? I am on metformin, diag 1 year

    • ANSWER:
      Tingling and numbness are the longterm complications of diabetes. the best way is to see your doctor and keep you blood glucose levels under control. High blood causes peropheral neropathy which damage the blood vessels so the supply of blood to the areas is effected and thats the cause of tingling and numbness.

      To know more about diabetic neuropathy visit

      http://www.reddiabetes.com/Neuropathy.html

      Hope you will find it helpful.

  45. QUESTION:
    My fiance is a type2 diabetic and having numbness in feet and fingers can anybody please help?
    Hello my fiance was diagnose with type2 diabeties 2 years ago for the post week he’s been feeling numbness in his feet and when he stand up it hurts! His finger’s is numb as well! We would like to know if anybody went throu this or know someone and can tell us something!

    PLEASE HELP US
    Thank you all my husband said for the advice!

    • ANSWER:
      its cause of the diabetes, which means the blood circulation is not going down to his feet and legs, and its caused by high blood sugar being high for a long period of time. He needs to be pro active-walk, jog etc… anything to get his heart pumping new blood. He also needs to be on a super duper strict diet for about 2-3 months until his blood sugar is under control. veggies, water, protein, low carbohydrate food. and eat some cayenne peppers, its the best to improve blood circulation
      trust, im going through the same thing, and it works very well.

  46. QUESTION:
    What are the symptoms of foot ulcers?
    I know that foot ulcers are common mostly in diabetics, and though i’m not diabetic, diabetes runs in my family. my father is a type 2 diabetic. My problem is the sole of my foot has been sore for weeks, and the skin around is has gone hard, though it’s not as gory as the raw wounds on the internet. I’m worried that it could be the start of an ulcer.

    • ANSWER:
      An “ulcer” is an open sore.

      it could be shallow, like a scrape or blister, or it could be deep, like a cut. it may be dry, or it may ooze a clear watery liquid, pus, blood, or all three.

      It will usually have a red, swollen are around the outside, The bigger the red area, the worse the condition. Sometimes, you will see red streaks running from the wound and up your leg. That is the sign iof a very serious infection that needs immediate hospital care.

      What YOU have sound like a callous — a thickening of the skin due to friction between your foot and your shoe.

      Make sure you are wearing socks at all time.

      You may simply need a new pair of shoes, or shoes that fits better.

  47. QUESTION:
    Diabetic- Transient numbness in side of hands and fingertips?
    I am a Type-2 diabetic. I saw my doctor last week and told him that I have been having some mild numbness in the little-finger sides of my hands and in my finger tips. It comes and goes. He checked my legs and feet, and I have no sign of any nerve damage at all in either place. He said that diabetic neuropathy always starts in the feet or ankles, so that it could not be that. He ordered a spine X-Ray for me, because he thinks that a pinched nerve could be causing the numbness in my hands. This sounds a little off-the-wall to me. I have decided that I am not going to have the X-Ray. Any other diabetics have similar symptoms?

    • ANSWER:
      The reason to see a doctor is for their advise. If you are not going to listen then don’t waste the money and suffer quietly. I have type 2 diabetes and have the same problem with the little finger but only on one hand. It IS a pinched nerve so the doctor MAY be right. Thus the x-ray to find out.
      It is not ‘off the wall’ but an honest diagnosis that should be pursued as requested. Get the x-ray!

  48. QUESTION:
    Has anyone used BioAnue Diabetic Mender?
    It’s advertised on the internet as an enzyme to help diabetics who have peripheral neuropathy.
    My husband suffers with that in his feet as he is Diabetic 2.
    He also has an ICD in his chest.
    Anyone in the UK bought these tablets & if so, where in the UK can I buy them – because the US company that sells them charges a HUGE amount for shipping.

    • ANSWER:
      It never ceases to amaze me that some areas of selling and advertising are so tightly controlled and monitored, you can’t make false, unproven claims about a car or an insurance product, but you can make wild and unsubstantiated claims about so called remedies, weight loss products, cough and cold ‘cures’ and homeopathic preparations. This is a worthless quack remedy. PLEASE do not waste any money on it!

  49. QUESTION:
    How far do I have to walk to loose 65 pounds in six months? What else can I do?
    I’m 46 years old male with most of my extra fat in my belly, I’ve always been muscular ; I am a former athlete…..I am Diabetic 2 also since 2005. Muscle Disability but can walk ok except diabetic feet are hurting perhaps some swelling but no other problem according to my doctor. My sugar averages 150 to 170 but hopefully Metaformin medicine will bring my sugar down. I think I can walk up to 3 miles with no major problem but have done as high as 5 miles which brings on sore feet. I have a new dietitian to guide me with the eating. I need to loose weight ASAP! I’m 6’1″ about 265 lbs.

    • ANSWER:
      eat right. if ur a former athlete u should know what is good to eat and whats not.
      eat small portions through out the day so u wont feel hungry.
      walking wont help u all that much to lose that much weight. u’d have to walk a ton to lose that much.
      walk about 3 miles a day and go to the gym n workout there.

      eat right
      be active
      be safe tho

  50. QUESTION:
    My mom has these sores that look like diabetic ulcers on her feet, but she’s not a diabetic. What are they?
    Her blood sugar level is 88 and her blood work is perfect. She has horrible oozing sores on both feet. They swell and she manages to stand on them all day at work.She’s been to 2 different doctors and they don’t know what it is. They want her to go to a specialist but she has no insurance. They first treated her for a spider bite, but since then they just keep coming up all over her feet.

    • ANSWER:
      HI Rose

      The body gives us 3 indicators that we have an internal inbalance. SKin issues (acne, boils, ect), mucus, and pain. SHe has been given the signal that a cleanse of the body is needed. Must remove the toxins from the blood to start healing. This starts by doing cleanses. Specifically colon and liver. Educate oneself on cleansing and issues like this will take care of itself.

      “The body knows how to heal itself, it just needs some assistance”.

      Also be sure to drink a gallon of water a day (I do and Im well) to flush out the poisons and waste.

      Best of health to you and your Mom