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Neuropathy
Neuropathy
Definition
Of the 16 million Americans with diabetes, 25% develop
foot problems related to the disease. This is primarily due to a
condition called neuropathy. Diabetic Neuropathy is a complication of
diabetes that affects the nerves. The most common type of diabetic
neuropathy is called peripheral neuropathy and affects the peripheral
nerves. Peripheral nerves are the nerves that go out from the brain and
spinal cord to the muscles, skin, internal organs, and glands.
Peripheral neuropathy impairs proper functioning of these sensory and
motor nerves. The most common symptoms of neuropathy include numbness
and loss of feeling, usually in the feet and hands.
Cause
Diabetic Neuropathy can cause insensitivity or a loss
of ability to feel pain, heat, and cold. Diabetics suffering from
neuropathy can develop minor cuts, scrapes, blisters, or pressure sores
that they may not be aware of due to the insensitivity. If these minor
injuries are left untreated, complications may result and lead to
ulceration and possibly even amputation. Neuropathy can also cause
deformities such as Bunions, Hammer Toes, and Charcot Feet.
It is very important for diabetics to take the
necessary precautions to prevent all foot-related injuries. Due to the
consequences of neuropathy, daily observation of the feet is critical.
When a diabetic patient takes the necessary preventative footcare
measures, he or she reduces the risk of developing serious foot
conditions.
Treatment and Prevention
The most successful way to prevent diabetic neuropathy
from occurring is to control the diabetes. It is important to maintain
blood sugars at normal levels and maintain normal blood pressure. In
addition to this, it is important to:
- Stop Smoking
- Limit the amount of alcohol you drink
- Have regular physical exams
- Have regular blood and urine tests
- Exercise regularly, according to your doctor’s
recommendation.
It is important for diabetics to treat their feet
properly to avoid any future problems. Footwear and foot orthotics play
an important role in diabetic footcare. Footwear that fits poorly can
cause irritation and injury. Orthotics designed with Plastazote®, the #1
material for protecting the insensitive diabetic foot, are also
frequently recommended. Plastazote is a material designed to accommodate
pressure “hot spots” by conforming to heat and pressure. By customizing
to the foot, Plastazote provides the comfort and protection needed in
diabetic footcare. Footwear constructed with Plastazote is often
recommended for the diabetic patient.
- Diabetic footwear should also provide the following
benefits:
- High, wide toe box (high and wide space in the toe
area)
- Removable insoles for fitting flexibility and the
option to insert orthotics if necessary
- Rocker soles, designed to reduce pressure in the
areas of the foot most susceptible to pain, most notably the heel and
the ball-of-the-foot.
- Firm Heel Counters for extra and support and
stability.
It is important for diabetics with neuropathy to take
the necessary precautions to prevent injury and keep their feet healthy.
If you have diabetes and are experiencing a foot problem, immediately
consult with your foot doctor.
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