Neuropathy
There are about 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, tingling and burning, usually in the feet.
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 such as ulcers and infection may result and lead to amputation. Neuropathy can also cause deformities such as Bunions, Hammer Toes, and Charcot Feet (a condition where there are multiple fractures and dislocations causing the arch of the foot to break down).
It is very important for diabetics to take the necessary precautions to prevent all foot-related injuries. because of neuropathy you must look at your feet daily to see possible problems that you cannot feel. When a diabetic patient takes the necessary preventative foot care 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 foot care. 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 foot care. 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 custom made insoles. |
| 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 stability and support. |
It is important for diabetics with neuropathy to take the necessary precautions to prevent injury and keep their feet healthy.
Dr. Cawthon is a Medicare Approved Provider for Diabetic Shoes and Customized Inserts.
If you are experiencing any of these signs or symptoms, call today for an appointment.