#I also have neuropathy in a toe from diabetes

[froody]

please help my scruggly cat

Tommy, Tumblr micro-celebrity famous for featuring/being the muse for hit posts such as ‘father is…evil?’ and ‘my cat can tell when I’m sad and instinctively bites my toes’ and ‘frustrating each other is our love language’ needs a little financial support. Please consider donating to my ko-fi or buying something from my teespring store.

Tommy was diagnosed with diabetes earlier this year under dramatic circumstances that involved a week long intensive care vet stay. She has stomatitis (an inflammation of the gums and mucus membranes) that she was on steroids for and the steroids may have damaged her pancreas. Since her diagnosis we’ve had a hard time controlling her blood sugar. Her insulin dose goes up and up. The vet thinks she has a good chance of stabilizing, that diabetic cats can and do live long, healthy and happy lives. She’s only 5. Her 6th birthday is later this month. She’s fighting. She wants to live.

Each insulin vial costs $160. Her prescription cat food is $35 for a 4 pound bag. She’s also on gabapentin for her pain and neuropathy and she’ll probably need another course of antibiotics. She currently goes to the vet every two weeks and the cost of that varies immensely. Basically, she’s a much more expensive cat than she was before and the cost of living for me has risen as well. It’s not an immediate emergency but we need funds. I’m disabled, I have an autoimmune disease that attacks my colon, I have a hard time working outside of the home or even at all because my health fluctuates and my energy levels are low. I’m trying so desperately to get better but for now I’m living in my mom’s house and sponging off my loved ones and tapping into my meager savings.

I know what you’re thinking, the thing people always comment on donation posts about pets, “if you can’t afford to care for your cat, why do you still have your cat?” and as biting as that question is, I know it’s a valid one and I’ve thought about it myself. I still have her because I need her and she needs me. She’s like my soulmate animal. We met when I was 16 and she was about 4 weeks old. There was no way I could have known we’d both be struggling sick moneypits in 5 years. I’m trying to give her the best life I can and she’s trying to give me her best self. I’m her person. I’m home 24/7 so we’re so used to having each other. She brings me immense joy and I know she’s brought a lot of other people joy. If you’re one of those people, please consider giving a couple of dollars. If you can’t afford to, that’s fine. Thank you for reading anyway.

TL;DR: cat sick. I’m sick. please help.

[planstransamanacanalpanema]

The way diabetics learn about the risks of the disease has permanently altered my brain in comical ways.

So today, I bumped into a doorframe and knocked the omnipod out of my leg but didn't look and therefore didn't know I was bleeding from the site. I went to hang a curtain and looked down and a bunch of blood had dripped onto a specific toe and the blood had splattered around the area. And my initial instinct, as a diabetic absolutely terrified of losing my, at this point, totally healthy and normal feet, was that through some horrific and unmentioned complication, one of my toes had simply exploded and I had not been aware of this because I had developed neuropathy over the course of like an hour.

And granted, this is a funny story that I will be telling at work over the next few weeks, but it's also kind of sad. I've been warned for the last 16 years of every horrifying thing that could and, at least in the way most people talk about it, probably will happen to me, and I've been made terrified of every itchy spot on my feet and every minor vision change over the past few years and every sore spot in my mouth and this and that and everything all at once. Those doctors appointments I have every year, especially my eye doctor, are kind of nerve wracking because I always feel like, ok, this is going to be the year where they finally tell me my body is going to shit in irreparable ways.

There's a point to this in sort of a vague way, but in general. Stop feeding the diabetics in your life the stories about the ischemic bowels of your grandpa and your footless aunt. We know. Everyone knows. We've been told to the point that living a long and healthy life, while completely plausible, especially for young people now who started their lives with diabetes with today's resources, seems completely impossible and blindness and pain and suffering are an inevitability, and maybe we don't need that? Ok thanks.

[suratdiabeticfootcare]

Understanding Diabetic Foot and Toe Ulcers: Treatment, Prevention, & Causes

Diabetic foot and toe ulcers are a common yet serious complication of diabetes. If left untreated, these ulcers can lead to severe infections, affecting mobility and overall health. Early diagnosis and prompt diabetic toe ulcer treatment are crucial in preventing complications. In this article, we will explore what foot and toe ulcers are, who is at risk, how they are treated, and how you can prevent them.

What Are Foot and Toe Ulcers?

Foot and toe ulcers are open sores or wounds that fail to heal on the lower extremities, usually forming on the feet and toes of individuals with diabetes. They develop due to poor blood circulation and nerve damage, common complications of diabetes. These ulcers may lead to infections and tissue damage if not addressed promptly with diabetic foot ulcer treatment.

Who Gets Foot and Toe Ulcers?

People with diabetes are most prone to developing foot and toe ulcers. Those with poor blood sugar control, peripheral artery disease, or neuropathy are at an even higher risk. Smokers and people who are overweight are also more likely to experience these ulcers, emphasizing the need for consistent care for diabetic feet.

What Do Foot and Toe Ulcers Look Like?

Diabetic ulcers usually appear as round or oval-shaped sores on the foot or toe. They can range from small, shallow wounds to deep ulcers that extend to the bone. Affected areas may look red, swollen, or have drainage, indicating possible infection.

How Big Are Foot and Toe Ulcers?

Ulcers can vary in size, from the size of a pea to much larger wounds, depending on how quickly they are identified and treated. Early detection plays a crucial role in limiting their severity.

How Are Foot and Toe Ulcers Diagnosed?

Your diabetic foot surgeon will begin by examining the ulcer and assessing its depth and severity. The evaluation will help determine the proper treatment for diabetic feet. In some cases, X-rays or MRI scans are performed to check for bone infections.

What Tests Are Done to Determine If I Have a Foot or Toe Ulcer?

Doctors usually conduct a physical exam to evaluate the ulcer. Additional tests, such as blood tests or imaging studies, may be done to rule out infections and other complications. Laboratory cultures may also be used to check for bacterial infections.

What Are the Types of Foot and Toe Ulcers?

Neuropathic Ulcers: These develop due to nerve damage, often without pain.

Ischemic Ulcers: Caused by poor blood flow, these are more painful and slower to heal.

Neuroischemic Ulcers: A combination of nerve damage and poor circulation, requiring more extensive care.

What Causes Foot and Toe Ulcers?

Foot ulcers and diabetes are closely linked due to high blood sugar levels that damage nerves and reduce blood flow. This reduces the body’s ability to heal wounds effectively, leading to ulcers. Minor cuts, blisters, or friction from shoes can also trigger ulcers, particularly in people with existing nerve damage.

How Are Foot and Toe Ulcers Treated?

Treatment varies based on the severity of the ulcer. A diabetic foot ulcer treatment plan typically includes cleaning the ulcer, removing dead tissue, and applying specialized dressings. Offloading techniques, such as wearing special shoes or braces, may be used to reduce pressure on the ulcer. In more severe cases, surgery may be required, which is managed by specialists at a diabetic foot clinic.

When Should I See My Healthcare Provider?

If you notice any signs of foot ulcers, such as swelling, redness, or sores that don’t heal, consult a healthcare provider immediately. The sooner the ulcer is treated, the lower the risk of complications.

Conclusion

Foot and toe ulcers are a serious complication for individuals with diabetes, but with proper treatment and prevention, they can be managed. Regular visits to a diabetes foot clinic are essential for maintaining foot health. Specialized clinics like the Surat Diabetic Foot & Ulcer Clinic offer comprehensive care, helping to prevent complications through expert care for diabetic feet. By ensuring early diagnosis and adhering to the recommended care for diabetic foot ulcer, patients can improve their healing outcomes and avoid further issues. Taking proactive steps today can lead to healthier feet tomorrow.

[mtnkat3]

Diabetes. Health. Stress. Info.

10.16am.

Ok. This is for the world & some diabetes education so bare with me please.

& if I sound frustrated & cranky, sorry.

But it's not as simple as people think it is. I've been told by people for years well just stop eating sugar/y foods.. right?

WRONG.

I'm gonna try to give some science too.

First, all food is kcalories.

That means food is converted to energy.

The energy for the brain is glucose.

That is the end result of all foods.

Another. There is no way to stop eating so there is no "12 step program" for food.

Before I had to switch to limit basic cable I still had TLC channel. Sigh. Gr.

And they have a series of shows "my 600# life."

Fact: those people were ~+90% sedentary. And ate ~+10,000 calories a day.

I mean buckets of chicken, etc.

《It is possible to barely eat a 2,000 calorie diet & be diabetic.》

I live this way.

I have dealt with doctors who think endocrinology is completely black & white.

IT IS NOT.

Oh your thyroid numbers are normal on the labwork, so therefore you have no problem. You just eat too much.

NOT.

It's actually.

I don't eat enough.

& too much stress.

Yes. Sigh. My situation.

It is toxic. to my health.

Literally.

I am predisposed to "type 2 diabetes "

[The nomenclature needs change. It is not juvenile vs adult. Heck, I think I read something about a totally different kind of diabetes that no doctor talks about. Damn zebras.]

Anyways!

I am predisposed because I have P.C.O.S.

Polycystic Ovarian Syndrome.

& before the doctors & nurses & such trip...

I was diagnosed at 19yo.

9 vials of blood.

Internal ultrasound.

[Ladies, that probe sucks don't it!]

Yes, I've had doctors suspicious of my diagnosis.

Until I told them that.

I am very careful of self diagnosis.

I will research things, sure. But then I will talk to a physician about it.

[That was when I had one that would would listen. Sigh. Retiring because of the economy. Sigh.]

Ok. Here's an example of what can happen.

I will have a meal that is balanced, yummy & nutritious.

I will have a good b.s. reading.

The next day, I can have the same exact meal, even all I eat, & my b.s. go thru the roof!

There is more to the dynamics than just what you bend your elbows to put into your mouth.

It's also sleep, diet, exercise, & stress.

Yes! It. Is!

When I went to Florida, my blood sugar levels were 300-400+!

Stress & sun poisoning.

[Sun burn deeper than the first layer of skin. 2, 3, 4.. getting into the fascia.

When skin bubbles from a sun burn it's 2-4, & it's a real "burn" to the skin & is dangerous.

I had bubbles/blisters/oozing on my left great toe, & the back of my shoulder. Heck I still have that "suntan lines."

I told my endocrinologist what happened at the next appt & the naproxen sodium protocol I'd used in the past for sun poisoning.

[Cool compresses, elevated just like R.I.C.E. for sprains, fluids & 3 aleve every 8-12 hours.]

I was extremely worried because of my issues with my liver & kidneys.

But they said I did the right thing & not surprised my numbers were so high.

Now.

For those who maybe don't know...

DIABETES IS A CHRONIC, LIFE ALTERING, LIFE THREATENING CONDITION.

I have known people to have toes amputated, blindness, need organ transplants,

& yes I have known people who died from diabetes.

Why is that?

TOO MUCH SUGAR IN THR BLOOD STREAM FOR PROTRACTED LENGTHS OF TIME CAUSE NEUROPATHY.

THAT MEANS THE TINY BLOOD VESSELS IN THR FINGERS & TOES, BEING THR FARTHEST FROM THE HEART, DIE OFF FIRST.

THE REASON DIABETICS NEED ANNUAL VISION CHECKS IS BECAUSE OF THIS TOO.

TINY BLOOD VESSELS.

EVERY CONDITION OF THE BODY IS AFFECTED BY DIABETES.

Heart

Lungs

Eyes

Liver

Kidneys

Reproductive

Etc.

THERE IS NO SYSTEM NOT AFFECTED BECAUSE THE SUGAR/FUEL GOES TO THE ENTIRE BODY.

This is why exercise is systemic, & not spot.

Fuel is for the entire system, not just 1 spot.

Ok. Let's see, maybe think of sugar like cholesterol & plaque build up.

Or..

A food that coat's rather than run off.

Hm.

Hersey chocolate syrup

Or pasta sauce.

They coat the food they are meant for, & don't just run off of them.

Well that is exactly what cholesterol build up is.

So too does sugar.

Now.

That is what causes high blood pressure.

There's too much stuff in the veins & vessels that don't belong.

Just like .....

There can only be so many cars in a race that can be beside each other without forming a clogged condition.

Anyways, it's possible to be diabetic without eating ... so much food.

It's just how my body is feeling with the stress.

Not well.

And I refuse to add more & more pharmaceutical products to my body.

Heck, I think they only add to the problem, rather than help with the solution.

And.. my body shows it doesn't like them by having bad reactions. Everything from antibiotics to SGLT-2 to insulin.

My body says it will take old school but even that I know isn't good.

Why I believe in things that God made.

Hibiscus, cinnamon, berberine, fish oil, garlic, olive oil. Probiotics.

Body, heal thyself self.

My body is ready.

To chuck every pharmaceutical product I deal with.

Detoxification.

Of everything.

Then we shall see how I heal.

This I pray for daily.

Anyways. Might be a bit disjointed. Ahem. Interruptions. But I think I hit most of the points I was thinking of.

Blushing beet red.

If anyone wishes to discuss, please do so.

But as my bio states.

No douchebaggery.

I don't feel like it & I'll knock a block off.

Anyways.

My loves..... I just needed to talk about this a bit.

Hopefully people will be curious & read more about this.

Blushing shrug shyly.

Bad morning. Sigh.

I am Yours . . . . .

~Tijgeress kat Phoenix.

✝️☸⚓🙇‍♀️🙏🤲👣🌟🗝💝♾🧭🕯

Tu.1.31.2023 11.33am.est. diary. .37

[theworldoffostering]

We had a nice final day at the beach yesterday, and then went to my parent’s house for a little bit—got cleaned up, vacuumed the van out, put the roof box back on, ate dinner, had dessert, and then I went back to the hotel to grade speeches.

I’m super anxious about the drive home due to weather, and needing new tires (they’re scheduled to be put on next week), and also re-entry as DH returns to work and I teach a January class (only the second time ever in 15 years of employment), and continue the homeschool slog.

I’m battling neuropathy in a toe (doesn’t that make me seem elderly) that is creating pain in my foot. I’m sort of panicking about it. I saw a neurologist this past summer who diagnosed it when I lost feeling in part of one of my toes. The doctor was awful and when I asked why it was happening, he told me I was probably diabetic. I’m not. I had a ton of lab work done to ensure that I wasn’t diabetic. He told me to lose weight.

I did lose some weight this summer. I’m not sure how much (I’m guessing in the five pound range), as I intentionally don’t keep a scale at home. However, I did intentionally create a 3ish mile walk loop that I frequently did this summer and have managed to carry some of those walks into fall and winter. My clothes fit better, but I’m not down a size of anything. Anyways, I’m nervous. Neuropathy runs in my family, but not an early onset of it so I need to follow up and get a second opinion.

We are on our drive back now. Took us six hours to get out of Florida. Now we are in southern GA and it’s raining until at least Macon. I’m hoping we can go straight through, but we’ll see how the ice/sleet/snow treat us in the north. Blah.

The kids are excited to ski and sled so I’m going to try to find myself a pair of snow pants and force myself to enjoy winter (if my feet don’t go numb completely from the neuropathy).

I’m planning to talk to our mortgage lender early this week. If the neighborhood HOA where my parents live allow the house to be rented monthly, we are going to seriously look into buying there (depending on lending options). It’s a small neighborhood-200ish single family homes, low HOA fees, community pool, cul de sacs, and lots of kids. I love it there!

This post is all over the place. My mind is too these days. Wish you and yours a new year full of health, hope, peace, and joy.

[salemrising666]

my depression and health battle

DEPRESSION

IS A BATTLE THAT CAN BE WON

as I pull the petals of this beautiful flower I noticed I had reached the last petal as I muttered to myself im lucky and tore it away from its steam I noticed one small underdeveloped petal hanging on for dear life and I muttered im not lucky and with my bad luck streak in life I thought it was some kind of omen was this a sign that my bad luck streak would never end or was I bein stupid overthinking things yet again I guess we can only find out as I battle my demons.

I sat there for a few minutes trying to talk myself out of this sign that everything would be fine it had to be my luck had to turn at some point hadnt it?

When I was 15 I started having eye trouble and my thirst for sugar had increased dramatically my parents had noticed this more than I had and suggested I go see a eye specialist to sort my eye troubles out when we got there my parents mentioned the sugar intake and they tested my blood sugars which were off the charts high I had further blood tests to soon discover that I was a type one diabetic and because of all the sugar in my bloodstream had temporarily changed my eye shape hence the blurred vision,i was sent to a hospital for two weeks to earn the ins and outs of how to take care of myself with this new disease it was scary and so hard I had never had a phobia of needles but to learn that I would here on out have to stick a needle into my stomach with each meal snack and drink was scary and take my sugars before each meal which would mean also stabbing my fingers scared the hell out of me and I thought why me why now anda lot of damage had already been done as I could have been diabetic for wuite a while before they had found it

I was to face some debhilitating challenges almost dying and permenant damage that would change my life forever things I would have to learn to live with and adapt to such as permenant eye damage agonizing diabetic neuropathy the loss of my left small toe then a further amputation of the joint including multiple procedures like laser eye surgery eye injections eye surgery two amputations the removal of all my teeth due to gastro peresis stages where I couldnt stomach any food throwing it all up losing weight to where my organs were failing and me on my death bed and not knowing why I have neer given up in all these struggles even though I knew oh well eating will end up with me bent over the toilet for hours being labelled as having a eating disorder and trying to convince doctors no this is medical and something was wrong having a feeding tube forced down your throat becausee of these labels and watched while I showered and used the toilet was horrible being in hospital for three months fighting for my life as I never realised how important food was for your body till I was striken with gatsro peresis and not being able to consume it and practically starving to deathi thought this was it this would kill me as nobody could find what was wrong and trying to tell me I was doing this to myself on purpose I refused to leave myhouse as I was ashamed of how thin I was I got down to 31 kilos and there was nothing left of me I was stuck in mental health and was forced to talk to psychiatrists about my so called eating disorder as they tried to help me but how can you fix something that doesnt exist they finally realised months later after leaving the hospital that it was medical from all of the tests I was made to do im still battling these issues today truing to gain weight I have also lost a large portion of my eyesight due to diabetic neuropathy when the blood vessels overgrow and cause permenant damage and the obly way to stop th further damage is to have laser ee surgery to try stop the vessels from growing which worked for a while then I was told they were growing again

so the next step was to have multiple injections over months into the eye to try shrink them which I am still having today as they have flared up again I now have to wear glasses but I can never drive as my vision is that impaired.

Another thing I battle wth is diabetic neuropathy which Is where your nerves send misfired pain signals to your brain when nothing is actually wrong you feel shock like pains hot pins and needles aches and some feeling losswhich contributed to me losing my small left toe I had gotten a blister that I didnt know I had which turned into a foot ulcer got infected and ate its way down to my bones I then got na serious bone infection called ostemyelitis which eats away at your bones they tried a long course of iv antibiotics to get rid of it but it falled and the only way to stop me from losing my whole leg was to amputate the small toe I was terrified as I lay in hospital and the doctors came in to wheel me ito surgery next thing I knew I was waking back up in my ward and my foot was being unwrapped I was in shock seeing my little toe missing they put something called a vac seal on it which helped fill the giant hole I now had in my foot and healed it three times faster than without it because of my compromised immune system from the auto immune disease they think I have that hasnt been even named yet I struggled to heal fully allowing infection bac into the amputation site which meant round two but they were to tell me I was going to loose my whole leg and had two weeks until surgery so as I went home and tried to prepare one day post surgery checkin they told me we are just going to amputate the remaning joint I had a sigh of relief but it was still loosing more of my foot I have had a rough life health wise as there has always been something wrong I have had the worst luck possible so many long hospital trips and now being 27 I just want to be as healthy as possible and live the life I know I deserve after all this grief and I have learnt to appreciate even the smallest of things and especially all the people who never left me in all my struggles and mood swings I am forever grateful for them as I know I wouldnt be here without them although they tell me they understand what im going through they couldnt possibly but I hate that ive had to go through all this and more I hate more the people I love have had to watch me gp through this amd I am usually a happy bright bubbly person but I mean I have my bad days where im depressed and wished all these afflictions didnt plague me everyday and it is also hard as I cant just forget I have these things as they impair everything I do I cant just turn around and be like I dont feel like being type 1 diabetic for a day as I would face horrible repurccusions .

In all this hardship I know there is people suffering out there more than I am I just wish I didnt have to fight everyday with all of this and fight to keep my life I want to just live it and be happy and I know I will get there I will never give up no matter how bloody hard this is or will get but I just wnted to tell a small portion of what I have gone through in my life in the hopes it may inspire of help somebody suffering with anny of these issues and yes depression is a hard thing to overcome but there are always things to help I find art and writing in a journal helps and venting all it takes is that one special person to listen and have your back if anybody reading this wants to chat I will always lend a ear to you so dont be afraid I may look odd and be odd but I am friendly and have a massive heart thank you for reading.

[askbloatedbellyblog]

Update: AKA wtf did you go AB3

Alright everyone, now that my birthday is over, I thought I should give everyone an update on why I’ve sorta disappeared. 

Well first off, life and work got extremely busy. I’m been trying to accomplish some real life goals and have made some success, got super stressed out with too many things to do and even quit a place I’ve worked at for nearly 6 years for mental health reasons even though I then worked there for another 6 months after. yeah it was super weird.

I’ve had anxiety for a while and some of the stuff I was doing was trying to get over it by confrontation, lessen some by getting out of situations, and pursuing dreams.

Now that doesn’t mean that I’ve forgotten bellies or anything else either, just been stretched thin. Or so I thought.

So what I chalked up to getting old I’m not really old just thought “aging” and apparently this is fairly common with what I will lay out and anxiety sometimes to an extreme with more panic attacks and depression which I’ve always dealt with and have been going to therapy for, which I suggest for anyone, lack of focus, ADHD, muscle aches, tiredness (which I thought was from bad sleep habits), etc; weren’t exactly what I thought they were.

I’m a fairly fit person. I workout or had but again motivation was waning or being busy but also gets to this in a second nearly every day, I don’t eat TOO badly, I sleep way worse than I should but okay, take vitamins etc. Recently leaned on energy drinks too much but oh well. But I’ve had some bad foot pain and other ailments for a while. I’ve not had a ton of money, thought part of it was from tile floors or planter fasciitis (basically a tendon injury that can be caused by over use and flat feet, which guilty). 

So after finally reaching deductible for the year, I finally went to the doctor and discovered that somehow I have peripheral neuropathy. Meaning somehow my nerves are messed up. I can move fine, but I was told my “sensory nerves were worse than an 80 year old” and that why my leg/feet were on fire. Usually this happens with advanced diabetes which I don’t have (as far as they can tell and said I’d know it by the time this would have happened). 

It’s really great to hear that your nervous system is all jacked up and you didn’t know it. I’m still trying to figure out a legit diagnosis with a few of the blood tests I’ve had be fairly normal. It still could be something with my thyroid, maybe cancer, MS, who knows. I’m still trying to get in to see other doctors to try to see what is going on, though I have a sneaking suspicion and so far way less serious than all that.

At the casual suggestion of the doctor who did my nerve test because it “helps the nerves”, I took vitamin b12. I’ve taken some before and its in BASICALLY everything as far as anything fortified, the multivitamin I take, energy drinks, cereal, you name it. It’s in there to SOME degree. Well I’ve been having digestion issues as of late (wondering if I really had like IBS or Celiac etc) so I thought “You know what, I’ll buy one of those gummy versions so I can chew it up better and see what happens.” Well boy howdy, did that affect things and not necessarily for the better at first. I had bought both a b12 gummy and a b complex and the complex happened to have a different form of b12 than is usually in all those shelf stable fortified version of food. It was the “active” version of the vitamin (because apparently there are 4 different types, who knew).

Have you ever wanted to know what it’s like to feel like you’re on fire? Or to have your whole body be electrically charged? Well basically that’s what happened. Still happening to a degree. Still trying to find out for sure (which apparently is very hard to find doctors well versed in it because it does have symptoms similar to other diseases and not always present in the blood) but it looking pretty likely I have pernicious anemia. SUPER fun let me tell you. Not sure if it’s going to be a forever thing or just somehow got a b12 deficiency but I’m really starting to suspect actually a family history with it and not having things connected together.

Normal people don’t react to vitamin B12, even if they take too much, they just pee it out. But when I’ve taken it especially at first (it’s a known issue that it can have worse symptoms when you first start getting B12 again because your system finally is screaming GIVE ME ALL THE THINGS) I’ve gotten worse symptoms of pain, migraines, spreading nerve pain, lung, heart issues, breathing, stamina, everything out the window for a little bit. Being on fire but knowing you have to deal with it as best you can is super fun let me tell you. In  a perfect world, I’d actually get shots for it but that requires finding a doctor who believes it. The big problem is that some people don’t find out they have it for YEARS and by then nerve damage is permanent. If you act fast it can be reversed. I don’t want to ruin my shot at getting better while I can. 

Now the good news is so far, I have been getting better! It’s early days but nerves are less on fire. I’ve been getting energy up, libido is better, mood is better, breathing is getting better, heck even my digestion and heartburn have been getting much better. Not perfect but improving. Hell I didn’t even realize it was an issue but I had a night a bit ago where I was tingling all over in my legs and feet and suddenly could move my pinkie toes more than I ever remember being able to. So things are communicating and trying to recalibrate. 

Fun fact: did you know lack of B12 can cause anxiety, panic attacks, depression, insomnia, sleepiness, dementia, lack of focus, bowel issues, nerve damage and more? So my anxiety and depression (not saying I’m fixed or that it will go away by any means) could be linked to chronic lack of b12? That lack of being able to concentrate and focus could also be symptoms? Did you know that if you have absorption problems (bingo from intestinal issue) and taking heart burn medication (also a check mark because have fought it for years) can cause b12 deficiency? Because you need the stomach acid to digest it and have it in your colon? WELL I KNOW NOW LET ME TELL YOU WHAT. Did you know that working out burns more B12 and so does stress and anxiety? So its very possible that because I have been working out and super stressed that I actually made the problem worse by using up what little stores of B12 I had? SUPER GREAT let me tell you. 

So while I’m still trying to get to a doctor and hopefully don’t have something more serious, it seems likely that I’ve had a chronic B12 deficiency for years and it may have just not been in the right form for me to use despite ingesting a ton and then the cycle just made it worse. It could be a long road with maybe some permanent issues but I’m hopeful things are looking up even though it seems like it’s kind of a two steps forward, one step back kind of process with some relapses even though there’s progress. I still get worried and stressed about my condition and hate being in pain and weak and probably over research on whats going on (also still hoping that it’s not something more serious) but considering I’m making improvements and doing so fairly quickly all things considered makes me okay and hopeful I’ll be better than ever and able to accomplish more and not worry that I’m “getting old” when I’m pretty young.

Where does this leave me and this blog? Well it’s not going anywhere. I still exist, I’m still pining for bellies or muscle in my own way, and while it’s been slow thanks to health, lack of time, and lack of motivation; I do have some stories I’ve been working on and hopefully can get back to more canons. I do like being creative and trying to think of new things, even if I do tend to reuse a lot of ideas sometimes. Hopefully everyone will still stick around to support me even if I’m absent for a bit either on Tumblr, Twitter, or wherever else. I’m sorry for sometimes dropping conversations from being busy or procrastinating or social anxiety. Maybe that will get fixed with this. I’m honestly horrible at being the first one to start a conversation or pick it up again, so bug me first please.

Congrats if you’ve made it this far in my big life update/rant/manifesto? Thank you those who gave me birthday wishes. I luckily was healthy enough to go out and have some fun and I think I’m well enough to rejoin society again though there may be some pain. Thanks everyone for sticking with me over the years in all the places I’ve been and for enjoying all the weird ideas and writing that I’ve done to torture various characters. I hope to continue to do so for years to come. 

Laters!

AB3

[neuropathyways3-blog]

Neuropathy Solution Review - Is It For You?

The Neuropathy Solution, the brand new remedy created by Doctor Labrum is secure to go by and also ideal for the affected individuals. He promises that its treatment solutions are effective for the individuals, no matter their neuropathy is a result of diabetic issues, chemo, growing older procedure or high blood pressure.

He also claims when you stick to even many steps in neuropathy remedy, you will discover a lessening in your own pain. He ensures that individuals helps you to save funds, in comparison with their expenditures for other healthcare examination, assessments, and also visits.

The six therapy measures are a part of this Neuropathy Solution. These methods assist customers to lessen pain. This procedure aids victims to lower diabetic nerve pain in hands and wrists, hip and legs, toes as well as hands. Also, this procedure enables them to tackle other disorders like high blood pressure, diabetes mellitus and also rheumatoid arthritis. The Neuropathy Solution system discloses peripheral neuropathy signs or symptoms. In order that victims learn just what to complete to recoup rapidly from using it.

Choosing vital oils for neuropathy talked about within the LSU examine can help alleviate color. However, it is crucial to keep in mind that there're several issues you can handle to assist tackle the main reason for your nerve pain - particularly if it is due to diabetes mellitus.

For instance, I recommend going to the local top cervical chiropractors expert to handle neuropathy and also other peripheral nerve situations. Crucial oils for neuropathy and also chiropractors proper care are an excellent one particular-two impact towards nerve pain concerns of all sorts!

Pros And Cons of Neuropathy Solution System

We all learn that numerous individuals suffer from Peripheral Neuropathy, so, it's needed to obtain an organic way by means of that we can remedy this ailment. And also this neuropathy solution plan is unquestionably the most effective solution to guide you clear away the difficulty.

It gives total info regarding all forms of diabetes as well as the standards that are generated by Peripheral neuropathy as well as various methods to deal with it simply.

This system includes 6-step remedy that assists neuropathic patients to eradicate immediately.

Allow me to share a very few methods you might take to assist stop or handle all forms of diabetes:

Bioactive Meals Diet plan - We have noticed individuals entirely change their overall health by simply incorporating source of nourishment. Unhappy certainly is the right abbreviation to explain this standard method of consuming.

Feel Regarding Mouth Health - Do you understand your mouth overall health affects heart illness as well as diabetic issues? Try incorporating Oil Tugging in your everyday schedule if you are not currently carrying this out consistently.

Precisely How Will You Gain Benefit From The Peripheral Neuropathy Solution?

I have mentioned several major advantages of the product.

The main cause of your PN and also the method to handle it The small-acknowledged realities of distressing as well as inexplicable indications of neuropathy Exactly what leads to your pain and also exactly why A look into precisely why your sensory neural system weakens and also deliver odd signs for your brain Exactly why diabetic issues are accountable for the introduction of peripheral neuropathy as well as exactly how to fight its consequences

Benefits associated with Neuropathy Solution

Without doubt one of the most effective areas of this system is the fact it's all purely natural - there're no medications or prescription drugs that you need to take so you do not need to be concerned related to adverse reactions. Also, the system is clear to understand as well as adhere to - so even when you have in no way carried out something this way before you are able to have the changes in your schedule.

This Neuropathy Solution review lays out every one of the methods fairly evidently, with images and also artwork to help you to understand. In addition, it features a checking worksheet and also checklist, that will guarantee that you do not ignore just about any of your 6 steps from the plan for treatment. When you make these alterations in how you live, the modifications will begin to occur as well as you will quickly see a significant difference.

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What Is Nerve Gliding and Can It Help With Diabetic Neuropathy in the Feet?

A common complication of elevated blood sugar or diabetes is damage to the nerves throughout the body. This is known as peripheral neuropathy and can produce debilitating pain, numbness and other distressing symptoms in patients. Typically the symptoms of diabetic neuropathy start in the feet and progress to the hands and other parts of the body. The sustained elevated blood sugar found in diabetes causes damage and degeneration to the nerves via a number of different metabolic pathways. Our knowledge about the deranged metabolism that is the actual cause of diabetic nerve damage has increased dramatically, unfortunately there are currently few, if any, medications specifically designed to treat the underlying cause of the condition. For patients suffering with the symptoms of neuropathy associated with diabetes, current treatment consists of strict blood glucose control and several drugs that may relieve the symptoms of diabetic neuropathy. Regrettably the current state of treatment for most patients suffering from diabetic neuropathy is truly inadequate. See it here chronic migraines

There are a number of drugs in the research pipeline that may potentially address some of the metabolic pathways associated with the development of diabetic neuropathy. If these drugs pan out, they have the potential to offer the first-ever therapy that seeks to address the cause rather than mask the symptoms of diabetic neuropathy.

Until these new classes of medications become available for the treatment of diabetic neuropathy, arguably non-pharmaceutical interventions may offer superior relieve for diabetic patients suffering with nerve related complications.

There are, in fact, advances in the realm of physical treatment of neuropathy that may potentially benefit diabetic neuropathy patients right now. Let me tell you about the research findings of a team of surgeons from Johns Hopkins and related research findings from the physiotherapy profession in Australia. If you or someone you know is suffering from diabetic neuropathy, you are going to want to know about this research.

But first we need a little lesson on how a nerve behaves physically in the body and also a little background on what may happen to nerves in diabetic patients. Once we understand these fundamental properties of the peripheral nerves, we can talk about the specific research findings of these two groups and how they may benefit diabetic nerve pain sufferers.

What happens to the nerves in your arms and legs when you reach, stretch, bend, walk or simply move from one position or posture to another? It is probably not something you have ever really considered, but it is important and relevant especially to patients with diabetic neuropathy. Consider for a minute that nerves are very much like wires running through your body. Now picture for a moment if your arm is bent at the elbow. The nerves in your arm are also bent and have very little tension on them in this posture. But what do you suppose happens to these nerves when you reach and stretch to grab something overhead?

The nerve will first straighten and then become tight and taunt due to the change in position. To prevent overstretching, which can damage a nerve; the nerve must also glide and move. This is the concept I want you to keep in mind; that healthy nerves glide and move with changes in the position of the parts of the body. This gliding is essential to prevent the build up of tension in a nerve which can cause damage to it.

In fact using an imaging technique called high resolution ultrasound, researches have actually measured the amount of gliding (they call it excursion) that occurs in a nerve when the body is placed in different positions. What we know from these studies is that the median nerve which is one of the main nerves in the arm and the tibial nerve, a major nerve in the leg, move between 2-4 mm when the body is placed in different positions. Now this might not seem like a huge amount of movement or gliding, but chances are that if you would directly stretch the nerve this amount, you would rupture many of the delicate fibers within it. So the take home point is that this gliding movement of the nerves while small is very important for the ongoing health of the nerve. Anything that would reduce or restrict this movement has the potential to damage, injure or irritate the nerve and its individual nerve fibers.

So remember that nerve movement or gliding is healthy for the nerve, nerve fixation or restriction of movement can be harmful.

So how does all this relate to diabetic neuropathy which is caused by prolonged excessive blood sugar? The same researcher that were studying nerve motion discovered that nerve gliding in diabetic patients was substantially less than nerve mobility in control patient without diabetes. Although we don't know why the nerves are less mobile in diabetic patients, this finding suggests that in additional to the damage to the nerves caused by high blood sugar, patients with diabetic neuropathy may also have nerve irritation and micro trauma due to restricted nerve gliding.

These observations lead surgeons to develop a surgical procedure designed to decompress and release the trapped nerves in the feet of patients suffering with diabetic neuropathy. The results of a large clinical trial were very encouraging. These results suggest that in addition to treating the symptoms of diabetic neuropathy with medications, physical release of the nerves in feet of these patients could produce dramatic improvement in burning pain, numb toes and other symptoms of diabetic nerve complications.

The problem is surgery in general and especially foot surgery in diabetic patients can be risky business.

So the next logical question should be; is it possible to decompress diabetic damaged nerves in the feet without resorting to surgery?

It appears so.

A technique called nerve gliding or sometimes called nerve flossing may do the trick. Basically nerve gliding treatment seeks to mobilize fixed and entrapped nerves to restore their normal motion. The technique consists of gentle stretches applied across the fixated nerve. While the foot is stretched the patient simultaneously will flex and extend the head and neck. This produces a "flossing" type motion on either side of the nerve fixation. Over time this reciprocal nerve mobilization may break down adhesions and decompress the nerve. According to the theory of nerve gliding this type of nerve mobilization may non-surgically decompress and restore motion to entrapped nerves.

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Peripheral Arterial Disease lecture from 10/16/19 by Anantha Ramanathan MD

Many people are asymptomatic. Arterial insufficiency: claudication, rest pain, tissue loss. Claudius had a limp, so that's the etymology of "claudication."

D/dx: neurogenic (e.g., sciatica), venous, MSK, joint pain.

Arterial claudication = no pain at rest, pain on walking, pain disappears with rest, pain is in muscle groups (calf, quadriceps, gluteal muscles), the pain is the same at any given point (i.e., the pain recurs with the same distance of walking).

Pain at rest is NOT rest pain. Rest pain = pain due to lack of perfusion. It’s a dull ache that worsens with elevation (nocturnal), pain in metatarsal heads/toes. Venous pain is alleviated with elevation. Rest pain is relieved temporarily with dependency (Buerger’s exercise).

D/dx of rest pain: infection, diabetic neuropathy, arthropathy.

Atypical ischemic pain: tingling/numbness on elevation; at atypical sites.

Tissue loss: gangrene, especially at great toe (whereas venous ulcers occur at medial malleolus). Neuropathic ulcers occur at pressure points (bottom of metatarsal heads). Arterial ulcers occur in the toes. Venous ulcers are around the malleoli and have pigmentation. Neuropathic ulcers are at pressure points (like where shoes rub).

Fontaine stages: stage I (asymptomatic), stage II (mild claudication)... I didn't get all of what he said, but here's a table of the classification systems for PAD.

Other arterial territories besides peripheral arteries are affected (coronary, cerebrovascular, mesenteric arteries are also involved).

Atherosclerotic disease risk factors = risk factors for PAD.

What you want to know about the presenting symptom: How long has it been going on? Improving or worsening? How it affects the pt’s life? Critical limb ischemia.

25% will deteriorate, 2% lose limbs in 5 years, 30% die within 5 years (d/t concomitant diseases), 50% die in 10 years.

Critical limb ischemia: rest pain/tissue loss. At 1 year, 25% will be dead.

Mesenteric arterial disease-> pain after eating. 72% of PAD pts have CAD. CAD, cerebrovascular disease, and PAD overlap.

Smoking, diabetes, hypertension, hyperlipidemia = risk factors for PAD.

Framingham risk score (assesses the 10-year risk for atherosclerotic CVD event).

More than 60% of non-traumatic amputations occur in diabetics. Smoking increases risk. Smokers likelier to develop DM2.

You need to know where the pain is, how it progresses, look for arterial disease in other vascular territories.

Vascular exam:

-Radial pulse (compare B/L pulses). Is it present? Does pt have atrial fibrillation?

-Arm pressures (compare B/L; should be within 20 mmHg of each other. If 20 mmHg or more, there’s a problem).

-Carotid arteries (listen along entire length for carotid bruit). Turn pt’s head to opposite side and have pt hold breath while you listen.

-Listen to heart (aortic stenosis can cause bruits heard in carotid artery).

-Palpate abdominal aorta. If diameter is more than 3 cm, it could be an AAA.

-Listen to iliac/femoral arteries for bruits. Iliac = inflow, femoral = outflow.

-Palpate popliteal pulses (bend knee slightly and have pt relax, palpate above and below the knee). If it’s strong, there may be a popliteal aneurysm. Look for AAA especially if you ring B/L (not sure what I was trying to type here).

-Posterior tibial pulse (it helps you to feel the pulse if you dorsiflex the foot).

-Dorsalis pedis (helps to plantar flex).

-Ankle Brachial Index = measure with manual BP cuffs; inflate the cuff until the signal in the hand held doppler disappears, then increase 10 to 20 mmHg. Then deflate. Pressure ratio ankle/arm should be 0.9 or greater.

Chilblains (red bumps on toes d/t cold exposure) mimic ischemia, erythromelalgia, livedo reticularis, phlegmasia cerulea dolens (venous ischemia) also mimic ischemia. Phlegmasia alba dolens (arterial thrombosis).

Pulse Volume Recording (PVR) is monophasic and flattened when there is ischemia. Loss of dicrotic notch and flattened upstroke on PVR = ischemia.

Treadmill & exercise Doppler can unmask subclinical disease. When you exercise, the pressure in the leg should increase as blood flows into it. If there is stenosis, the pressure in the affected limb will go down. Rutherford classification.

Acute limb ischemia = “6 P’s” = pulselessness, pallor, pain, paresthesia, paralysis, poikilothermia. The order actually matters, because it's progressive. Once the tissue is cold, that's really bad; the muscles are dead.

Pain occurs first in stage 1 when limb is viable. You need pressure index to say that circulation is normal. So Doppler only shows if artery is patent, not that the blood is flowing; need pressure index to see if circulation is normal and blood that the blood is flowing. Doppler signal in the foot doesn’t mean there is no arterial disease. You need pressure index to determine whether vascular disease is present. Stage 2 = threatened limb = sensory loss; sensory loss of toes. Stage 2b = immediately threatened, sensory loss extends to foot/leg. Stage 3 = irreversible damage, profound/anesthetic limb. At stage 3, revascularization is dangerous.

[vs-friendlyyours]

Diabetic Foot? What are the precautions to avoid amputation?

Why Diabetic foot care is important?

I have heard many diabetic people told that they have removed a finger from their feet. There will be a blood circulation issue and nerve injury if diabetic levels are out of control. Your foot would experience issues as a result. Peripheral neuropathy, which causes loss of foot sensation, is common among diabetics.

We can’t imagine losing any body part. Isn’t? Keeping your blood sugar levels in check and taking care of our body is therefore essential.

Okay, how can we prevent harm to our feet before it happens?

Why diabetes is affecting the foot?

Two problems mainly affect diabetic patients’ feet.

1. Peripheral Vascular disease

Diabetics are frequently impacted by this illness. Blood vessel narrowing is the cause of it. As a result, the blood supply to the arms, legs, brain, and other areas of the body is disrupted. It mostly affects the legs and feet.

Leg discomfort, numbness, or cramps may be the only symptoms at first. When it progresses, patients can have pain while at rest. You could get foot wounds that are infected and cause you to need to have your toes or foot amputated. Even legs may need to be amputated on occasion.

2. Diabetic Neuropathy

Your nerves will be harmed by diabetes if you have it for an extended period. If the nerves in your feet are injured, you will lose the feeling sense and be unable to feel heat, cold, or pain there.

It is known as “sensory diabetic neuropathy” when a person lacks feeling. Due to neuropathy, a cut or sore on your foot could worsen and infect if you are unable to feel it. Your foot’s muscles may not function properly because the nerves that supply them with signals are damaged. There could be an improper alignment of the foot and more pressure on a specific area of the foot.

Why do you need diabetic foot care? What are the associated problems?

Here are some of the problems associated with diabetic foot.

1. Foot ulcers

Foot ulcers are common in people having uncontrolled diabetes. Ulcers develop as skin tissue deteriorates and exposes the layers below.

They can affect your feet down to the bones and are most common under your big toes and on the balls of your feet.

2. Corns

Corn is a tough skin that typically grows between or close to a toe’s bones. It is created as a result of toe-to-toe friction. You can use a pumice stone to remove that tissue. Never cut or pluck with a sharp object. You can provide hot and cold soaks simultaneously.

3. Calluses

It is also tough skin that is typically found on the sole. They result from unequal weight distribution, bad footwear, or any skin condition. Put padded insoles and pads in your shoes. Calluses can soften with medication. Avoid attempting to cut or scrape the callus off using a sharp object.

4. Blisters

Blisters are formed because of the friction caused by shoes on the same spot of the foot. You should use proper diabetic shoes to avoid this issue. Apply antibacterial cream to prevent infections.

5. Fungal infections

Fungal infections may discolor your nails. They may become yellow or brown. It may appear thick & brittle. Do not expose your feet to wetness for long period. It may trigger fungal growth. You should follow the doctor’s advice and take medicines. In some cases, you need to remove the damaged nail.

6. Dry & cracked foot skin

You may have cracked skin on your feet as a result of the excessive dryness. The bacteria might make it their home and may cause athlete’s foot(fungus causing cracks, redness, and itching). Keep your foot wet by applying the appropriate moisturizer. Apply moisturizer outside the toe gaps.

7. BUnions

A bunion, a painful bony bulge on the outside of the big toe, can be brought on by pressure from the way you walk or the form of your foot. Long durations of standing and wearing narrow shoes might exacerbate bunion pain. You might require surgery if bunion pads, toe spacers, and better-fitting shoes are ineffective.

8. Ingrown toenails

Ingrown toenails are a frequent problem where the toenail’s corner or side grows into tender flesh. Pain, swollen, irritated skin, and occasionally an infection are the consequences. Usually, the big toe is impacted by ingrown toenails. You run a higher chance of developing ingrown toenail issues if you have diabetes or another illness that reduces blood flow to your feet.

9. Amputation

People with diabetes are more prone to have a foot injury and be unaware of it until an infection has set in due to issues with blood flow and nerves.

Amputation is frequently the best course of action when an infection cannot be cured, results in an infection, or when poor blood flow causes gangrene(bodily tissue death brought on by a significant bacterial infection or a lack of blood supply).

SEE MORE ASSOCIATED FOOT ISSUES

Diabetic foot care tips to avoid amputation

1. Manage your blood sugar levels

People who have already undergone one amputation are more likely to experience another. You can reduce the risk of developing further diabetes complications by eating well, exercising frequently, managing your blood sugar, and giving up tobacco. Without sugar control, you cannot escape from branched complications.

2. Consult your doctor for a foot checkup

For diabetic individuals, routine blood tests are commonplace. Ask your doctor to check your feet while you show him the reports. Use this routine to stop any serious issues from developing in the event of high blood sugar.

3. Check your feet every day

Check your feet every day when taking a bath to see if you have any cuts, edema, or nail issues. Patients with high blood sugar levels won’t feel the discomfort from cuts and blisters since they will lose their ability to feel their feet. Therefore, you must regularly check your feet. Consult your doctor if there is a problem and take his instructions.

4. Wash your feet with warm water

Always keep your feet clean. After coming home from the outdoors, wash your feet with warm water. As your feet cannot sense too much heat, check for water temperature before washing your feet.

5. Use mild soap and sponge

wash your legs using mild soap or shampoo using a soft sponge. Daily foot care will result in softer, smoother, and problem-free skin. If not, you risk developing corns, warts, calluses, swollen feet, and aching, and burning feet, among other foot problems.

6. Pat your feet properly

Dry your feet with a clean, dry towel after washing. Drying the spaces in between your toes can help stave off fungus infections. Give your feet a gently pat rather than rubbing to prevent irritations.

7. Proper care for nails

If you need to cut your nails, do it when your nails are wet and smooth. It allows you to cut the nails easily. Do not cut them too short and cut them straight to avoid ingrown toenails. Use an emery board to get nail edges smooth.

8. Use good moisturizer

Most diabetic patients have dry foot issues. It is due to the inability of your body to produce enough moisturizer for your foot because of nerve damage. Use a good moisturizer, lotion, oil, or petroleum jelly to smoother your dry foot. It can help you to get relief from itching, or cracking. But do not apply moisturize the areas between your toes. It may lead to fungal growth.

9. Wear Socks while sleeping

Diabetes patients run the risk of developing circulation issues, which can lead to chilly hands or feet. Frequent blood sugar elevations can induce artery narrowing and a decreased blood supply to the tissues, which can result in cold feet.

So wear dry, clean, diabetic socks while sleeping to avoid your feet getting cold at night.

10. Choose proper diabetic socks

Try to use diabetic socks rather than regular socks.

Why wear diabetic socks?

It helps to cushion your feet by reducing friction and thus preventing blisters and ulcers.

Gives little compression which aids in good blood circulation.

The material is breathable and lightweight.

It does not squeeze the feet.

Designed to suit diabetic people

11. Do not pluck the corns by yourself

Diabetes patients are more likely to develop corns and calluses if they neglect their feet. Avoid making the error of picking them by yourself. Rough handling could result in serious issues because diabetics’ wounds don’t heal in a matter of days. Always seek medical advice and follow recommended procedures.

12. Never walk without shoes or slippers

READ MORE

[diabetologist-in-andheri]

Diabetes & Foot Problems

Diabetes patients frequently experience foot issues. You might be concerned that diabetes will cause you to lose a toe, foot, or leg, or you may know someone who has, but by taking daily care of your feet, you can reduce your risk of developing diabetes-related foot issues. Maintaining control of your blood sugar, sometimes referred to as blood glucose, helps support the health of your feet.

What foot problems could diabetes cause?

Diabetes may eventually result in diabetic neuropathy, or nerve damage, which can tingle and hurt and cause you to lose feeling in your feet. A blister on your foot or a rock inside your sock may go unnoticed when you lose feeling in your feet, which can result in cuts and sores. Infection can spread to cuts and sores.

Diabetes might also result in less blood flowing to your feet. It may be difficult for an infection or sore to heal if there is insufficient blood flow to your legs and feet. A severe infection can occasionally never recover. Infection could result in gangrene.

Diabetes can cause nerve injury, which is uncommon, but can result in foot alterations like Charcot's foot. An initial sign of Charcot's foot may be redness, warmth, and swelling. Later on, the bones in your feet and toes may move or shatter, giving your feet an unusual form like a "rocker bottom."

How can I maintain the health of my feet?

Create a diabetic self-care strategy, which is an action plan for how you will manage your diabetes, in collaboration with your medical team. You should have a foot care strategy. Your medical team can include a podiatrist, sometimes known as a foot doctor, as well as other specialists.

Add the following actions to your foot care routine:

How to Care for Your Feet

Every day, check your feet.

Each day, wash your feet.

Gently shave off corns and calluses.

Straight across nail trims are best.

Always put on socks and shoes.

Defend your feet against extreme heat and cold.

Maintain blood circulation to your feet.

Check your feet every time you see a doctor.

Examine your feet daily.

Despite having foot issues, you may not be experiencing foot discomfort. You can find issues early and stop them from getting worse by checking your feet every day. Checking your feet each night when you take off your shoes will help you remember. Additionally, look in your toes. If you find it difficult to bend over to see your feet, consider looking at them in a mirror or having someone else do it.

Look for issues like these:

wounds, sores, or flaming lesions

swelling or blisters with fluid within

The edge of your nail grows into your skin in an ingrown toenail.

Having too much pressure or rubbing on one area of the body can result in corns or calluses, which are rough patches of skin.

Those flesh-collared growths on the soles of the feet are called plantar warts.

Runner's foot

warm regions

Your doctor may advise measuring the skin's temperature on various sections of your feet if you have specific foot issues that increase the likelihood that you will get a sore on your foot. A "hot spot" may indicate the beginning of a blister or an ulcer.

Put a bandage on a blister, cut, or sore. Calluses and smooth corns, as described below.

Daily, wash your feet

Wash your feet in warm, not hot, water with soap. Make sure the water is not too hot by testing it. To check the temperature of the water, you can use a thermometer (90 to 95 degrees Fahrenheit are safe). Your skin will become excessively dry if you wet your feet.

Put talcum powder or corn-starch between your toes after washing and drying your feet. The skin between the toes frequently remains wet. Dry skin will be maintained by powder, assisting in infection prevention.

Always put on socks and shoes.

Always put on socks and shoes. Even while you are indoors, avoid wearing only socks or going barefoot. Your feet could get harmed if you step on something. You might not experience any discomfort and be unaware that you injured yourself.

Before slipping your feet into your shoes, ensure sure the interior is smooth and clear of any pebbles or other foreign items.

To avoid blisters and sores, be sure to wear socks, stockings, or nylons with your shoes. Pick out some well-fitting, spotless, softly cushioned socks. Best socks have no seams.

Put on comfortable, foot-protective shoes. Here are some pointers for selecting the proper kind of footwear:

Shoes for walking and exercise are suitable for daily wear. They provide stability and let your feet to "breathe."

Avoid wearing shoes made of vinyl or plastic because they cannot flex or "breathe."

Make sure the shoes you buy fit well and provide space for your toes. To discover the greatest fit, buy shoes at the end of the day when your feet are at their fullest.

You might require special footwear or orthotics, often known as shoe inserts, if your feet no longer fit the same way they used to, like Charcot's foot. If you suffer from bunions, hammertoes, or other foot issues, inserts might also be necessary.

Only wear new shoes for a short time at first to break them in, and then inspect your feet for any uncomfortable spots.

Medicare Plan B coverage these specialised shoes or inserts might be covered by health insurance plans from external link and other sources. Find out if your insurance policy covers your specialty footwear or inserts.

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Do I Have Diabetic Charcot Foot?

If you have diabetes, you already know the complications it can cause for foot health. If you notice that your foot feels warm to the touch, or looks red and swollen, it could signal that you have this condition. However, the same symptoms apply to numerous other foot injuries.

Learn how to spot the symptoms of diabetic Charcot foot, also called Charcot arthropathy. Additionally, we’ll discuss the causes and treatment options, including the DynaNail TTC Fusion System® by DJO®.

Causes of Charcot Foot

So, besides diabetes, what else causes Charcot foot? This condition affects those who can't feel due to nerve damage in their feet. Although there is no singular cause, the following conditions may trigger diabetic Charcot arthropathy:

Infection

Alcohol or drug abuse

Undetected sprain or break

Organ rejection

Spinal cord disease

Parkinson’s disease

Syphilis

HIV

Symptoms of Charcot Arthropathy

As the condition progresses, your bones weaken and may shift or break. As a result, the symptoms of more advanced Charcot arthropathy include:

Loss of foot shape. The arch of your foot falls until the bones are lower than your toes or heels, a condition known as “rocker bottom” foot.

Curled toes

Twisted, unsteady ankle

Bones press on shoes, causing wounds and infections

Although diabetes isn't the only cause of Charcot arthropathy, diabetics often have poor blood flow. That makes it difficult for the foot to heal and often results in amputation.

Treatment for Diabetic Charcot Foot

If you have early stage Charcot arthropathy, your doctor may prescribe a cast or boot to keep the bones in place and to promote healing. Nonsurgical treatment may also include special shoes to promote healing and protect the bones.

Unfortunately, diabetics and some others who develop this condition have nerve damage (neuropathy) that prevents them from feeling sprains, fractures, and breaks. This may lead to more damage, calling for stronger treatment methods.

The surgical approach will depend on the nature of the deformity, as follows:

Mild deformity with tight tendons at the heel. Surgery to lengthen the Achilles tendon can relieve pressure on the heel at midfoot. This promotes the healing of ulcers.

Protrusions on the bottom of the feet. This is more severe than a mild deformity. The type of surgery depends on the stability of your foot:

o   For a stable deformity, the surgeon can shave off the protruding bone.

o   For an unstable deformity, the surgeon may need to fuse and reposition the bones to promote healing.

DJO’s DynaNail Treatment Saves Limbs

DJO has developed the DynaNail treatment system to save limbs and save lives. Whether you are a surgeon who treats diabetic Charcot foot or someone who lives with the condition, you need to know about this effective surgical option.

DJO’s motto is “get and keep people moving.” If you have diabetic Charcot foot or treat patients who do, we want to help. Let us know if you have questions about how our foot products can help heal Charcot arthropathy. Contact us today for more information.

Original Source: Do I Have Diabetic Charcot Foot?

[devenme]

Keep Diabetes From Damaging Your Feet and Ankles

You may be aware that diabetes is a chronic condition that affects blood sugar (glucose) and insulin levels, but did you realise it affects about 29.1 million individuals in the United States, accounting for nearly 9% of the population? Every year, 1.7 million new instances of diabetes are identified, with an estimated 8.1 million people living with diabetes who have yet to be diagnosed. Type I, type II, and gestational diabetes are the three primary forms of diabetes. When you have diabetes, there are a number of things to keep in mind to protect the health of your feet. This blog discusses how to control diabetes from damaging your feet and ankles.

Are there any preventative measures that can be taken?

If left untreated or unmanaged, foot disorders can result in the loss of a toe, foot, or leg. The key to maintaining optimal foot health is to keep your diabetes under control and avoid injury. Visit varicose vein doctors in Bangalore if you think you are in danger.

What effect does diabetes have on your feet?

According to diabetic foot specialists Bangalore, diabetes lowers your immune system, making it more difficult for your body to fight infections, causing nerve damage. The ability of your feet to produce perspiration and other natural oils that keep your skin lubricated can be harmed by damage to your nervous system. The bones, skin and joints of the foot can become injured if they are not adequately lubricated.

People with diabetes may not realise they have sores or injuries on their feet until it is too late. Therefore, it is critical to maintain optimal foot health and get care as soon as possible if an injury occurs. When it comes to diabetes, the most common cause of foot injury is ill-fitting shoes. Therefore, any persistent pain, such as red spots, blisters, corns, or calluses, should be treated carefully, and suitable fitting footwear (together with orthotics) should be worn. Frequently keep in touch with a diabetic foot care hospital Bangalore.

If your diabetes has been inadequately treated, you may be at risk for a condition known as diabetic neuropathy. This condition is characterised by nerve damage and affects up to 50% of diabetic patients. Diabetic neuropathy primarily affects the nerves in the feet and legs, but it can also affect the digestive tract, urinary tract, blood vessels, and heart. Preventative actions and adhering to your diabetic foot care hospital Bangalore diabetes management advice can often stop or halt the progression of diabetic neuropathy.

You may take several precautions to control your diabetes and help protect your feet from injury and infection. First, it is critical to wash and inspect your feet on a daily basis and to address any abnormalities as soon as possible to avoid further complications. 

Here are some things you can do to protect yourself: 

Smooth any corns or calluses that may have formed on your feet

On a regular basis, trim your toenails straight across. Ask your loved one to assist you if you are unable to reach your feet or do so safely

Even when indoors, always wear shoes and socks. Unprotected feet put you at a higher risk of harm

Protect your feet from the elements, both hot and cold. Socks that will keep your feet toasty are recommended

Every day, examine your feet and report any unusual changes to your doctor

Wear comfortable shoes that are appropriate for your condition and amount of activity

When should you visit your diabetic foot specialist in Bangalore?

Do not wait until your next checkup if you are experiencing any of these symptoms. Instead, see your usual doctor or a foot doctor as soon as possible:

During physical exertion, you may have leg pain or cramping in your buttocks, thighs, or calves

In your feet, you may experience tingling, burning, or discomfort

Loss of touch or a diminished ability to detect heat or cold

The shape of your feet may change throughout time

Hair loss on the toes, foot, and lower legs

Your feet may have dry, cracking skin

The hue and temperature of your feet may change

Toenails will thicken and turn yellow

Fungus infections between your toes, such as athlete's foot

A blister, sore, ulcer, infected corn, or ingrown toenail 

The majority of people with diabetes can avoid serious foot issues. The easiest way to prevent foot problems is to take care of them at home and attend all of your diabetic foot specialists in Bangalore appointments (and stop minor issues from becoming serious ones).

Diabetic foot problems can lead to more severe issues, but they can also be avoided. These preventative actions, as well as maintaining proper cleanliness and controlling your blood sugar levels, are all necessary for keeping your feet healthy. 

Contact Vascular Centre Bangalore today for more information about diabetes and varicose vein doctors in Bangalore. 

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Introduction to Neuropathy – Diabetes Daily

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Introduction to Neuropathy – Diabetes Daily

What is neuropathy? And more specifically, what is diabetic neuropathy? What are the symptoms and how can you prevent and treat neuropathy?

When someone hears about the long-term complications of diabetes, problems with the feet, foot ulcers, and even amputations are often brought up and can be some of the scariest outcomes. What leads to these issues is something called neuropathy, or damage to the nerves.

But neuropathy, and those subsequent complications, aren’t by any means a given – and prevention is possible. What is neuropathy and what can you do to avoid it entirely, or minimize it so that you can keep your feet, and the rest of your body, as healthy as possible?

What is the difference between neuropathy and diabetic neuropathy?

Neuropathy is the term used to describe any damage to nerves in the body (for example, an injury from a car accident can damage the nerves). Diabetic neuropathy, or diabetes-related neuropathy, is the term used to specifically describe the nerve damage from high glucose levels (hyperglycemia) over the long term.

Diabetes can cause three main types of neuropathies: peripheral neuropathy (medically referred to as distal symmetric sensorimotor polyneuropathy), autonomic neuropathy, and focal neuropathy.

Peripheral neuropathy affects the nerves outside of the brain and spinal cord, and often leads to symptoms involving the hands and feet. “This is what most people associate with diabetes-related neuropathy,” said Chris Memering, a nurse and inpatient diabetes care and education specialist at CarolinaEast Health System in New Bern, North Carolina.

Peripheral neuropathy involving the feet is the most common form of diabetic neuropathy. Loss of function in particular nerve fibers can change sensation and reduce strength in the foot. Loss of sensation can lead to injury from shoes that don’t fit, stepping on sharp objects you can’t feel, or not knowing the sidewalk is too hot. Neuropathy can also lead to pain, burning or other unpleasant sensations which may respond to medication.

But diabetes isn’t the only condition that can cause peripheral neuropathy. Other conditions that can lead to peripheral neuropathy include heavy alcohol consumption, trauma, nerve entrapment (such as that which occurs in carpal tunnel syndrome), vitamin B deficiency, chemotherapy, and an autoimmune process that attacks the nerves.

Neuropathy can also affect the functioning of the autonomic nervous system (which controls things like blood pressure, heart rate, digestion, and bowel and bladder function). This is called autonomic neuropathy. Autonomic neuropathy can lead to a variety of complications.

“In diabetes care, many people are familiar with hypoglycemia unawareness, erectile dysfunction or female sexual dysfunction, gastroparesis [when the stomach can’t empty properly and digestion slows], neurogenic bladder [when the nerves that tell your brain to tighten or release the bladder muscles don’t operate properly], or orthostatic blood pressure changes [dropping blood pressure when you stand up],” Memering said, adding that all these could be a result of neuropathy.

Finally, focal neuropathy results from issues with one or more nerve roots and usually happens suddenly. Focal neuropathies often involve both motor functioning – such as weakness – and sensory deficits, which can cause discomfort and pain.

What causes neuropathy?

Chronic hyperglycemia can damage both small and large nerve fibers. Over time, elevated glucose levels, often made worse by high triglycerides (a type of fat that can be found in the blood) and associated with inflammation (the body’s natural way of fighting infection) can cause damage to the nerves. That damage disrupts the way nerves interpret sensory information and how the messages about sensation are transmitted to the brain.

Usually, nerve damage from high blood sugar levels happens in the long nerves first (which run from your spine down to your toes), which is why the symptoms of peripheral neuropathy occur first in the feet. “The length of time someone has lived with diabetes increases their risk of developing neuropathies, as does that person’s level of blood glucose, in terms of A1C, Time in Range, and glucose variability,” Memering explained.

In essence, higher glucose levels over time increases your risk for developing neuropathy. This was confirmed by the famous Diabetes Control and Complications Trial (DCCT) and Epidemiology of Diabetes Interventions and Complications study (EDIC). The studies showed that the prevalence of confirmed peripheral neuropathy was 64% lower among participants in the intensive management group (those who managed their blood glucose carefully with treatment and kept their levels as close to normal as possible).

What does neuropathy feel like?

Symptoms of neuropathy usually start in the toes and progress upward. The sensations experienced with peripheral neuropathy differ from person to person. Some describe the feelings they have as numbness or tingling, while others say it feels like burning. Some say they are sensitive to being touched and cannot bear the feeling of a sheet or blanket covering their feet, while others describe it as feeling like they are always wearing a sock or a glove.

“Ultimately, you could end up losing protective sensation – which can be very dangerous and puts you at risk of not realizing when a part of your body is hurting or being injured,” Memering said. “While you may be able to still feel pressure – you know you are stepping on the ground with your foot – you may not be able to feel pain if you step on something sharp or hot.” This means you might not withdraw your foot from the unsafe environment, harming it further, and without realizing the extent of the damage.

The biggest concern about peripheral neuropathy involving the feet is that the loss of normal pain sensation can lead to greater skin and tissue damage. “Injury can result in the formation of a foot ulcer, which, if infected, can progress to ongoing tissue damage that can lead to amputation,” said Dr. Robert Gabbay, the chief scientific and medical officer for the American Diabetes Association. That’s why it’s so important to prevent, recognize, and treat any symptoms of neuropathy.

How is neuropathy diagnosed?

To assess for neuropathy, your healthcare team should do a thorough examination of your feet looking for sores or ulcers, changes in skin color, diminished pulses and any abnormality or injury to your foot. They can test for diminished strength, a change in your ability to know the position of your toes, and a change in sensation or sensory perception.

A foot exam will always involve taking off your socks and shoes, and your healthcare professional will inspect your feet to check for color changes, pulses, open areas, redness, rashes, and the overall condition of your feet, said Dr. Cecilia C. Low Wang, a professor of endocrinology, diabetes, and metabolism at the University of Colorado Anschultz School of Medicine.

A monofilament test uses a soft fiber to test for sensation in various parts of the feet and body, and a tuning fork can also help healthcare professionals understand how much sensation a person has lost. The monofilament test, as well as a pinprick test, can check to make sure you have good sensation, while other tests will evaluate vibration and position sense (whether you are aware of where your foot is). “The main question I would suggest asking your diabetes provider is whether they notice anything concerning about your foot exam, and whether they think you need to do anything different, or see an additional specialist, such as a podiatrist,” said Dr. Low Wang.

In this age of telehealth visits, some podiatrists have been sending a monofilament (a small strand of nylon attached to a piece of plastic) to a person’s home and teaching them how to use it to determine if they have reduced sensation in different areas of the feet. Podiatrists might even examine a person’s foot onscreen during a video visit and ask questions about how the foot feels or looks. “If there’s something of concern, they will schedule an in-person visit,” added Memering.

If someone is experiencing symptoms of autonomic neuropathy, a healthcare professional may recommend a specific test depending on what the autonomic symptoms are. For example, if there are issues with blood pressure control, taking your blood pressure as you change positions from lying to sitting to standing or using a formal tilt-table test, may show loss of autonomic control of how your body regulates your blood pressure. If you have symptoms of delayed gastric-emptying (stomach-emptying), specialized radiology tests might be ordered that show the time it takes for food to exit the stomach. The Mayo Clinic has an informative list about many of these tests. If you have any symptoms of autonomic neuropathy, such as bladder or erectile dysfunction, feeling faint on standing up, or bloating and fullness, talk to your healthcare professional and explain what you are experiencing.

What are the best treatment options for neuropathy, especially in the hands and feet?

Although it is not always possible to prevent neuropathy completely, the best way to slow its progression (as shown in the DCCT) is to closely manage your blood sugar levels and try to stay in range as much of the time as possible. If neuropathy does develop, medications can decrease the burning and tingling sensations, said Dr. Gabbay.

“Diabetes is a leading cause of neuropathy, and the higher someone’s blood sugar levels are over time, the more likely they are to develop neuropathy,” Dr. Gabbay said. “The good news is by managing blood sugar levels, one can significantly reduce their risk of developing neuropathy.”

With painful neuropathy, “treatments are generally to try to manage symptoms,” Memering said. “Medications such as Neurontin [gabapentin, a drug used for pain and seizures], Lyrica [pregabalin, a drug used for pain and seizures], or Cymbalta [duloxetine, a drug used for chemical balance in the brain] may be used to help with pain associated with painful peripheral neuropathies. These medications can be very effective, but it may take a few weeks to adjust and find the right dose. However, people should know that the medications can also be somewhat sedating.” Other drugs that may be effective include drugs used for mood disorders such as venlafaxine, nortriptyline, or amitriptyline, said Dr. Low Wang, but they may have side effects at higher doses and with older age.

Dr. Gabbay added that neuropathy “is a very active area of research to identify new and effective treatments.”

There are also various treatments to help improve the symptoms of autonomic neuropathy:

For Postural Blood Pressure Changes:

If you have a significant decrease in your blood pressure on standing, your healthcare professional can teach you how to get up slowly to allow your body to regulate your blood pressure with positional change.

You can also wear an abdominal binder, which Memering described as “a big elastic girdle that puts more pressure on the big blood vessels in the body,” so that they have more support when changing positions.

Other treatments include adjusting salt intake, using compression stockings, doing physical activity to avoid deconditioning, and staying hydrated, said Dr. Low Wang.

For Neurogenic Bladder:

If you are experiencing a neurogenic bladder, urinating at regular intervals during the day and night can help the bladder empty even if you no longer feel the urge to urinate. You might also undergo a urinalysis or a bladder scan, said Dr. Low Wang. Medications can also help.

For Gastroparesis:

Eating low-fiber, low-fat foods in smaller and more frequent meals and getting a greater proportion of calories from liquids might help, said Dr. Low Wang.

Sometimes the drug metoclopramide (Reglan) may be prescribed and gastric electrical stimulation might be used in severe cases.

For Erectile Dysfunction:

You may be prescribed one of the medications – sildenafil, tadalafil, avanafil, or vandenafil – but you may also need to undergo a physical exam, or other tests.

If you are experiencing any of the symptoms of neuropathy, you should speak with your healthcare professional to determine what diagnostic tests need to be done and what treatment course might be best for you.

Can you reverse diabetic neuropathy?

Currently, neuropathy can’t be reversed, but its progression may be slowed. Keeping blood sugar levels in the recommended targets is the key to doing so, Memering said. “The use of diabetes technology may be very helpful – especially continuous glucose monitors – for keeping your blood sugar in range, along with eating a varied diet, including vegetables and fruits, and exercising regularly,” she said.

Tips for living with diabetes and neuropathy

The two best things someone with diabetic neuropathy can do are to:

Manage their blood sugar levels to keep the neuropathy from getting worse.

Check their feet regularly, both at home and during healthcare appointments.

Check your feet at home

Dr. Gabbay, Dr. Low Wang, and Memering each recommended that all people with diabetes, whether young or old, newly diagnosed or not, should regularly check their feet. Dr. Gabbay advised, “Use a mirror to see the bottoms of the feet and make sure there are no cuts or ulcerations” that would need immediate attention to ensure they don’t worsen. If need be, ask someone in your household to help you inspect your feet. To help avoid foot injury, Dr. Low Wang recommended: “Always wear socks and well-fitting shoes, avoid going barefoot, and look at shoes before putting them on to be sure there is nothing in them.”

No matter where you are in your diabetes journey, daily foot checks “partly establish the habit before there are any problems, but are also a way to get to know your body so you can understand what is normal for you and what is not,” Memering said. “That way, when there is a change, you can all your healthcare office right away. Don’t wait until your next appointment ­ – call,” she said, adding that they should be able to tell you if you need to make an appointment right away.

Remember, as with many complications of diabetes, for neuropathy prevention is key! To learn more, view or download our infographic on preventing neuropathy.

About Cheryl

Cheryl Alkon is a seasoned writer and the author of the book Balancing Pregnancy With Pre-Existing Diabetes: Healthy Mom, Healthy Baby. The book has been called “Hands down, the best book on type 1 diabetes and pregnancy, covering all the major issues that women with type 1 face. It provides excellent tips and secrets for achieving the best management” by Gary Scheiner, the author of Think Like A Pancreas. Since 2010, the book has helped countless women around the world conceive, grow and deliver healthy babies while also dealing with diabetes.

Cheryl covers diabetes and other health and medical topics for various print and online clients. She lives in Massachusetts with her family and holds an undergraduate degree from Brandeis University and a graduate degree from the Columbia University Graduate School of Journalism.

She has lived with type 1 diabetes for more than four decades, since being diagnosed in 1977 at age seven.

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Diabetes Mellitus Foot Treatment Providers May Assist Avoid Lower Arm Or Leg Amputations

When they assume of clinical professionals, clinical doctors are what many people first believe of. Biomechanics - your stride may be influencing your feet, triggering discomfort and also uneven program wearing; it could even affect your knees, hips as well as reduced back, so it is a great idea to contact a foot doctor initially as part of searching for factors for foot as well as limb pain influencing your legs, hips as well as your reduced back. Tight or weak foot, ankle, as well as reduced leg muscle mass can be a component of the reason the bones of your feet and also toes are incorrectly straightened, and also much like any one of the other muscle mass in the body, this could be settled as well as enhanced with regular foot treatment training workouts. An estimated 60 to 70 percent of individuals with diabetic issues establish some form of diabetic neuropathy, or the persistent nerve damages diabetics issues causes, according to the National Institute of Diabetic Issues and Gastrointestinal as well as Kidney Diseases. Residency training took Dr. Latif to Hoboken, New Jersey, where he finished his required hrs at Hoboken University Medical Center He is board accredited by the American Board of Podiatric Surgical procedure in foot surgical treatment and also reconstructive rearfoot and ankle surgery. I am a podiatric physician and specialist secretive practice in Naperville, IL at Household Podiatry Facility as well as a speaker for the American Podiatric Medical Association (APMA) My passion in assisting the general public stems from my work with the APMA as Chairman of the APMA Public Education and also Details Board. As a qualified observer, the Foot Health Specialist contributes to the health of the population by screening as well as alerting various sydney podiatry other experts to shown diabetes mellitus, possible ulceration, malignancies, and also various other conditions. However, this strategy just attends to 'inner' responsiveness (the capability of a measure to alter over time), not 'exterior' responsiveness, which Husted et al. 13 have defined as the extent to which changes in an action over time connect to a matching change in a well established recommendation procedure of health status. I will advise The Woodland Foot & Health and wellness Clinic to anyone, I have actually been going there for around 6 to 7 Years currently and also have actually always located Hilary and the group to be respectful and also so useful.