WHY DIABETICS LOSE LIMBS, diabetic foot ulcers and & diabetic neuropathy. Prevent amputation.


Dr. Ergin explains why diabetics lose limbs due to amputation sometimes and how to prevent diabetic foot ulcers that typically result from diabetic neuropathy. How to treat diabetic ulcers for both type 2 diabetic and type 1 diabetic patient. Diabetic foot care and diabetic foot neuropathy treatment is important.

Unfortunately, when you do not feel the pain, hot or cold, the risk of unnoticed injury goes up. Injuries that would typically cause pain in normal individuals such as stepping on a nail or splinter, unfit shoes that can cause blisters, etc. do not necessarily cause pain if you have neuropathy. That is why it is very important to check the bottom of your feet daily; otherwise, a small lesion can develop into a large ulcer. By the time you notice, it may be too late. If the infection goes into the bone, doctors may not be able to save the limb. Although your doctor may check the bottom of your feet and your sensing inability, you should be primarily responsible for checking your own feet daily or at least a few times a week. And if you see something, report to your diabetes specialist or diabetes coach immediately.
Most of the time, the diagnosis is clear based on the patient’s history; however, some examination findings can also help detect diabetic neuropathy. Some of the signs could be:

1. Diabetes specialist may ask you to close your eyes and move your toes up and down, and you may not feel it. Sometimes they may put a vibrating tuning fork close, and you may not feel the vibration.
2. Diabetes doctors may likely touch your feet, and you may not feel that light touch.
3. Your doctor may check your Achilles tendon reflex and find that it is reduced.

More extensive testing can be done if the diagnosis is in doubt, such as nerve conduction studies, nerve biopsy, or imaging tests. However, these types of exhausting tests are not usually needed to diagnose diabetic neuropathy.

Ahmet Ergin, MD, FACE, CDCES, ECNU
Endocrinology

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