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
Type 2 Diabetes and Healthy Living – Are You Inflicting Psychological Pain On Yourself?
A lot of the pain the average person experiences in life is not due to external factors. Much of the time, the pain felt is due to our thinking and how we react to a situation: but this is not to say how we respond is the cause of our worst pain. Few things can compare to those painful circumstances in life which are almost always outside of our control: the diagnosis of a disease like cancer or the death of a loved one, for instance. Unfortunately, these are outside our control and will occur anyway. Then we have little choice but to deal with them the best way we can.
Type 2 Diabetes – Study Links Hemoglobin Levels With Diabetic Retinopathy
In April of 2018, the journal Science Reports published an article on hemoglobin and the likelihood of people with Type 2 diabetes developing diabetic retinopathy. There are about 500,000 molecules of hemoglobin per red blood cell. Each hemoglobin molecule, due to its iron content, carries two oxygen molecules from the lungs through to the rest of the body. Oxygen is what makes red blood cells red. When the hemoglobin in red blood cells gives up its oxygen molecules to the rest of the body, the red blood cells become blue. This is why blood in the veins is blue, and blood in the arteries is red.
Type 2 Diabetes – Long-Term Commitment Guarantees Positive Results
Many people live successfully with Type 2 diabetes: they chose to take control over their life. Positive effort then guarantees the results they are looking for: lower blood sugar levels and weight loss. There is no way to guarantee results without effort. This understanding is essential because it means you recognize there are no shortcuts to achieving meaningful goals. If there is a meaningful health goal you would like to achieve, the best way to ensure you will make progress is through long-term commitment.
Type 2 Diabetes – Blood Fats Raise The Risk of Kidney Disease
Chronic kidney disease is a severe complication of Type 2 diabetes. Plasma triglycerides, or blood fats, tend to be high in many people who have been diagnosed with Type 2 diabetes. Could there be a connection? Scientists at Khon Kaen University in Thailand and several other research facilities in the United States, United Kingdom, and Australia, have found a link between the two. Their work was reported on in February of 2018 in the journal Diabetes Research and Clinical Practice.
Type 2 Diabetes – Does Drinking Coffee Daily Lower Your Risk of Diabetes?
According to scientists at the Karolinska Institute in Sweden, drinking coffee can lower the risk of developing Type 2 diabetes. Their work was published in March of 2018 in the journal Nutrition Review. The researchers put together the information found in thirty studies and analyzed the information as if it were one study. They found individuals who drank five cups of coffee each day had a lower-than-average risk of developing Type 2 diabetes when compared with the rest of the participants. The group who drank five cups of coffee daily were also less likely to develop Type 2 diabetes than those who drank no coffee whatsoever. The results were similar for regular coffee and decaffeinated coffee. From this information, the investigators concluded drinking coffee lowers the risk of developing Type 2 diabetes.