For most people, a bad shoe day means a blistered heel or painful arch that goes away quickly. But for people with diabetes, poor footwear can trigger serious problems, such as foot ulcers, infections, and even amputation.
Foot problems aren't inevitable, though. Ralph Guanci learned the hard way to pick his shoes with care and to stick with wearing them because they're good medicine for his feet.
Guanci, 57, a businessman in Carlisle, Massachusetts, was diagnosed with type 2 diabetes 25 years...
"You can cut carbs, eat grapefruit, stand on your head a few days -- anybody who sticks to any diet will lose weight," says Luigi Meneghini, MD, director of the Kosnow Diabetes Treatment Center at the University of Miami School of Medicine.
Problem is, once the diet's over you're likely to return to those bad dietary habits that got you in trouble in the first place.
"Most people look at diets as a temporary measure to lose weight," Meneghini tells WebMD, "but they're not a real plan for changing unhealthy dietary habits."
For people with diabetes, there's another caution -- fad diets can cause downward spikes in blood sugar, says Cathy Nonas, MS, RD, a spokeswoman for the American Dietetic Association and a professor at Mount Sinai School of Medicine in New York City.
"Reducing your calories, even at one meal, will affect your blood sugar," Nonas tells WebMD. "If you're taking medication that's also lowering your blood sugar, you will need to reduce that medication. You will need to monitor your blood sugar more often, depending on the severity of the diet and how calorie-restricted it is."
A fad diet can also increase cholesterol and blood pressure levels -- creating an especially high-risk situation for someone with diabetes, says Tara Gidus, MS, RD, a national spokeswoman for the American Dietetic Association and a private-practice nutritionist in Orlando, Fla.
"Diabetes can affect a number of systems in the body," Gidus tells WebMD, "putting you at higher risk for heart disease and other chronic health problems -- life-threatening health problems."
You simply have to be more savvy about your diet, says Gidus. A person with diabetes "cannot regulate blood sugar in the same way as a person without diabetes. There is more risk of complications. A fad diet can increase that risk."