Diabetic Nerve Pain: 10 Foot Care Tips to Protect Yourself
Diabetes can mean double trouble for your feet. First, diabetes can reduce blood flow to your feet, depriving your feet of oxygen and nutrients. This makes it more difficult for blisters, sores, and cuts to heal. And second, the diabetic nerve damage called peripheral neuropathy can cause numbness in your feet. When you can't feel cuts and blisters, you're more likely to get sores and infections.
If you don't notice or treat the sores, they can become deeply infected, and lead to amputation.
Gastroparesis (delayed stomach emptying) is a digestive problem that's associated with diabetes. Most often gastroparesis occurs in people with type 1 diabetes; however, it can also occur in those with type 2 diabetes. Most have had diabetes for at least 10 years and have other complications of diabetes as well. With gastroparesis, the stomach cannot empty itself of food in a normal fashion.
Diabetic peripheral neuropathy can also cause sharp pain in your feet. You may become excruciatingly sensitive to the lightest touch, like the sheets on your bed.
Fortunately, a little TLC goes a long way in preventing foot problems from diabetes.
1. Check both feet daily.
Look over both feet carefully every day, and be sure you check between all of your toes. Blisters and infections can start between your toes, and with diabetic neuropathy, you may not feel them until they've become irritated or infected.
If a physical challenge keeps you from checking your own feet, ask a family member to help.
2. Wash with warm -- not hot -- water.
Wash both of your feet briefly each day with warm -- not hot -- water. You may not be able to feel heat with your feet, so test the water with your hands first. Avoid soaking too long in water, since waterlogged sores have a harder time healing.
Dry your feet right away, and remember to dry gently between all of your toes.
3. Make sure your shoes fit well.
It's an investment worth making. Even the slightest rubbing or misfit shoe can cause a blister that turns into a sore that becomes infected and never heals.
Buy better-fitting shoes, or try different socks, even at the most minor signs of redness or irritation, since you may not be able to feel when it's getting worse. Before buying or putting on the shoes check your shoes for rough seams, sharp edges or other objects that could hurt your feet. And break your shoes in gradually.
4. Skip the barefoot look.
Always wear shoes or slippers. Always wear socks with your shoes, since leather, plastics, and manmade shoe materials can irritate your skin and quickly bring on blisters.
While you might prefer the look of hose, nylon knee-highs, or thin socks, you may find that these don't give your toes or heels enough protection. Wear thicker socks to pad your feet and cushion any calluses or sore spots.
5. Speak up.
Nerve damage can be unpredictable. Tell your doctor about any changes in sensation in your toes, feet, or legs. Speak up if you notice pain, tingling, a pins-and-needles feeling, numbness, or any other unusual signs -- even if it seems trivial to you. There's nothing small-potatoes about a potential foot amputation.
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