Doctor in Padmini Nursing Home
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
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Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.
- Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
- Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.
Some of the common foot problems encountered in diabetics are listed below:
- Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
- Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
- Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own. Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.
- The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
- Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
- Regular feet care to check for blisters, ulcers, wounds, etc.
- Check toenails for overall health
- Preferably wear closed toe shoes
- Wear stockings or socks and shoes that fit well
- Moisturise the skin well to avoid drying
- Avoid exposing feet to extreme weather
- Quit smoking
- Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise
Diabetic neuropathy is a nerve disorder caused by diabetes. The high blood sugarfrom diabetes affects the nerves and over time increases a person's risk for nerve damage. Keeping blood sugar levels within the target range recommended by your doctor helps prevent diabetic neuropathy.
Types of Diabetic Neuropathy:
Diabetic neuropathy can be classified as Peripheral, Autonomic, Proximal, or Focal. Each affects different parts of the body in various ways...
Autonomic neuropathy affects the nerves that control involuntary body functions such as digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control blood pressure, as well as nerves in the lungs and eyes. Autonomic neuropathy can also cause hypoglycemia unawareness, a condition in which people no longer experience the warning symptoms of low blood glucose levels.
Proximal neuropathy causes pain in the thighs, hips, arms, or buttocks and leads to weakness in the legs and hands, resulting in difficulty in walking, standing, picking up objects, buttoning your clothes, etc.
Focal neuropathy results in the sudden weakness of one nerve or a group of nerves, causing muscle weakness or pain. Any nerve in the body can be affected.
How Diabetes Causes Damage to the Nervous System?
There are several factors that are likely to contribute to nerve damage through diabetes...
- High blood glucose, a condition associated with diabetes, causes chemical changes in nerves. These changes impair the nerves' ability to transmit signals.
- High glucose levels affect many metabolic pathways in the nerves, leading to an accumulation of a sugar called sorbitol and depletion of a substance called myoinositol. These changes are the mechanism that causes nerve damage. Nitric oxide dilates blood vessels. In a person with diabetes, low levels of nitric oxide may lead to constriction of blood vessels supplying the nerve, contributing to nerve damage.
- Presence of mechanical injury like carpal tunnel syndrome in a diabetic patient worsens its symptoms and prognosis
- inherited traits increase susceptibility to nerve disease
- lifestyle factors, such as smoking or alcohol use
- Numbness, burning sensations, tingling, or pain in the toes, feet, legs, hands, arms, and fingers
- Either hypersensitivity to touch or insensitivity, even to hot and cold temperatures
- Weakness in muscles and loss of reflexes
- indigestion, nausea, or vomiting
- diarrhea or constipation
- dizziness or faintness due to a drop in blood pressure after standing or sitting up
- problems with urination
- Changes in gait and balance
- Injuries that are taking longer to heal and are more prone to infections
Prevent Diabetic Nerve Damage:
Keeping your blood sugar levels in your target range, set with your doctor, may help prevent nerve damage from ever developing. The best way to do this is by checking your blood sugar and adjusting your treatment. It is also important to get to and stay at a healthy weight by exercising and eating healthy foods.
Hi, Friend with thyroid wants to marry. Entire family of friend has thyroid. Whether the problem continues to next generation. He told the girl about this. She is afraid to marry him due to thyroid. What would you doctor tell the girl. Whether she will agree? How he should convince her? Any precautions to be taken? Whether my friend should stop marrying? Any problems will arise from the girl. Any problems for sex life which distorts family happiness agay.
My husband is 30 years old and 6 months before he diagnosed as diabetic mellitus. Now it ranges to 170 to 220 .whether he want to start medicine or controlled by diet management or exercise?
The hysteroscopy used was rigid continuous flow diagnostic hysteroscopy (Tuttligen, Karl Storz, Germany). It has a 30o panoramic optic which is 4mm in diameter and the diagnostic continuous flow outer sheath is 6.5 mm in diameter. The patient was placed in lithotomy position with the buttocks projecting slightly beyond the table edge.
If you are diabetic, you must have been going for empty stomach blood cholesterol tests to know the sugar level in your body. If this is true, you should be worried as a new study claims that this habit causes more harm than good.
Diabetic people have a higher level of bad cholesterol in their bodies, which leads to excessive fat in the arteries. Due to the same reason, doctors suggest the patients to go for regular blood cholesterol tests.
As per the orthodox guidelines, the patients are recommended not to consume anything except water, as it may affect the results. The new study, however, claims that this is not necessary and may be harmful in some cases.
The study conducted by specialists at Michigan State University in East Lansing claims that fasting before a blood cholesterol test may boost the blood sugar level, or hypoglycemia, in the patients who take insulin.
Fasting leads to FEEHD:
The study was conducted on over 500 diabetes patients in Michigan. In the study, the specialists found out that the people with diabetes were more prone to face fasting-evoked en route hypoglycemia (FEEHD) if they fasted before going for blood cholesterol test.
In this condition, the blood sugar levels become very low, which leads to faintness, confusion and dizziness. These problems become so severe that people can experience life-threatening conditions when outside their home.
Updating of guidelines:
The experts at the Michigan State University say that fasting before the blood cholesterol test is a guideline which was set back in the 1970s, and the doctors in Canada and most European countries no longer use it.
It is time for Indian doctors too to amend the guidelines before a blood cholesterol test while suffering from diabetes to ensure good health of their patients.