Diabetes

Diabetes is a complex group of diseases, involving the hormone ‘‘insulin’’. Normally, the pancreas releases the hormone insulin to help the body store and use the sugar and fat from the food consumed. Diabetes occurs however when;

• The pancreas doesn’t produce insulin or produces very little of the hormone.

• The body does not respond appropriately to the release of insulin by the pancreas known as ‘‘insulin resistant’’.

Diabetes can affect many parts of the body including the feet. The two main problems with the presence of diabetes and your feet are;

1. loss of sensation (nerve damage also known as peripheral neuropathy)

2. Restricted circulation and blood flow (peripheral vascular disease)

Individuals with diabetes therefore may not be able to ‘‘sense’’ problems occurring with their feet. Foot injuries from ‘‘minor’’ foot problems like scraps and cuts and infections may take longer to heal due to the reduced blood flow which can be detrimental to the quality of life of that individual. It is recommended that those with diabetes have an annual review with a podiatrist for early detection of foot complications.

Proper treatment, assessment and education by a podiatrist is very important to ensure quality of life is retained and serious foot and lower limb complications are prevented.