Feature:

Diabetes 
and your feet - by Ava Bentley
Diabetes is a major risk factor for foot problems including the tragic and frightening experience of amputation. In Australia, about 2800 people with diabetes lose their lower limbs to amputation every year and large numbers experience foot ulcers, deformities and infection. This week, find out how diabetes affects your feet, we examine some common foot disorders and give you tips on keeping your feet healthy.

How Diabetes affects your feet
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Diabetes mellitus is a metabolic disorder in which the body’s cells are unable to properly use glucose (blood sugar). Normally, glucose is consumed from the diet, digested and then passed into the cells with the help of insulin (produced by the pancreas). Glucose is required for growth and energy.

In people with diabetes, either the pancreas is unable to produce sufficient insulin (Type 1) or the body’s cells are unable to properly use insulin (Type 2). The result is that glucose builds up in the blood and eventually passes out in urine (taking with it, the body’s main source of energy).

Additionally, this oversupply of glucose can damage small blood vessels and nerves in the lower limbs and feet (as well as elsewhere in the body) leading to serious foot complications.

In fact, a staggering 86% of all amputations are the result of minor injuries to the feet caused by small cuts, pressure from ill-fitting footwear, improper toenail care and other simple factors.

It follows that every person with diabetes must take special care of their feet to avoid injuries, infection and possible amputation.

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