Diabetes-related Foot and Ankle Problems

What causes swelling in the legs, feet and ankles?

Diabetes swelling ankles

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For up-to-date and comprehensive resources on shoulder arthritis, please visit our new online Shoulder Arthritis Book and Rotator Cuff Tear Book! Diabetes is a condition caused by lack of a chemical in the body a hormone called insulin.

There are two major forms of diabetes. In type 1 diabetes eventually no insulin is produced and individuals require insulin injections for survival.

It used to be thought this only presented in children, but it diabetes swelling ankles now clear this can occur at any age. However, in this type of diabetes there is usually some insulin produced.

For both types of diabetes, blood glucose levels are elevated. Furthermore, diabetes swelling ankles, people with diabetes are prone to certain complications not seen in those without diabetes. These complications involve the eye retinopathykidney nephropathy and nerves neuropathy. People with diabetes also get early hardening of the arteries atherosclerosisdiabetes swelling ankles, leading to early heart attacks and strokes, diabetes swelling ankles.

The good news for people with diabetes is that with proper care all of these problems can be avoided. Uncontrolled diabetes presents with frequent thirst and urination. Over time, patients will become dehydrated as the diabetes swelling ankles is "spilling" over into the urine. If insulin deficiency is severe enough, fat stores are used for energy as glucose cannot get into cells.

This problem is much more common with type 1 diabetes and is called "ketoacidosis". It can be diagnosed at home with a simple urine test. When significant ketones are found in the urine, it is important to be in touch with a physician immediately, diabetes swelling ankles. There are other conditions that require immediate attention. Blurry vision in someone with known diabetic eye disease or someone with a long diabetes swelling ankles of diabetes may mean there was bleeding in the back of the eye.

This may require treatment by an eye doctor. An infection on the bottom of the foot is a common problem that needs immediate attention too. When people with long-standing diabetes experience heart disease, they often do not get the typical chest pain angina that occurs in those people without diabetes. Often their symptoms of heart disease presents with shortness of breath with minimal exertion.

This should also prompt a call to a physician. Swelling edema of the ankles is another common symptom that may be diabetes swelling ankles sign of a serious problem. For example, new swelling in the ankles may suggest that large quantities of protein are being lost in the urine--the first problem noted with kidney disease.

Swelling may also be seen with early heart failure, a common diabetes swelling ankles in people with diabetes. Alternatively, swelling may be due to a non-serious condition such as a side effect of a new medication or even a clue that the veins which take blood back to the heart are not working as well as they could be. Therefore, anytime new swelling is noted it viagra doses and effects be reported to your physician.

Diabetes does not "skip" generations. A common misconception is that if children eat too much candy they will "catch" diabetes. Although we are seeing more clinical trial ankle injection arthritis 2 diabetes in young people, diabetes swelling ankles, this misconception refers to type 1 diabetes and is not true.

This is not true at all diabetes swelling ankles it is common diabetes swelling ankles glucose levels to rise rheumatoid arthritis and erosions this level diabetes swelling ankles almost everyone with diabetes.

There are also many misconceptions regarding food. One common one is that fresh fruit is "healthy" because it is "natural". While this may be true, fruit is also very effective at causing the blood glucose to rise quickly. Fruit juices are the most common problem here. Finally, there are many misunderstandings regarding the glucose effects of alcohol. Depending on the type of alcohol consumed and the amount of food consumed, blood glucose can actually go DOWN when diabetes swelling ankles so this needs to be done with caution.

There is also a common misunderstanding about exercise. While it is true that exercise usually results in lower blood glucose levels, if a person with type 1 diabetes exercises without sufficient insulin in the bloodstream for example, more than 12 hours after the last shot of NPH insulindiabetes swelling ankles blood glucose can actually go UP!

In fact exercise at this time period can actually lead to ketoacidosis. Diabetes swelling ankles, for people with type 1 diabetes, great attention is required balancing blood glucose levels and exercise. Diabetes needs to be considered a very serious condition. It is the 7th leading cause of death in the United States and over 15 million American have diabetes swelling ankles. It is a chronic condition for which we have no cure. It is the leading cause of adult blindness, diabetes swelling ankles leading cause of kidney failure and the leading cause of lower extremity amputation.

It is also the second most common chronic condition seen by American doctors. Although diabetes is a serious and chronic condition, early diagnosis and proper patient self-management can reduce and possibly eliminate the majority of the chronic complications.

Diabetes can be deadly. Acute complications such as low blood glucose, diabetes swelling ankles, also called hypoglycemia resulting in death are rare. More often people with diabetes die of a chronic sunlight and zithromax such as heart attack or stroke. High blood glucose levels do not cause pain, diabetes swelling ankles.

However, having high glucose levels for many type 1 diabetes and pancreatitis can lead to nerve damage in the feet called neuropathywhich can be painful. Other complications related to many years of high blood glucose levels can cause pain.

For example, people with diabetes are more at risk for carpal tunnel syndrome, which is a common condition in the general population. With this problem, a large nerve going to the hand is squeezed causing pain in the hand. Often surgery is required to fix this. People with diabetes are also more at risk for certain infections that may be painful. Some examples include infections of the skin cellulitis and abscess and even the kidney.

There is also an uncommon condition often referred to as "diabetic amyotrophy" which presents with muscle wasting of the thighs, weight antibacterial properties ginger and severe pain. These patients often appear to have cancer. This condition is most common for men with type 2 diabetes in their 50s and 60s and usually resolves spontaneously in 12 to 18 months.

There are no specific treatments for this. It is not uncommon for people with diabetes to experience advanced neuropathy to the point that he or she cannot walk. Other complications such as heart disease, sight impairment and the need for kidney dialysis would all be considered debilitating.

The good news is that all of these can be prevented if treatment is started early and aggressively. Research also has shown that one particular type of blood pressure medication called ACE angiotensin converting enzyme inhibitors has an additional protective effect on complications besides lowering blood pressure, diabetes swelling ankles.

ACE inhibitors appear to stabilize or even reverse diabetic kidney disease if it is caught early enough. These drugs also have been found useful for people who have had heart attacks or have heart failure. Finally, there is a growing body of research suggesting ACE inhibitors may protect against diabetic eye disease. Diabetes usually does not cause discomfort.

In fact, one of the biggest public health problems in America is that there are over 5 million Americans who have asymptomatic diabetes and do not know it, diabetes swelling ankles.

The most common reason for any discomfort is the neuropathy noted above. Another common reason people have discomfort is from the finger sticks to measure blood glucose. Fortunately, this technology is quickly improving so that discomfort is minimal. Diabetes is currently not curable. Type 1 diabetes is defined as no requirement for insulin with normal blood sugars. Scientists are working on this so that the cells that make insulin "islets" may be able to be transplanted to result in a cure.

To date, these experiments are not quite ready and are still diabetes swelling ankles the research phases. For type 2 diabetes, diabetes swelling ankles, there is no "cure" but often it can be treated early in its course with a strict diet, exercise and weight loss.

However, it is rare for the diabetes to "disappear" even with these measures. The main focus of research now is to prevent both types of diabetes. The topic of diabetes and pregnancy is complicated. Each pregnancy needs to be planned. Furthermore, patients with type 2 diabetes need to be off all of their pills and using insulin before conception, diabetes swelling ankles.

If these rules are followed, the pregnancy can be uncomplicated although many women tend to have large babies. Furthermore, if the diabetes is complicated with eye or kidney problems before conception, the mother may have more problems with these complications during the pregnancy.

Women with diabetes need to be managed by a team of providers experienced with these high-risk pregnancies. The exceptions to this are those people who suffer from advanced neuropathy or vascular disease. For the vast majority of people with diabetes, there should be no alterations of daily living, diabetes swelling ankles. For most people, however, small amounts of time should be reserved for self-management.

This would include time for home blood glucose monitoring although our current meters take as little as 5 seconds! Exercise is encouraged for people with diabetes, although for those over the age of 40 years old, it is recommended a stress test is performed to rule out early heart disease.

For people who take insulin, diabetes swelling ankles, "shift work" working different shifts including the "graveyard shift" can be a challenge. You should talk to your doctor about the best way to manage your insulin, if this pertains to you. Extremes in blood glucose levels can cause fatigue. Although hypoglycemia often presents with a tremor, fast heart rate, and sweating, it may be noted only as fatigue.

Unfortunately, many people have no symptoms or may note they were fatigued after they are diagnosed with diabetes and treated for it, diabetes swelling ankles.

 

Diabetes swelling ankles

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