Edema Due To Diabetes

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The Charcot Foot In Diabetes: Six Key Points

The Charcot foot commonly goes unrecognized, particularly in the acute phase, until severe complications occur. Early recognition and diagnosis, immediate immobilization and a lifelong program of preventive care can minimize the morbidity associated with this potentially devastating complication of diabetic neuropathy. If unrecognized or improperly managed, the Charcot foot can have disastrous consequences, including amputation. The acute Charcot foot is usually painless and may mimic cellulitis or deep venous thrombosis. Although the initial radiograph may be normal, making diagnosis difficult, immediate detection and immobilization of the foot are essential in the management of the Charcot foot. A lifelong program of patient education, protective footwear and routine foot care is required to prevent complications such as foot ulceration. Although initially described in patients with tertiary syphilis, the Charcot foot is now seen mostly in patients with diabetes mellitus. In a recent study,1 9 percent of patients with diabetic neuropathy had Charcot foot. It is a condition of acute or gradual onset and, in its most severe form, causes significant disruption of the bony architectu Continue reading >>

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Popular Questions

  1. NyxWulf

    Recently diagnosed with Type 2 diabetes

    A couple of weeks ago I was diagnosed with Type 2 diabetes. Along with that my blood pressure is high, and my cholesterol is high. It's been a lot to take in during this short time. I have made some drastic changes in my diet and exercise regimen. I would be interested to hear what other people have done when they are diagnosed.

  2. omahapack

    I was diagnosed many years ago. I was diet controlled for over 40 years. I went full blown and have learned over the years that diabetics must live a well rounded life style just as to get a high school diploma or college degree one needs a well rounded education. Diet, exercise, and rest are important as well as a less stressful surrounding.
    I found that some vegetables are no no's or not eaten often. for me rice and gravy are out but I can have a small baked potato instead.
    I treat myself to a small hot fudge sundae after I have had a week of relatively stable blood sugars.
    People say I am so sorry when they find out I am diabetic. I tell them that I am not sorry. I am more aware of healthy living and have been blessed to be a diabetic.
    I hike, I hunt, fish and dance.
    I have two artificial knees and steel in my lower back. And even with diabetes, I am healthier than most. I heal quicker and I have more energy than I know what to do with sometimes.
    I only require 4 hours of sleep most of the time. I have learned deep breathing and a quiet environment helps me relax. I pace my activities and allow rest in between activities.
    Most folks do not believe that I am 64.
    Diabetics do tend to have problems with cholesterol and blood pressure. Comes with the territory.
    I can eat what everyone else does. I just have to adjust the amounts and how often. I also tend to stay away from foods that raise the blood sugars.
    I always have been a water drinker. I know when my sugars are up a glass or two of water helps bring it down quickly and I keep peanut butter cups and dr. pepper in the house if they are too low. i also keep a big jar of peanut butter at my bedside. I sometimes have drops in blood sugar and a couple of teaspoons makes the difference.
    I test often and have a great idea of how much of what and when it is necessary to adjust the numbers.
    Hang in there and keep diabetic connect. It has multitudes of info. the more we learn about our disease the better and healthier we will be if we implement those things that work.
    I use the American Diabetic Association as the ultimate source. If my doctor's recommendations are in conflict I always follow ADA advice and it has never failed me.
    These are things that work for me. I keep a journal instead of a log. I know what things are working. What affects my blood sugars may not affect yours. The wise thing to do is to note what does work and implement it into your life.

  3. Gimpalong

    Way to go! You're an inspiration for all of us. I'm still learning about insulin. Thanks for sharing ways that work for you. I'm sure we can all learn from it. Have a great Memorial Day…and Remember.

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