Arthritis & Diabetes
What do diabetes and arthritis have in common? Plenty. People with diagnosed diabetes are nearly twice as likely to have arthritis, indicating a diabetes-arthritis connection. Diabetes occurs when the body does not produce or use the hormone insulin sufficiently. Insulin shuttles glucose from foods into cells so it can be converted into energy. Without insulin, glucose remains in your blood (raising blood glucose levels), your cells create less energy and you feel fatigued. What starts off as a hormonal problem can evolve into joint problems, in addition to the widely known cardiovascular problems. Diabetes causes musculoskeletal changes that lead to symptoms such as joint pain and stiffness; swelling; nodules under the skin, particularly in the fingers; tight, thickened skin; trigger finger; carpal tunnel syndrome; painful shoulders; and severely affected feet. After having had diabetes for several years, joint damage – called diabetic arthropathy – can occur. Continue reading >>
Joint Pain
I am experiencing pain in my finger joints. It may, of course,be completely unrelated to D. but I wondered if anyone else had had the same. As a calm , level-headed person I assume my fingers are going to drop off but if anyone can assure me otherwise I would appreciate it. You must not lose faith in humanity. Humanity is an ocean; if a few drops of the ocean are dirty, the ocean does not become dirty. Heather, I was experiencing pain in my finger joints and went to the doctor about. After x-rays and blood work I was diagnosed with rheumatoid arthritis. When I talked with the rheumatologists, he told me that most people with joint pain have osterarthritis. This has nothing to do with diabetes. Diabetics and non-diabetics get this type of arthritis. I would talk to your doctor about it and see what they have to say. my only worry about being fingerless is not being able to come here anymore. Lol. Seriously, it is quite painful so might go and get the dreaded tests done. Heather, I saw my rheumatologists last friday. He told me to not get on the computer that much because just typing injures the joints. He gave me a prescription for Mobic, which I take once a day, and it does help with the pain. He also strongly suggested that I not use the computer that much because typing puts pressure on the joints. He said that if I needed to be on the computer, to wear a brace that supports the hands. This will help to relieve some of the pressure on the fingers. Continue reading >>
- 14 Ways to Reduce Joint Pain With Diabetes
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
The Musculoskeletal Effects Of Diabetes Mellitus
Go to: Abstract Diabetes mellitus (DM) is a multi-system disease characterized by persistent hyperglycemia that has both acute and chronic biochemical and anatomical sequelae, with Type-2 DM representing the most common form of the disease. Neuromusculoskeletal sequelae of DM are common and the practicing chiropractor should be alert to these conditions, as some are manageable in a chiropractic office, while others are life and/or limb threatening. This paper reviews the effects of DM on the musculoskeletal system so as assist the chiropractor in making appropriate clinical decisions regarding therapy, understanding contraindications to therapy, referring patients to medical physicians when appropriate and understanding the impact that DM may have on the prognosis for their patients suffering from the myriad musculoskeletal conditions associated with this disease. Keywords: diabetes, musculoskeletal, chiropractic Go to: Introduction Diabetes mellitus (DM) is a multi-system disease characterized by persistent hyperglycemia that has both acute and chronic biochemical and anatomical sequelae. It is thought to affect almost 17 million Americans, only 11 million of whom have been diagnosed according to the American Diabetes Association. In type 1 diabetes, a lack of insulin results in poor carbohydrate, fat, and protein metabolism. Insulin is functionally absent, typically due to immune-mediated destruction of the beta cells of the pancreas, though other etiologies of beta cell destruction have also been implicated, including drugs, chemicals, viruses, mitochondrial gene defects, pancreatectomy and ionizing radiation.1 Type 1 DM (DM1) occurs most commonly in juveniles. It can occur in adults, especially in those in their late 30s and early 40s. Unlike people with Type 2 DM ( Continue reading >>
- The musculoskeletal effects of diabetes mellitus
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
- Effects of Insulin Plus Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) in Treating Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis
14 Ways To Reduce Joint Pain With Diabetes
Diabetes can damage joints, making life and movement much harder. How does this happen, and what can we do about it? A lot. “Without properly functioning joints, our bodies would be unable to bend, flex, or even move,” says Sheri Colberg, PhD, author of The Diabetic Athlete, The 7 Step Diabetes Fitness Plan, and other books. Joint pain is often called “arthritis.” “A joint is wherever two bones come together,” Colberg writes. The bones are held in place by ligaments, which attach bones to each other, and by tendons, which attach bones to the muscles that move them. The ends of the bones are padded with cartilage, a whitish gel made from collagen, proteins, fiber, and water. Cartilage allows bones to move on each other without being damaged. Joint cartilage can be damaged by injuries or by wear and tear with hard use. “Aging alone can lead to some loss of [the] cartilage layer in knee, hip, and other joints,” says Colberg “but having diabetes potentially speeds up damage to joint surfaces.” Sometimes extra glucose sticks to the surfaces of joints, gumming up their movement. This stickiness interferes with movement and leads to wear-and-tear injury. High glucose levels also thicken and degrade the collagen itself. This is bad because tendons and ligaments are also largely made from collagen. Reduced flexibility of joints leads to stiffness, greater risk of physical injury, and falls. People with joint damage may reduce their physical activity due to discomfort and fear of falling. Reduced activity promotes heart disease and insulin resistance. Here are 14 things we can do to prevent and treat joint problems and to keep moving. • Stretching keeps muscles and tendons relaxed and aligned so they’ll move as needed. You might want to ask a physical ther Continue reading >>
- 14 Ways to Reduce Joint Pain With Diabetes
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
Joint Pain Warning With Some Type 2 Diabetes Drugs
HealthDay Reporter FRIDAY, Aug. 28, 2015 (HealthDay News) -- Use of a class of widely prescribed medications for type 2 diabetes is tied to severe joint pain in some patients, the U.S. Food and Drug Administration warned on Friday. The drugs -- sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta) and alogliptin (Nesina) -- come from a newer class of medications called DPP-4 inhibitors. The drugs can be taken alone or used in conjunction with other diabetes drugs, such as metformin. DPP-4 inhibitors help fight type 2 diabetes by boosting the amount of insulin the body produces after each meal, when blood sugar levels are typically high. However, in a statement, the FDA said the medications "may cause joint pain that can be severe and disabling," and the agency "has added a new Warning and Precaution about this risk to the labels of all medicines in this drug class." The FDA stressed that patients who take a DPP-4 inhibitor should not stop using the drug, "but should contact their health care professional right away if they experience severe and persistent joint pain." Doctors and other health-care workers should "consider DPP-4 inhibitors as a possible cause of severe joint pain and discontinue the drug if appropriate," the agency said. Type 2 diabetes, which is often but not always linked to obesity, affects about 95 percent of people with diabetes. As the FDA noted, "when untreated, type 2 diabetes can lead to serious problems, including blindness, nerve and kidney damage, and heart disease." Continue reading >>
- 14 Ways to Reduce Joint Pain With Diabetes
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
Can High Blood Sugar Cause Joint Pain?
Joint pain is an annoying symptom felt by millions of people around the world each day. Sitting for too long, obesity, Arthritis, repetitive stress are all factors that are pointed out as the most common causes of joint pain in either the hip or the knee or the back. But did you ever think that your high blood sugar can be a significant factor for your joint pain? According to the Center for Disease Control and Prevention, 47 percent of the Arthritis patients are suffering from Diabetes at the same time. We cannot deny the obvious link between these two conditions, can we? It is clear as a day that diabetes is actually worsening the arthritis symptoms and adds up to the joint pain that you are already feeling. So if you are suffering from Diabetes and Arthritis at the same time, or if you are just dealing with Diabetes, please do follow us through to find out how exactly are these two conditions associated and how you can act to reduce your joint pain. Is Your High Blood Sugar The Reason That Causes Your Joint Pain? It is no secret that Diabetes Mellitus causes various health problems regarding all of the body’s systems. However, what may surprise a lot of people is finding out that Diabetes can actually worsen their joint pain or even cause one if not present before. One study published in the Acta Medica Scandinavica talked about a diagnosis known as the Diabetic shoulder. Diabetic shoulder, also known as frozen shoulder, is a condition in which the capsule of the shoulder joint becomes swollen and thickened causing decreased mobility, pain, and persistent stiffness to occur. It is not that Diabetes is the only cause for this condition, however, within patients suffering from Diabetes, the symptoms of the frozen shoulder are much more severe and harder to treat. Ano Continue reading >>
- 14 Ways to Reduce Joint Pain With Diabetes
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
Type 2 Diabetes Symptoms - How A Painful Shoulder Could Be Warning Sign
There are also thousands living undiagnosed with the condition, which could be harming their health. Type 2 diabetes occurs when the body does not produce enough insulin or the insulin produced does not work properly and can be linked to lifestyle factors such as being overweight. The symptoms of diabetes can vary - ranging from increased thirst, needing to urinate more - especially at night - feeling tired and having cuts or wounds which don’t heal quickly. The symptoms are not always obvious, and many people could be suffering with the condition for years before they learn they have it. However, experts believe a condition called a frozen shoulder could also indicate type 2 diabetes in those who have no been diagnosed. The condition is also known as adhesive capsulitis or shoulder contracture and can occur in people who have had previous shoulder surgery. They said the condition is more common among people with diabetes, than those without and the figures are quite startling. Experts writing in the Journal of Diabetes Investigation, published in the Wiley Online Library said: “The severity and risks of musculoskeletal complication might not be well recognised as cardiovascular complications, however the associated ailments certainly inflict both physical and psychological harm on people with diabetes. “Among the various musculoskeletal diseases, shoulder pain is one of the most common complaints. Wed, June 21, 2017 Living with diabetes - ten top tips to live normally with the condition. “Previous reports showed that there is a higher prevalence rate - 27.5 per cent - of shoulder disorders in patients with diabetes as compared with the rate of 5 per cent found in general medical patients.” Frozen shoulder symptoms include pain and persistent stiffness in the Continue reading >>
Bone And Joint Health In Type 1 Diabetes
Scientist Shannon Wallet explores the wrecking crew that rips out the bodys old bone Immunologist, University of Florida College of Dentistry Bones seem like the one feature of our bodies that doesnt move or change. But unlikely as it may seem, the 206 bones in your body are actually a lifelong work in progress: Every seven years, give or take, you get a new skeleton. The work is done by two types of specialized cells, called osteoclasts and osteoblasts. Osteoclasts are responsible for removing bone, and osteoblasts are responsible for laying new bone down, says Shannon Wallet, PhD, an immunologist at the University of Floridas College of Dentistry. They work together to remodel the skeleton. To picture how it works, imagine renovating a house. Theres a demolition crew, the osteoclasts, that comes in, rips out the old, and takes it away. Only then can the osteoblasts arrive to install the new stuff. Thats just what its like with your bones. To get good-quality bone, you have to remove bad-quality bone. If you dont, over time quality and strength would be very poor, Wallet says. Wallet wants to know why diabetes makes the osteoclast wrecking crew go wild. In people with diabetes, osteoclasts [break down] much more bone, she says. Theyre overactive, and in addition they dont turn themselves off. Other studies have shown that diabetes can get in the building crews way, too. Osteoblasts in type 1 diabetes arent very good at laying down quality bone, Wallet says. In other words, osteoblasts dont work well enough, and osteoclasts work too well. Thats why you end up with fragile bones. Indeed, bone fragility and osteoporosis, a disease that reduces bone density, are both much higher in people with diabetes. It can also be harder for them to heal after breaking a bone. Arthrit Continue reading >>
- The effect of insulin on bone mineral density among women with type 2 diabetes: a SWAN Pharmacoepidemiology study
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
Bone And Joint Problems Associated With Diabetes
If you have diabetes, you're at increased risk of various bone and joint disorders. Certain factors, such as nerve damage (diabetic neuropathy), arterial disease and obesity, may contribute to these problems — but often the cause isn't clear. Learn more about various bone and joint disorders, including symptoms and treatment options. Charcot joint What is it? Charcot (shahr-KOH) joint, also called neuropathic arthropathy, occurs when a joint deteriorates because of nerve damage — a common complication of diabetes. Charcot joint primarily affects the feet. What are the symptoms? You might have numbness and tingling or loss of sensation in the affected joints. They may become warm, red and swollen and become unstable or deformed. The involved joint may not be very painful despite its appearance. How is it treated? If detected early, progression of the disease can be slowed. Limiting weight-bearing activities and use of orthotic supports to the affected joint and surrounding structures can help. Diabetic hand syndrome What is it? Diabetic hand syndrome, also called diabetic cheiroarthropathy, is a disorder in which the skin on the hands becomes waxy and thickened. Eventually finger movement is limited. What causes diabetic hand syndrome isn't known. It's most common in people who've had diabetes for a long time. What are the symptoms? You may be unable to fully extend your fingers or press your palms together flat. How is it treated? Better management of blood glucose levels and physical therapy can slow the progress of this condition, but the limited mobility may not be reversible. Osteoporosis What is it? Osteoporosis is a disorder that causes bones to become weak and prone to fracture. People who have type 1 diabetes have an increased risk of osteoporosis. What are Continue reading >>
- Joint Disorders Associated with Diabetes
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
Diabetic Neuropathic Pain Management
Diabetic Neuropathic Pain Symptoms: Patients can experience diabetic neuropathic pain from damaged nerves that can feel like sharp pain, burning, tingling or numbness in the arms/hands and legs/feet. Diabetic Neuropathic Pain Causes: Diabetic neuropathic pain is caused when there is a prolonged exposure to high blood sugar/glucose levels, causing nerve damage in the body. Other factors that may contribute to diabetic neuropathic pain include inflammation, genetic factors, smoking and alcohol abuse. There are different types of diabetic neuropathy causing different types of pain symptoms. You may have more than one type causing more than one type of diabetic neuropathic pain symptom as well. Most of the diabetic neuropathic pain symptoms do develop gradually and may not be noticeable until significant nerve injury is present. The different types of diabetic neuropathy are listed below. Numbness. Tingling and burning sensations that may be worse at night. Decreased ability to feel pain in the feet causing unnoticed injury that can progress to infections. Commonly, patient can develop ulcers and infection causing deformity and bone and joint pain. Pain with movement. Allodynia or pain to light touch. Weakness. Mononeuropathy also called Focal Neuropathy: This is typically seen more commonly in older adults. The pain symptoms from this condition can occur suddenly but tends to improve and resolve over a period of weeks to months. A specific nerve gets injured, often in the head, torso or leg, but there usually is no associated long-term injury. The pain symptoms of mononeuropathy include: Double vision, difficulty focusing, pain in one eye. Paralysis on one side of the face (Bell’s palsy). Pain in specific area of the leg, thigh or foot. Chest or abdominal pain that can s Continue reading >>
Diabetes Drugs Can Cause Severe Joint Pain, Fda Warns
An entire class of diabetes drugs can cause severe and disabling joint pain, the Food and Drug Administration cautioned patients on Friday. The drugs, which include Januvia, Onglyza, Tradjenta and Nesina, are all in the same class and work by making more insulin available to the body. Januvia was the first approved in the U.S. in 2006. “The U.S. Food and Drug Administration (FDA) is warning that the type 2 diabetes medicines sitagliptin, saxagliptin, linagliptin, and alogliptin may cause joint pain that can be severe and disabling,” the agency said in a statement that uses the generic names of the drugs. “We have added a new Warning and Precaution about this risk to the labels of all medicines in this drug class, called dipeptidyl peptidase-4 (DPP-4) inhibitors.” The drugs are already linked with some potentially severe side-effects. Januvia, for instance, can cause a severe inflammation of the pancreas called pancreatitis that’s not only excruciating but that can be deadly. Onglyza has been linked with a higher risk of heart failure. “Patients should not stop taking their DPP-4 inhibitor medicine, but should contact their health care professional right away if they experience severe and persistent joint pain. Health care professionals should consider DPP-4 inhibitors as a possible cause of severe joint pain and discontinue the drug if appropriate,” the FDA said. FDA searched its database that has reports of potential drug side-effects. These side-effects can be caused by drugs, but not always. The FDA analysis suggests that people taking these particular diabetes drugs did have a higher risk of severe joint pain. “Patients started having symptoms from one day to years after they started taking a DPP-4 inhibitor. After the patients discontinued the DPP-4 Continue reading >>
- 14 Ways to Reduce Joint Pain With Diabetes
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
Diabetes & Arthritis: Understanding The Connection
Type 2 Diabetes & Arthritis Work in the garden one day, and you’re stiff the next. Take a long walk, and your knees ache. It’s just part of aging, right? Yes—but having type 2 diabetes may have something to do with it, too. People with type 2 diabetes are almost twice as likely as people who don’t have it to develop osteoarthritis. Osteoarthritis is the most common form of arthritis and happens when the cartilage that cushions the ends of your bones wears down. A 2013 study from the University of Erlangen in Nuremberg, Germany, followed more than 900 people with and without type 2 diabetes for two decades. They found that people with diabetes are more likely to develop arthritis severe enough to need joint-replacement surgery. Type 2 diabetes is more prevalent among people who are older and overweight, populations already at higher risk for arthritis. According to the U.S. Centers for Disease Control and Prevention (CDC), 50 percent of adults 65 and older have been diagnosed with arthritis, and according to the American Diabetes Association (ADA), almost 26 percent of adults 65 and older have type 2 diabetes. But that doesn’t fully explain why people with type 2 diabetes have achier knees and hips. When researchers accounted for both age and body mass index (BMI) in their data, the connection between blood glucose and joint health was still strong. The conclusion: Diabetes must have a direct effect on the joints. “Diabetes on its own is a predictor for severe osteoarthritis,” says the study’s author, George Schett, M.D. Linking the Two Scientists aren’t sure why diabetes contributes to joint damage, but they have theories. People with diabetes— especially those whose blood glucose levels stay too high over time—tend to have difficulty in healing, s Continue reading >>
Joint Pain And Bone Conditions
Tweet Diabetes affects both the nerves and circulation which can result in joint pain and disorders developing in a number of areas of the body. In terms of the complications of diabetes, joint disorders tend to get mentioned less than the likes of retinopathy and kidney disease but some of the conditions can be serious. Charcot foot Charcot foot, also known as Charcot arthropathy and Charcot joint, is the name for a condition which causes the foot to swell and, in progressed cases, deform. Symptoms of Charcot foot include: Swelling or redness of joints in the foot Affected foot being warmer than the non-affected foot Pain in the affected area will be noticed Charcot foot can affect any of the weight bearing joints in the foot including the ankle. Charcot joint can be treated but the treatment takes time, up to several months, typically involving casting the foot and taking weight off it. Read more about Charcot foot Osteoporosis Osteoporosis, meaning porous bones, is a condition which causes bones to weaken. Areas which tend to be affected are the spine, wrist and hips. Symptoms develop slowly and can be hard to notice until an event causes a bone to break or fracture, termed as a ‘fragility fracture’. Treatment may include extra vitamin D and/or calcium in your diet and exercises to build up strength in the bones are often prescribed. Osteoarthritis Osteoarthritis includes inflammation of the tissues in the joints and damage to cartilage. People who are overweight put extra strain on their joints and can increase the risk of osteoarthritis as well as making the condition more pronounced. Osteoarthritis symptoms Symptoms include: Pain Stiffness A grating sound or a limited range of mobility in the joints. Osteoarthritis becomes more likely in old age, with 50 years Continue reading >>
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- 14 Ways to Reduce Joint Pain With Diabetes
Joint And Muscle Problems Associated With Diabetes
Home » Related Health Issues » Joint and Muscle Problems Associated with Diabetes Joint and Muscle Problems Associated with Diabetes Introduction Connective Tissue Disorders Tests Your Doctor May Carry Out Myopathy Cheiroarthropathy Frozen Shoulder Trigger Finger Dupuytren’s Contracture Carpel Tunnel Stiff Man’s Syndrome [SMS] Also Known as Stiff Person’s Syndome Diffuse idiopathic Skeletal Hyperostosis [DISH] Introduction Joint and skeletal disorders, known as connective tissue disorders, are recognised as complications of diabetes but they tend to receive less attention than the other complications and the progress of these conditions is often not monitored. This could be because they are not life-threatening but they can be distressing and painful conditions that may adversely affect lifestyles for many people. One thing that seems clear, is that no one seems to know the causes of these conditions or if there are certain people who are more susceptible to them. It seems unacceptable to simply put them down to ‘long-term diabetes’. In the IDDT Newsletter April 2003, Rae Price described how she had developed pains in her hands and feet and was diagnosed with cheiroarthropathy but no one seemed to have heard of it! But she changed to animal insulin and not only felt better but the general stiffness and pain had disappeared. Rae’s diary resulted in many phone calls and letters from people with various joint and muscle problems, so we decided to take a look! Continue reading >>
- Joint Disorders Associated with Diabetes
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
Identifying And Treating Diabetes Joint Pain
Diabetes and joint pain are considered to be independent conditions. Joint pain may be a response to an illness, injury, or arthritis. It can be chronic (long-term) or acute (short-term). Diabetes is caused by the body not using the hormone insulin correctly, or insufficient production of it, which affects blood sugar levels. What would a hormone and blood sugar-related condition have to do with joint health? Diabetes is associated with widespread symptoms and complications. According to the Centers for Disease Control and Prevention, 47 percent of people with arthritis also have diabetes. There is an undeniably strong link between the two conditions. Diabetes can damage joints, a condition called diabetic arthropathy. Unlike pain caused by immediate trauma, the pain of arthropathy happens over time. Other symptoms include: thick skin changes in the feet painful shoulders carpal tunnel syndrome A joint is the place where two bones come together. Once a joint wears down, the protection it provides is lost. Joint pain from diabetic arthropathy comes in different forms. Charcot’s joint occurs when diabetic nerve damage causes a joint to break down. Also called neuropathic arthropathy, this condition is seen in the feet and ankles in people with diabetes. Nerve damage in the feet is common in diabetes, which may lead to Charcot’s joint. A loss of nerve function leads to numbness. People who walk on numb feet are more likely to twist and injure ligaments without knowing it. This places pressure on the joints, which can eventually cause them to wear down. Severe damage leads to deformities in the foot and other affected joints. Bone deformities in Charcot’s joint may be prevented through early intervention. Signs of the condition include: painful joints swelling or redn Continue reading >>
- Is it possible to catch diabetes? It sounds absurd, but that's what a reputable new study suggests. And it may be that other 'lifestyle' diseases such as joint pain and even obesity are contagious, too
- Do Simvastatin Side Effects Include Diabetes and Joint Pain?
- 14 Ways to Reduce Joint Pain With Diabetes
