Peripheral Edema and Diabetes
is swelling from the collection of fluid in the feet, ankles, and legs. It can occur in one or both of your lower extremities. If you have diabetes, you need to take extra precautions when you have edema.
Edema is the result of damage to capillaries or increased pressure causing capillaries to leak fluid into surrounding tissues and result in swelling. People with diabetes often have circulation problems that can cause wounds to heal slowly or not at all.
Edema makes it more difficult for wounds to heal. Therefore, controlling edema is essential.
There are many common causes of edema that are fairly benign. Some examples of more common causes of peripheral edema, not specifically related to diabetes, include physical inactivity, standing or sitting for long periods of time, surgery, burns, hot weather, pregnancy, menstruation, menopause, contraceptive pills, certain medications, excessive salt intake, malnutrition, or a bad diet.
Edema may present in only one extremity (rather than both) due to deep venous thrombosis
(DVT), cellulitis, osteomyelitis, trauma, a ruptured Baker's cyst, or a lymphatic obstruction.
Peripheral edema can also be associated with more serious conditions—many of which can be associated with diabetes complications such as heart disease, venous insufficiency, liver disease, and kidney disease.
Certain diabetes medications can also cause edema, specifically the thiazolidinedione drugs Actos and Avandia.
These drugs have come under a cloud because of their potential cardiac adverse effects, and should not be used in anyone who h Continue reading