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An Overview of Diabetic Neuropathy

Date Published: 23rd September 2009
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Approximately 25% of diabetics develop complications in their feet. Foot deformities such as bunions, hammertoes, blisters and Charcot feet are more likely to affect diabetics. Minor scraps, cuts and bruises can progress until they become serious infections or gangrenous. In worst-case scenarios, amputation of a toe or foot may be necessary.

Most of the foot problems that diabetics face are related to another condition called “neuropathy.” Among diabetics, most cases of neuropathy affect the peripheral nerves. The peripheral nerves are the part of the nervous system that connects the spine to the rest of the body. They are distinguished from the central nervous system (the spine and the brain). In fact, the peripheral nervous system is what connects the central nervous system to the rest of the body, such as the muscles and organs.

Diabetics who suffer from damage to their peripheral nervous system (PNS) may encounter three different categories of problems: automatic, motor and sensory. Damage to the automatic nervous system of the PNS may lead to trouble with heart rate, digestion and other normal functioning of the organs. Damage to the motor nervous system of the PNS may lead to a loss of strength or the inability to control movement. Damage to the sensory nervous system makes it difficult for diabetics to feel sensations of pain, hot or cold.

It is damage to the sensory nervous system that often results in foot related problems. Remember: pain helps us to quickly identify and avoid situations that pose a danger to our health. When we have a sore spot on our foot, the pain tells us that this particular wound may need some extra care and attention such as a Band-Aid or antibiotic cream.


Unfortunately, it is not possible to reverse peripheral neuropathy once it develops. But you can do several things to prevent the condition from developing or from getting any worse. If you are at risk for peripheral neuropathy, avoid alcohol and cigarettes. Keep your blood sugar levels healthy. Exercise regularly to promote healthy circulation in your feet. Protect your feet with close-toed, supportive shoes.

If peripheral neuropathy develops, regular inspections of your feet for minor injuries or deformities will need to become part of your daily routine. A podiatrist may need to treat minor conditions usually treatable at home. The good news is that vigilant attention to the feet can keep them infection and foot ulcer free for years to come.


Jane Barron works for OddShoeFinder.com,a free online website that helps people find mismatched footwear.Get more information on diabetic shoes, diabetes support group or diabetes foot problems.
Tags: spine, scraps, diabetics, heart rate, central nervous system, digestion, extra care, sensations, foot problems, amputation, blisters, band aid, cuts and bruises, worst case scenarios, peripheral nervous system, peripheral nerves, foot deformities, antibiotic cream
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