Feet Sores

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Feet Sores


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Old 08-14-2014, 18:40   #1
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Default Feet Sores

Okay, so I took a several week course class about living with diabetes and diabetes complications. And they thoroughly scared me about foot amputations (and my doctor added to this fear.) And I have a question about it.

Basically, they said that the reason so many diabetics get foot amputations is that they lose feeling in their foot, get some kind of cut or sore, the cut/sore (because diabetics heal slowly) doesn't close and gets infected and eventually turns to gangrene and then they need an amputation. So they said to watch for wounds on the feet that are still open after a few days, no matter how small.

And that I have to check my feet every night for sores because I might not feel it every time I hurt myself.

Basically, just now, I really banged up my toes against my bed. Part of one of my nails is falling off and another one has this black and blue bruise thing already forming under it now. It hurt really badly, so I am not worried about not feeling it. I said a lot of curse words when it happened.

BUT now I am scared it will get infected and not heal properly and I will have to get my foot amputated. How can I tell if a nail (that has discoloration under it and the entire wound is hidden beneath the nail) is healing or not? How do I know when I need to go to the doctor and get it checked out?

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Old 08-14-2014, 18:45   #2
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They forgot a key word in their description, "uncontrolled".

It's high BG that leads to these issues. As long as you're keeping excellent control I doubt you'll have to worry too much.

I can't help with what to look for as far as your actual injury, never done anything close to it, but I'm sure someone on here can help.

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Old 08-14-2014, 18:47   #3
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Well, my blood sugars are under control right now according to my recent a1c tests, but I am still worried about this because I still notice that I heal very slowly compared to most people.

Although, I've had a cold lately and I've been proud because it's been only a week and I think I'm over it, while in the past before I started getting control over my diabetes, it took a month! So maybe things are better than they used to be?

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Old 08-14-2014, 18:53   #4
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What was your most recent A1c, Sweetypie? Do you follow a low-carb way-of-eating and do you test regularly/frequently? Sorry to sound contrary, but sometimes our doctors' ideas about control are not the same as ours.

If I were you, I'd be slashing carbs left & right - getting blood sugar as low as possible - give that every chance to heal as quickly as possible.




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Old 08-14-2014, 19:39   #5
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My a1c right now is 6.2

I do try to test more than most diabetics. The ones I test in person only test once a day and they think I am crazy for thinking that you need to test several times a day.

But I try to go by my a1c more than the readings I am getting all day.

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Old 08-14-2014, 19:42   #6
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But I just really want to know what to look for right now more than to know how I should diet. It really doesn't matter even if I am dieting perfectly if I don't notice a cut on my foot when it gets infected and don't go to the doctor about it. I'll still have to get it amputated. With the cut on the outside, they told me to see if it closed after 3 days or not. But if it's bruising/bleeding under my nail, what do I do?

It's just like how I have to get my eyes checked once a year regardless of how I am dieting as well. At least that's how they nagged me in this class and I've been getting everything checked and inspecting my feet every night like they told me to.

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Old 08-14-2014, 19:51   #7
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Your HbA1c reflects your average blood glucose over a period - this is true but it doesn't reflect your highs and lows in any reliable way.

Consider 25 and 175 - that gives you an average of 100, and so does 98 and 102. Which is the more stable and desirable pattern?

In my view we do need something that shows us on a day by day basis where our numbers are going. My own strategy is to use my fasting figure each morning as an indicator of my floor value (I don't use medication), then my HbA1c offers me a feel for my overall average.

I do recommend running both tests in parallel.

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Old 08-14-2014, 19:58   #8
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Quote:
Originally Posted by sweetypie View Post
they lose feeling in their foot, get some kind of cut or sore, the cut/sore (because diabetics heal slowly)
I HATE it when medical professionals do this.

You have the answer

1 they loose feeling and dont know they have damage. they loose feeling from having HIGH BG and getting neropathy... do you have neropathy, no!

2 Diabetics heal slowly NO diabetics that have run high BG for a long time and have pour circulation heal slowly. Is that you? if yes then I would see an MD about the foot
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Last edited by diabetes86; 08-14-2014 at 20:02.
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Old 08-14-2014, 20:00   #9
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I've beat up my feet more than once. Just keep an eye on it and if there are any OPEN wounds in a week (or walking is extremely painful, which may indicate an actual fracture), consider a visit to the doc. In the meantime, neosporin and cleanliness and the like to keep bacteria at bay.

The problem with slow healing and numbness is the inclination by many people to not notice things are going horribly wrong. If you are paying attention, you are several steps away from that.

And my BLACK AND BLUE toenail? I got a pedicure and had them paint them all the same shade of dark purple. Yes it took months for them all to look "normal" again, but it wasn't obvious to anyone else. My toenails grow slowly, so I only get them done every 2-4 months.

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Old 08-14-2014, 20:07   #10
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The doctor talked to about this, I do have neuropathy, and I did have a piece of glass cut out my foot, but I was able to feel it, even showed the doctor where it was at. My feet are not numb, and my toes are not numb, but the do burn like they are on fire, all the time. So yes I worry, but the doctor told me if they were not red or look like infection , swollen, irritated, not to worry about it.

I do check every night . . . it doesn't take long cause I'm not taking chances. I check when I'm putting the coconut oil on them. I actually smear that stuff all over my body. Good stuff!

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Last edited by Roxanne0312; 08-14-2014 at 20:12.
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