Diabetes has started to become so widespread, it is almost as though society has become complacent regarding it. The prevalence is rising in most countries despite public health interventions are seeking to decrease the obesity crisis that is underpinning the diabetes challenge. Diabetes has a number of complications which combine collectively to put the foot at significant risk from complications. These complications vary from a mild infection to the more considerable complications like a need to amputate a limb because of a spreading infection or dead tissue. The complications associated with diabetes have an impact on a wide variety of tissues in the body.

With regards to the foot, diabetes  impacts the blood supply which means that any damage to the foot is more likely to be serious because there is inadequate good circulation allowing healing to take place. Diabetes also damages the nerves, so that when there is some trauma, either major or minor like a skin cut, then no pain is felt, so the area continues to be traumatised making the complication considerably more severe. The body has many functions to fight infection, however in diabetes the reaction to an infection is a lot slower compared with those not having diabetes. Diabetes may also affect the eye and while they are quite a distance from the foot, enough vision is necessary to see any issues that may have happened to the feet so it can be addressed. Even the kidney disease that is common in diabetes has an effect on wound healing once the injury has been done and the presence of disease in the kidney can impact what medication, such as antibiotics, can be used and sometimes that range can be extremely limited.

It is for all these complications, and others not brought up, that those with diabetes have to take additional care of their feet. They should check out them frequently to make sure that there is no injury and if there is damage they must get medical attention quickly. Above all, they must be regularly reviewed by a podiatric physician.


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