- In diabetics patients a serious and common complication seen is ‘’Diabetic neuropathy’’. Here the nerve get damaged with increasing in age . It can occur any part of the body ,but the peripheral part are mostly affected: Feet and legs affected first followed by hands and arms.
- Uncontrolled blood sugar level.
- High cholesterol level.
- Increase body weight (over weight).
HOW TO IDENTIFY:-
- Burning, electric shock like sensation (especially in evening).
- Weakness in the peripheral limbs.
- Extreme sensitivity even to the light touch.
- Symptoms get worsen at night.
- Loss of sensation may occur in late condition.
- Balancing problems.
- Insensitive to temperature.
- Loss of sweating / excessive sweating during cool atmosphere.
- Drooping of eyelids.
- Incontinence of bladder.
- Do not able to recognize any physical injury.
- Late or poor recovery of wounds and ulcers.
- May also lead to loss of peripheral parts.
- Severe infection.
- Digestion problems occurs such as a vomiting diarrhea /constipation , other serious problems may also occurs.
- It may also affects eye , sexual function.
- Control the blood sugar level and cholesterol level by balanced diet.
- Reduced weight
- Check feet, leg and hand daily.
- Use lotions and there areas to prevent the skin from drying.
- Take care of nails (toes, hand).
- Wear shoes that fit well and wear it all the time from preventing it from injury, Special MCR shoes are available in market should be used by the patient
- House wife especially should wear gloves in hand while doing house hold activities.
- Don’t walk barefoot or only in socks.
- Don’t use shoes that have rough areas.
- Don’t touch too hot or cold things suddenly.
- Don’t stand in one position for a long time or sit with leg crossed, these activities may be block blood flow to feet.
- Avoid smoking.
- Fat riched diet should be avoided.
ROLE OF PHYSIOTHERAPHY:-
- Some exercises – to increase blood flow to the areas affected.
- Massage- In the skin and soft tissue which are affected to increase blood supply and draining of waste materials.
- Strengthening of weaker muscles.
- Balance training.