Diabetes Management with Galleria Podiatry

Diabetes is a condition in which the amount of glucose (sugar) in the blood is too high because the body is unable to use it properly.

Type 1

Usually affects children and young adults. It occurs when there is a reduced, or absence, of insulin production by the pancreas. This type is also known as insulin dependant diabetes mellitus (IDDM). Treatment for IDDM is usually in the form of daily Insulin injections.

Type 2

Usually affects people over the age of 40, overweight, those with a family history of diabetes, or poor lifestyle, including diet and exercise. It occurs when an insulin resistance develops and therefore, the body has an inability to deal with glucose and fat.

This type is known as non-insulin dependent diabtetes mellitus (NIDDM). Treatment is normally based around lifestyle changes, including weight loss, diet and exercise. Daily medicaton may be required if lifestyle changes do not control blood sugar levels.

How does Diabetes affect the feet?

If Diabetes is poorly controlled for a long period of time it may lead to nerve damage, (periperal neuropathy) which impairs sensation to the feet, and / or reduced blood supply to the feet (poor circulation). Periperal neuropathy results in reduced pain and pressure sensation which means that if you cut your foot, develop a blister or step on something sharp, you may not feel it, and serious infection may develop. If poor circulation is also a factor, the infection may not heal and an ulceration may develop. In serious cases if the ulceration does not heal, the only option may be to remove body tissue (amputate) from the infected area.