Friday, August 06, 2010

Evaluation and Prevention of Diabetic Neuropathy

Early findings and diagnoses can direct your podiatrist on the most expedient treatment and prevention of complications. When you notice that your foot feels "different", seek immediate attention, especially if you are a diabetic.

Diabetic Neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may present with only one type of diabetic neuropathy or may develop combinations of neuropathies (e.g., distal symmetric polyneuropathy and autonomic neuropathy). Distal symmetric polyneuropathy is the most common form of diabetic neuropathy. Diabetic neuropathy also can cause motor deficits, silent cardiac ischemia, orthostatic hypotension, vasomotor instability, hyperhidrosis, gastroparesis, bladder dysfunction, and sexual dysfunction. Strict glycemic control and good daily foot care are key to preventing complications of diabetic neuropathy.

Diabetic neuropathy can affect any part of the nervous system. This nerve disorder should be suspected in all patients with type 2 diabetes and in patients who have had type 1 diabetes for more than five years. In some instances, patients with diabetic neuropathy have few complaints, but their physical examination reveals mild to moderately severe sensory loss. Idiopathic neuropathy has been found to precede the onset of type 2 diabetes or to occur as an early finding in the disease

If you have diabetes keep educated about proper foot care and check your feet daily.
Enroll in the Medicare Diabetic Shoe Program that allows for reimbursement for qualified diabetics and qualified shoes.
You should have an annual foot examination by a podiatrist or other health care professional.
Conveniently Dr. Kerch, ABPS certified and FACFS member,is accepting new patients. Due to her experience treating diabetic complications over the years, she is very invested in early diagnoses, prevention and treatment. Beginning with conservative care, she can begin the process of enrolling you in the Medicare Shoe Reimbursement Program. Since Dr. Kerch's Clinic is located behind the Your 2 Feet Pain Relief Shoe and Product Store (A-Z), you will have easy access to a vast array of qualified shoes to choose from.

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