If You Have Diabetes, You May Have Neuropathy Too

Today's post from irishhealth.com (see link below) talks about the fact that many diabetics may be unaware that they also have neuropathic problems, partly because their symptoms are not yet painful enough for them to report to their doctors. As neuropathy is one of the commonest side effects of diabetes, one would assume that doctors are on the look out for symptoms in their diabetic patients but this is clearly not always the case. Both patients and doctors need to be better aware of the possibility of neuropathic problems and test for them (or at least ask the right questions) soon after a diagnosis of diabetes. In the same way, people with neuropathy should maybe ask their doctors if they are also susceptible to diabetes. The two conditions appear so frequently together, testing should really be a matter of course.

Diabetes-many have undiagnosed neuropathy
[Posted: Wed 11/06/2014 by Deborah Condon www.irishhealth.com]

Almost half of patients with diabetes who attended a diabetes care centre in Dublin recently were found to have neuropathy (nerve damage) in their feet.

Neuropathy is a potential complication of poorly controlled diabetes. If it occurs in the feet, it can impair sensation, movement and function.

If left untreated, it can lead to much more serious problems with the feet, including foot ulcers and amputation. However, early intervention and treatment can prevent more serious problems from occurring.

According to Diabetes Ireland, 47% of patients who attended its Diabetes Ireland Care Centre in Santry during the first three months of 2014 had neuropathy, however many of these were unaware they were affected.

"Every person with diabetes should have an annual foot assessment which should include, as a minimum, removal of the shoes and socks and a test for feeling (sensation) in each foot using a monofilament.

"Many of the patients I see say they had never seen a monofilament so I would ask GPs in the locality to encourage their diabetes patients to have an annual foot assessment and refer or ask them to make an appointment with a podiatrist," commented Theresa Kidd-Foley, a senior podiatrist at the centre.

She insisted that by doing this, people with diabetes could ‘significantly' improve their chances of avoiding foot-related complications, such as ulcers.

Figures from the HSE show that in 2013, more than 1,550 people with diabetes were hospitalised for foot ulcer treatment, spending an average of three weeks in hospital. Furthermore, 371 lower limb amputations were carried out on people with diabetes last year and according to Diabetes Ireland, this figure is particualrly shocking given that research has shown that 80% of diabetes-related amputations are preventable.

"I never really appreciated the need to look after my feet until I had a problem. I went to the Diabetes Ireland Care Centre and as well as having my problem sorted, I was educated on how to look after my feet properly each day and how to check my feet for signs of damage," said diabetes patient, George Casey, of Drumcondra in Dublin.

The Diabetes Ireland Care Centre is a not-for-profit initiative of Diabetes Ireland, which aims to reduce the number of people developing diabetes-related eye and feet complications as a result of poor management of the condition. It also provides information and support to people.

"People with diabetes must actively self-manage their condition and seek out the necessary supports they require to help them stay healthy," Ms Kidd-Foley said.

http://www.irishhealth.com/article.html?id=23731