People with diabetes suffer from the same problems as those without diabetes, such as pes cavus (a high-arched foot), flat feet, bunions, deformed toes, corns, calluses, blisters, fungal infections etc. The risk is that often the foot is unable to respond to the stresses placed upon it. The body weight transmitted through a local area causes high pressure and leads to callus formation. If neuropathy is present, you won't know that the callus is pressing on the softer skin underneath and eventually the skin can break down and an ulcer forms. Sometimes a foot with neuropathy becomes swollen and deformed and changes shape permanently, this is a serious condition called Charcot foot
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The foot has been referred to as "the mirror of the diabetic state," but amongst health professionals mention of the diabetic foot usually produces visions of ulceration, infection, gangrene, and amputation. For someone with diabetes, foot problems are very significant because they can be life threatening. There are two main reasons for this.
More on One Pair Must Last A Lifetime – The Diabetic Foot (1/2)
Andrew will be posting his observations on the world of podiatry as well as hints and tips in his specialist areas of diabetes, arthritis and children's foot problems.
You can read about Andrew's qualifications and background on the page 'About Andrew Clarke' and locate his clinical practice in the 'Practice' page.


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