According to James Hanna, DPM, "Diabetes affects just about every part of the body—including your feet. If it goes undiagnosed for a while or is poorly managed over a long period of time, diabetes can cause a decrease in circulation and nerve function. That’s a problem because neuropathy can lead to numbness in your feet, which can make it difficult to feel that a shoe doesn’t fit properly. Combine nerve damage with ill-fitting shoes, and you have the perfect storm for trouble: blisters and skin breakdown that can lead to infection. "
|Dr. James Hanna
"Poor circulation can slow the healing of ulcers and other wounds, which can up the risk for gangrene and even amputation. Other factors, such as bunions, hammertoes, arthritis, and swelling, may also adversely affect how a shoe fits. People with these conditions may find that selecting a shoe or sneaker off-the-shelf leads to problems," says Dr. Hanna.
Source: Diabetes Forecast [November 2017]
Courtesy of Barry Block, editor of PM News.
Brought to you by Doctor John A. Hardy, owner of Toronto's Foot Clinic, Academy Foot and Orthotic Clinics.