Health Alert: Diabetes and Circulation. By Shelly Somers, CRNP (Fall 2004)
Individuals with diabetes have a greater than average risk of developing heart and blood vessel problems. Hence, those with diabetes must be especially careful to manage their blood sugar levels and watch for signs of poor circulation. When blood sugar levels are poorly managed, the blood vessels tend to become thicker and less flexible. As a result, it’s harder for the blood to flow through them. This is especially true of the smaller blood vessels that are so important to good circulation in the lower legs and feet. As an added concern, diabetics have a natural tendency toward higher cholesterol and triglyceride levels. Together, these problems put diabetics at a greater risk for PAD. Poor circulation in the legs and feet can lead to a variety of serious complications, including loss of feeling, sores that won’t heal and in some instances, amputation. Therefore, DAILY foot care should include: In addition, razor blades, scissors or other sharp objects should NEVER be used to remove corns or warts. Tight elastic socks or stockings that diminish circulation to the feet should be avoided entirely. Lastly, regular foot examinations by the primary care physician or podiatrist are an essential part of detecting and treating problems in the earliest stages. Diabetes brings with it a set of health challenges that require education and action. A healthy diet, exercise, not smoking, and limiting alcohol are essential for everyone, but especially for those who face the added challenge of managing diabetes. |


