Inspiration And Expert Advice: Expert Columns

Why do my feet hurt?

This is related to the exposure of your nerves and vessels to elevated blood glucose levels.

How long does it take for me to get nerve problems?

This varies for each person. There is no data stating how long it takes. This is why prevention is your best medicine. Prevention includes keeping your blood glucose as near to normal as possible.

Can I prevent peripheral neuropathy?

We certainly would like to hope so. Most people who keep their blood glucose at normal or near normal levels can usually prevent peripheral neuropathy, but there is no guarantee. There are people who have good blood glucose numbers and still get peripheral neuropathy. We still recommend keeping your blood glucose levels as near normal as is possible and safe for you.

When I found out I had diabetes, I started managing my diabetes but my foot pain got worse. How could this be?

Many times when blood glucose levels are elevated, one of the symptoms from nerve damage is decreased feeling or numbness. Many people lose the ability to feel. As their blood glucose gets treated and more normal, the nerves can start to heal, and even sometimes have increased sensation for a time. This is not unusual and should not stop you from managing your diabetes. Think of it this way, “My diabetes and my nerves are getting better.” During this time period, speak with your health care provider to see if s/he has any recommendations for your comfort.

What can I do about my foot pain?

There is no one treatment for the pain of peripheral neuropathy. This is why it is important for you to be as educated as you can so you can be aware of your options. The main treatment is regulation of your blood glucose level. Again, it is important to work with your health care provider regarding your treatment of pain. Ask your health care provider about:

• Measures s/he is aware of to help relieve the pain;
• Seeing an endocrinologist or neurologist who will be aware of new medications and treatments for peripheral neuropathy;
• Seeing a podiatrist who will be aware of new medications and treatments for peripheral neuropathy;
• Visiting a Certified Pedorthist who can help you select shoes that may help you with the pain and prevent further foot problems.

And keep checking with dLife at http://www.dlife.com/ for measures to help you.

Remember, you are in charge of your diabetes. Learn all you can, but don’t forget…Work with your health care provider to select the best plan of treatment for you! EnJoy!


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*Joy Pape values each question asked by the dLife community. However, due to the large volume of questions that she receives, Joy cannot answer every question received nor promise a timely response. Should your question be selected for answering in her column, dLife will contact you at that time.

NOTE: The information is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.