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07/11/09 03:28 PM

"Does cramping in the feet and legs at night and times of tingling and numbness in my feet mean I am getting diabetic neuropathy?"
Asked By: mamared  
Category: Neuropathy

Background Info Hide
I have always thought the tingling was from my lower back problems, but now I am not so sure. There is really no definitive information out there.

Expert Answers (1)

07/13/09 09:32 PM

Dear MaMared; The adjectives you use to describe are similar to those of diabetic neuropathy, or signs of blood vessel damage. If you are encountering these problems, I would suggest an appointment with a Podiatrist, DPM. A physician specializing in the diagnosis, management and treatment of the many neuropathies associated with diabetes. Minor problems can turn into serious ones. Are you encountering foot problems such as: cuts, cracks, redness, changes in shape, cold/hot spots, holes, blisters, peeling-just to mention a few. Nerve damage can make the affected area less able to feel pain, heat or cold sensations. Circulation changes can impact several areas; sweat glands may malfunction, leaving feet dry and scaly. Your skin my peel and crack. Changes in the foot appearance and form may result in weight being distributed unevenly increasing the risk for corns/calluses. Regarding "tingling and numbness" lost of feelings in your feet, wearing protective footwear is important, as well as examining your feet daily for irritations; irritations that could manifest to foot ulcers. If your circulation has been compromised wound healing can slow, the risk of infection can increase. It is very important to be alert to the signs of blood vessel damages to the legs and feet. Consequent, to alleviated any additional risks, blood glucose control is paramount!! Back to the basics; A1C<7%, blood glucose levels always <140mg/dl-(at any time), blood pressure <130/80,mm/Hg, Cholesterol<200mg/dl, HDL>40mg/dl for men, >50 for women, LDL<100mg/dl; Continued foot care; keep clean and dry, toenails trimmed, nicely rounder to curve of toenail. At regular office visits, remind your PCP/Endocrinologist/doctor to check your feet. This check should occur annually to include: blood vessels, muscle and nerve damage assessment. High glucose readings increase the risk of foot problems. Keep your doctor informed of any problems, no matter how minor they seem to YOU!!! Sue
Answered By: Susan Throop
Accreditations: RD, CDE, MA
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A 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.

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