The national institute of clinical excellence (NICE) states that diabetes is one of the most common chronic diseases in the United Kingdom and its prevalence is increasing. Diabetes is a lifelong condition and cannot be cured, once receiving a diagnosis of diabetes the patient will be on medication for the rest of their life.
Type 1 diabetes is often a hereditary condition, usually diagnosed in children and young adults. This is where the body's own immune system attacks the pancreas that produces insulin, so it fails to produce any at all. It is unknown why the body reacts in this way.
Type 2 diabetes usually develops as a result of lifestyle. It typically gets diagnosed in people middle aged and above and has high association with obesity. It is where the pancreas fails to produce enough insulin, or the cells in the body fail to react to the insulin produced.
Those with either type of diabetes have an abnormal elevation of blood sugar without medication, due to a lack of adequate insulin which is used to metabolise sugar - convert it into energy. As a consequence, increased blood glucose circulates in the body's blood vessels and ultimately causes numerous secondary issues.
Signs of diabetes:
Foot complications are very common in diabetics, it is estimated that around 10% of people with diabetes will at some point develop a foot ulcer.
Diabetics are at a much higher risk of developing foot problems. This is due to prolonged raised blood glucose levels, also known as blood sugar levels. Too much blood sugar circulating round the body abnormally enters the nerves, which provide sensation to the feet. It can also affect the blood vessels, leading to a reduced blood supply to the feet, this combination of vascular and neurological deficit can have massive implications.
Poor blood glucose control and inadequate foot health care may lead to foot ulcers, bone collapse, infections, and ultimately in the worst case scenarios; gangrene and amputations.
Diabetes is the number one cause of non-traumatic limb amputation in the United Kingdom, with 80% of these amputations leading from an ulceration. It has been shown that following the first amputation, people with diabetes are twice as likely to have further amputation compared to those without diabetes.
Mortality rates following diabetic foot ulcerations and amputations are high, up to 70% of people dying within 5 years following amputation, and around 50% die within 5 years of developing diabetic foot ulcer. These high mortality rates have high correlation with cardiovascular disease.
Sign and symptoms of a problematic diabetic foot include:
If you have diabetes you would benefit from podiatry. It is important to be fully informed of the possible foot complications that can occur and how to best prevent them. Also, to be aware of the individual risk of developing serious problems.
The below benefits can be gained:
For more information about the services that are available or to book an assessment please call 0151 558 0099
Our clinics are open Monday to Saturday 8am - 8pm. We can usualy see you within 24 - 48 hours. Sometimes same-day appointments are available.
Liverpool Podiatry offers a range of podiatry services that are suitable for all individuals. This means that whether young or old, amateur or elite athlete - Liverpool Podiatry can help you!
Liverpool Podiatry is a leading provider of quality podiatric assessment and treatment services in Liverpool and Merseyside.
We are part of Chiropody.co.uk - We provide immediate access to a high quality, value for money bespoke podiatry service. Our podiatrists provide specialist treatments to meet the needs of individuals, case managers, solicitors, organisations, care homes, and sport teams.