Prevention

This could be achieved by:

• Blood sugar control – closely monitor your blood sugar and keep it in the range prescribed by your doctor. This is the best way to prevent or delay neuropathy and other diabetic complications. Consistency is important because variations in blood sugar levels can accelerate nerve damage. All diabetics must have an A1C test done every 6 months to see the average blood sugar level during the past 2-3 months. If it is not well controlled change the medication or get the test more often.
• Foot Care – non-healing ulcers and amputations are common in diabetic neuropathy. Get your doctor to check your feet at every visit and you must examine them daily. To protect the health of your feet:

• Check your feet every day – look for cuts, bruises, peeling skin, redness, and swelling. Use a handle mirror to see the sole of the foot.

Keep the feet clean and dry – wash with lukewarm water and mild soap. Do not soak your feet. Dry between the toes with a soft towel. Moisturize your feet to prevent cracking but avoid lotion between toes as this encourages fungal growth.

Trim toenails carefully – Cut your toenails straight across and file them carefully so that there are no sharp edges.

Wear clean dry socks – wear cotton socks without tight bands.

Wear padded shoes that fit well – Always wear shoes or slippers to protect your feet from injury. Your shoes must fit properly and allow your toes to move.

Even tiny sores can get infected and become major problems. So be careful.