Diabetic Living Summer 2019

(Nancy Kaufman) #1

SUMMER 2019 / DI ABETIC LI VING 19


Balance

EV ERY DAY WAYS TO


IMPROV E YOUR HEA LTH


When the Shoe Fits

Everyone needs good footwear. But when you have
diabetes, shoes are about more than just fashion.

BY CHRISTINE YU


It’s estimated that up to 50 percent of
people with diabetes have peripheral
neuropathy, a type of nerve damage that
affects your ability to sense pain and hot
or cold temperatures. And as many as
half may have no symptoms. “Normally,
if you have a blister, you feel it and stop
wearing a certain shoe. But if you don’t
have sensation in your feet, you may

keep wearing the shoe and walking on
the area that’s sore,” says Monara Dini,
D.P.M., a podiatrist in the Center for
Limb Preservation at UCSF Medical
Center. Those pressure points can turn
into foot ulcers and cause a cascade of
problems. But the right footwear can go
a long way toward keeping serious foot
complications at bay.

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