Diabetes Mellitus

Diabetes Mellitus is a serious, chronic disease in which there is a high level of glucose (sugar) in the blood. Diabetes affects over 30 million Americans and is the 7th leading cause of death. There are different types of diabetes:

Type one diabetes, also known as insulin-dependent diabetes, occurs most often in children or young adults. In this type of diabetes the body does not produce any insulin and the person must take insulin shots daily to stay alive.

Type two diabetes, also known as non-insulin-dependent diabetes, is the more common form of diabetes. Type two diabetes results from the body's inability to make enough insulin to effectively regulate blood glucose. It is most common in people who are overweight and do not exercise.

As a result of diabetes, the foot can become susceptible to many problems and often accounts for up to 20% of hospital admissions. A foot ulcer will occur in approximately 15% of patients with diabetes. Ulcers are most often associated with peripheral neuropathy in which the patient lacks any physical sensation. An ulcer that fails to heal commonly leads to infection and in some cases can result in amputation of the foot. 

It is imperative to check the feet daily to detect any changes or problems. Wear comfortable and properly fitted shoes that have roomy toe-boxes and that do not pinch, rub, or cause pressure on the foot. Always wear clean, dry socks without seams and be sure to keep your feet warm and dry.

Pedorthic applications include:

• Properly fit shoes
• Shoes with elastic uppers to allow specific spots to stretch without applying pressure
• Excavations
• Metatarsal pads
• Full steel shanks
• Accomodative inserts
• Functional orthotics with soft top covers