diabeties and care?

Question

i am a diabetic and lately my big toes have started hurting has anyone had this problem. i always go barefoot or when out i wear open toed birkenstock sandals,but i dont think thats the problem, and im scared stiff about it. my sugar is not in control im either 30 or 600 i bottom out a lot and am an insulin pump. please if you are a diabetic let me know what you think.....thanks

Answer 1

First, it sounds like you definitely need to see your doctor. You MUST get your blood sugars under control Since you said that you are on the pump (so am I), you need to track when your blood sugars are so low and so high. Show this to your doctor/nurse or whoever helped you to program your pump to it's hourly basal rates. It sounds as if they are at the wrong rates.

Second, from what I have been told for as long as I can remember, the blood sugars should not go below 70 or 80, or else it is considered low blood sugar. I personally cannot go below 80 or 90. It all depends on the person, their lifestyle, their eating habits, how much they weigh, and many other factors. The highest the blood sugar should be is 120. You should have gotten, when you had help learning about how to use your pump, a formula to figure out how much insulin to use when you have high blood sugars (how high the blood sugar is minus the amount you want to be at divided by a number they figured out for you to divide that number with). Even being on the pump, you still need to keep tabs on everything, even more so.

When are you having your lows? Is it after having insulin for foods you have eaten? Maybe you gave too much insulin to cover the foods (I have done this many times). Is it during stressful times?

When are your blood sugars so high? Is it after taking care of a low blood sugar? You could have eaten too much while taking care of a low or took care of it, then didn't have insulin to cover the food you ate after the blood sugar got back up to where it belongs (I have done this too). Is it during stress?

Are the highs and lows happening at one certain time of day? Are you going without food, giving you a low, then eat too much, giving you a high? Are you eating different amounts and or kinds of food than you did when you first got your pump? If so, then you will need to readjust the basal rate and your bolus amounts.

There are soooooooooooo many factors to figure into finding out when and why the blood sugars are doing what they are doing.

Once you have seen your doctor (with all of your results and notes) and you have your blood sugar under control, it should be easier to figure out what is going on with your toes.

I know this is a lot of information, and I hope it helps, but there are just sooooooo many factors to consider. Good luck!

Answer 2

People are so funny with the info they give on here .. so talk about their asses, others out of a textbook and some actually know what they are talking about.

Really what you need to do is see your Endocrinologist (I really hope this is the doctor you see for you diabetes) and he/she will refer you to a Podiatrist. Numbness and tingling in hands and feet are bad news for diabetics, if you don't get your diabetes under control you may have some serious issues in your future. I am so surprised to hear you are on a pump and having so many highs and lows, where you properly trained? You really need to see the doctor right away, this really isn't the place to get advice on something so serious because I find that most people know nothing about diabetes on here and it's quite sad because they are always doling out incorrect information.

Good luck and please see your doctor


BTW you should NEVER go out without shoes on, I am always having to fuss at my husband over that. You should get a nice pair of house shoes.

Answer 3

Both of my parents and all four of my grandparents are (and were) diabetic. I'm pretty sure you should be wearing some type of socks for the better part of the day (and night!). They actually sell socks specifically for diabetics at places like Walgreens and Wal Mart. They are intended to open your circulation. You should definately see your doctor about this because diabetics are KNOWN to have problems with their feet. This is not something you want to mess areound with, especially if you are on the pump! My grandfather actually lost both legs at the knee from complications with his diabetes because he did not take care of himself.

Answer 4

the feet should always be given great care in people with dm.
one concern is loss of blood circulation from damaged vessels from poor control of blood sugar.this appears as discoloured cold extremities, unless infection sets in which could lead to gangrene and amputation.
however especially if you are overweight there is also a possibility it is gout, which affects the joints of the toe with swelling annd heat and severe pain.
the important thing for you to know is that
you must improve your blood sugar levels
you must protect your feet from even the slightest trauma
(eg never walk barefoot) , allways dry well after
washing.

Answer 5

You probably have diabetic neuropathy related to uncontrolled blood sugars.A diabetic can lead a normal healthy life if they do like they are supposed to,otherwise it is a death sentence

Answer 6

I don't know anything about diabetes. My mom has it though and she told me once not too long ago that she isn't supposed to go barefoot.

Answer 7

Diabetes are i think the result of your pancreas not making enough insulin

Was that the question

Answer 8

If u need detail information about Daibeties care.
Check this link:
http://www.eastherb.com/Diabetes_c65/Diabetes

Answer 9

If you want to save your limbs go to my page and look at the testimonials.

Answer 10

GO TO THE DR asap----------------get your sugar to 65--120 level and stay there