When blood circulation in the legs is compromised due to blockages in the leg arteries, balloon angioplasty may be performed to operate the clogged arteries. This procedure restores blood flow to the lower extremities, and helps heal a chronic foot ulcer. When, however, angioplasty is not feasible, vascular bypass surgery (see chapter 20) can be helpful in improving blood flow to the legs and feet; thus preventing amputation. Serious foot problems that have resisted conservative treatment methods may require surgery. Surgery may be aimed at removing a foot infection, realigning bony deformities, or an amputation to prevent further problems. What are the risks of treatment? Pseudomonas aeruginosa is generally not a pathogen in chronic osteomyelitis in these individuals. Although P aeruginosa is frequently cultured from samples obtained from a draining sinus tract or deep penetrating ulcers in patients with diabetes, these organisms are superficial colonizers and are generally not the cause of the bone infection. If there is any aspect of care in our office that is unpleasant for you, please let either the physician or a staff member know immediately so that we can make the necessary changes to continue to provide you with the highest standard of care possible within a friendly, less formal working environment. Type 1 Diabetes could place you at a higher risk for contracting gum diseases and other mouth-related problems. It is important to maintain a proper oral hygiene regimen in order to reduce the risks of illnesses associated with the mouth. Proper eye care and early detection of problems can contribute to saving your sight. Blindness is often associated with diabetes. Nerve damage or poor blood flow associated with Type 1 Diabetes can cause a diabetic to develop many different types of foot problems. It is important that you follow some basic guidelines that will help you protect your feet and avoid the onset of foot-related problems. When it comes to someone who is a diabetic and facing foot problem, it is vitally important to treat it in the best manner possible. Given that there are suitable podiatrists in the city, they would make sure that they look right into the depth of the problem, consider the alternatives, rule out the possibilities and based on certain facts gathering, they would take the final call in regards with the treatment. It is a well-known fact that diabetic patients must regularly monitor their face and feet to avoid server consequences. It so happens that a minor wound can lead to far worse consequences without one's awareness. Peripheral vascular disease. This condition occurs as a result of poor blood flow in diabetics. More specifically, it affects the blood vessels away from the heart. The lack of good blood flow in this circulation disorder keeps cuts and sores from healing quickly, and may even keep infection from healing. If poor blood flow prevents an infection from being cured, you may develop ulcers or gangrene. Proximal neuropathy is another kind of neuropathy that results from the onset of diabetes. In this condition, the patient feels a sharp pain in the thighs and hips. This invariably leads to weakness in the legs. The sharks are much like the white blood cells (known as macrophages) that track down the bacteria through a process known as chemotaxis. Once the macrophages locate the bacteria, thee actually surround the bacteria with the cell wall, effectively eating them. The way that they eat the bacteria in this way is known as phagocytosis. Unfortunately diabetes and the high levels of blood sugar that are associated with diabetes, can have a profound effect on both chemotaxis and phagocytosis. To avoid the back pain follow some common tips are sitting and standing in proper manner, regular exercise to strong muscles, use good mattresses, avoid stress and looses extra weight. Recently, while looking for more information on diabetes, I came across an article "Long-term consequences of diabetes" by Chris D. Meletis (see Townsend Letter. May 2009 i310 p54(7)). The article estimated that 23.6 million people in the United States are diabetic. However, what is scary is that there are another 5.7 million people out there who are not diagnosed even though they are in the higher risk group of getting diabetes. This is only for the United States but what about other countries? What are the likely consequences that these people are likely to face when their conditions are left untreated? Your feet need blood flow too. Put your feet up when at rest, which will also help to decrease any swelling. Wiggle your toes and pump your feet at random intervals throughout the day, particularly when you’ve been sitting for extended periods of time. Also, try to avoid crossing your legs and cutting off circulation. According to Dr. Vail, Findlay OH foot surgery authority, "Neuropathy, or nervous system damage, affects sixty to seventy percent of diabetic patients. It is a major issue that can cause the loss of feeling in the feet or hands. Diabetic podiatric care effectively eliminates many of the conditions that can exacerbate the progression of neuropathy." One does not have to depend entirely on drugs or medications to treat diabetic neuropathy. New studies have discovered some effective drug free therapies that are found to be safe to treat this condition. A recent study found out that alpha-lipoic acid, a powerful anti-oxidant present in many foodstuffs has been an effective remedy for relieving pain associated with peripheral neuropathy. Some patients have shown considerable improvement in their health by following relaxation techniques such as yoga, meditation and deep-breathing. Complete blood count to determine if there is an infection—A high white blood cell count may mean that there is an infection.