Re: Warm feet (Was Re: Noise, Numbers, Correlations, and Mistakes 2)

outsider <outsider@xxxxxxxxxxxxxxxxxxxx> wrote:
On 10/3/2010 1:12 PM, Janet wrote:
Chris Malcolm wrote:

Of course wearing sandals is not a good idea if diabetes has reduced
the feeling in your feet to the point where some small stone or thorn
might get into your sandal and trodden into your sole without you
feeling the injury. That had started happening to my feet in the last
year or so before diagnosis, although I didn't realise how bad it had
got until the podiatric diabetic assessment. But since diagnosis and
reducing my post meal BG spikes by diet my feet have recovered their
feeling.

Amongst the asinine "information" handouts given to me by our diabetes
"education" program was one stating firmly that no one with diabetes should
go barefoot or wear sandals.

I ignored it.

Neuropathy in the feet can lead to dangerous situations.

I know someone whose neuropathy was so extensive that
they walked around for some weeks with a pen needle
stuck to the bottom of one foot, discovered only when
they visited the doctor's office.

The advice given as standard fare in diabetes education
is to protect against all possibilities, resulting in
some of the information being asinine for some patients,
but protection for them against potential future lawsuits.

It is pretty easy to chose to ignore things we consider
inappropriate in our individual cases.

Of course it is. What is difficult is how to decide when someone in
your medical care team has given you inappropriate or asinine
information.

--
Chris Malcolm

.

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