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Peripheral neuropathy is the most common form of diabetic neuropathy. It damages nerves in the feet, legs, arms, and hands.
You have to look out for yourself, and at times do things that aren't always socially acceptable. A patient told me he went to a house party and was asked to take his shoes off at the door; he complied and proceeded to step on a toothpick and injure his foot. This led to the development of a foot ulcer and a long process of medical appointments and wound care management. It's important to protect your feet from injury, especially if you have little or no sensation in them. This means wearing good shoes or slippers, even indoors.
In the Southwest, patients should shake out their shoes before they put them on just in case a scorpion crawled in.
Foot protection is the key issue with peripheral neuropathy. Please share your stories regarding peripheral neuropathy.
Sara J. Carlson, R.N., C.D.E.
Peggy Moreland, R.N., C.D.E.
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