Nail in shoe
A 47-year-old man with type 2 diabetes of 9 years' duration and previous history of neuropathic ulcer, attended the orthotist for review 1 month after receiving new shoes because he was developing new callus in his mid-tarsal area where he had never previously had a problem. When the orthotist removed the ethyl vinyl acetate insole he found that a large nail had punctured the sole of the shoe (Fig. 3.2). Fortunately the insole was thick enough to prevent penetration of the skin, but the increased pressure had led to callus formation.
• Patients who check their feet and report any new problems at an early stage can abort problems
• A thick insole can prevent puncture wounds
• Patients with neuropathy are wise to check the soles of their shoes for penetrating nails.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.