Ask The Doctor Monday

Monday, May 9, 2011

Ask The Doctor Monday

Today’s question comes from Lorenzo:

Q: I’ve had diabetes for 7 years. My hemoglobin A1C fluctuates between 6.2 to 6.5. Am I subject to developing problems with my feet?

A: Thanks for this very important question. Foot problems are always a concern for diabetics because they can develop temporary or permanent damage to their nerves (diabetic neuropathy). Diabetics are prone to elevated blood glucose (sugar) levels and poor circulation, both of which can lead to nerve damage, especially of nerves which are fed by very small blood vessels, such as those in the feet. When nerve damage occurs in the feet, you may experience sensations of foot tingling, numbness, burning, cramping and even weakness. Nerve damage can occur in other areas of the body as well, such as the eyes, stomach, intestines, bladder, penis, eyelids, etc. This can lead to vision problems, nausea and vomiting, indigestion, urinary incontinence, erectile dysfunction, eyelid drooping, and more. About 50% of diabetics will develop nerve damage and, on average, these symptoms will develop 10 to 20 years after the diagnosis of diabetes has been made. One of the most important ways to prevent nerve damage is to control your blood glucose level. The latest guidelines dictate that a person has diabetes when their hemoglobin A1C (a measure of your average blood glucose level over the most recent 2-3 month period) level is 6.4 or higher. Therefore, Lorenzo, keep up the good work because your A1C level is very good and, hopefully, that will reduce your risk of future nerve problems.

Read more about Hemoglobin A1C and Diabetic Neuropathy.

If you have a general medical question you'd like to suggest, please email it to: dailydose@righthealth.com

Editor's Note: The information contained in this article is for informational purposes only, itis not intended to provide medical advice, diagnosis or treatment.

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