Swollen feet many people have had such an experience, some people because of standing too long, some people because of a long time to take the reason of transportation, but this phenomenon of swollen feet generally after a night or a good rest can be solved, but diabetic patients with swollen feet is not a rest and sleep can be solved the problem.

Swollen feet in diabetic patients are generally two reasons, the first is because of the patient's kidney lesions lead to the body of protein from the patient's urine, this time the plasma osmotic pressure will be reduced to facilitate the discharge of protein in the urine, the body of water will appear to gather caused by edema, the other reason is because of kidney damage caused by kidney damage affects the body's water drainage, water in the body Water in the body can not be discharged will be stagnant phenomenon, resulting in swollen feet.

Diabetic patients because of the vascular contraction and regulation of the function is impaired, the patient's lower limb blood vessels are not able to normal contraction when standing, so the phenomenon of edema or even bruising.

When the set of urinary disease patients appear this phenomenon must go to the hospital to communicate with their attending doctors, and they usually have to check their feet to see whether the phenomenon of edema, in daily life patients should pay attention to foot hygiene and health care; not randomly to public places to repair feet; not repair their own corns, calluses and other symptoms, usually go out and choose comfortable shoes and socks, their own correct trimming toenails; not use Too hot water to soak your feet, soak your feet for not more than 20 minutes. Once you find that the skin has broken, even if it is just a little bit, you should find a diabetic foot disease professional medical personnel to deal with it as soon as possible.

It's a matter of my specialty.

I will make it easy for you to understand the causes of diabetic foot swelling and simple prevention.

What you call swollen feet, in fact, is the lower extremity vascular tissue fluid is too much, exudate body fluids gathered in the subcutaneous a pathological phenomenon, with the finger pressure there is obvious depression, the medical term "lower extremity edema".

Because diabetes is a chronic disease of the endocrine system, its edema is caused by a variety of complications of its own, the more common of which are the following three:

1、Diabetic nephropathy: when the kidney is damaged, a large amount of protein leaks out from the blood vessels, the glomerular filtration rate decreases, and the body protein is too low due to hypoproteinemia, and low protein is the most common cause of lower limb and facial edema.

2, diabetic heart disease: when long-term high blood sugar is easy to complicate the heart, blood vessel disease. Long-term diabetic right heart failure will cause poor vena cava reflux, bruising in the region, hepatosplenomegaly, jugular venous rage, lower extremity edema.

3, diabetic malnutrition: diabetic patients are high metabolic disease, eat more drink more and wasting, the long term, patients will be nutritional deficiencies appearing all over the body edema, feet belong to the body's most lower, so the most obvious edema.

There are so many other causes of diabetic lower extremity edema, such as diabetic foot infections, hypothyroidism, and diabetic microvascular neuropathy, all of which are late complications of diabetes.

Suggest you:

Test your blood sugar diligently and keep track of your blood sugar from time to time!

Adherence to treatment, hypoglycemic medication with diet and exercise!

Prevent complications and actively cooperate with your doctor in dealing with them!

I'm glad to answer your question. When diabetic patients are in the situation of high blood sugar for a long time, the viscosity of the blood will increase, which will easily cause some blood vessel inflammation, further causing blood vessel occlusion, and also easy toarouseFoot edema.

Diabetic foot edema can be due to these two reasons:

1. Caused by kidney disease. There are many kinds of complications of diabetes mellitus, we all know diabetic nephropathy, and nephropathy is a common cause of lower limb edema in diabetic patients. On the one hand, renal lesions lead to a large amount of protein discharged from the urine, plasma osmolality is subsequently reduced, so that the body of water collection and edema; on the other hand, kidney damage also affects the body's ability to drain, resulting in water retention in the body and edema.

2. Autonomic neuropathy. When diabetic patients suffer from neuropathy, the vasodilatation regulation function is impaired, and the blood vessels of the lower limbs cannot contract normally when standing, so bruising occurs and leads to edema.

In order to avoid edema, sugar patients should actively control their blood glucose so that it is in the normal range, starting from the three dimensions of diet and exercise and medication, and strictly enforcing them. If there is a kidney lesion, you need to appropriately limit the amount of water consumption to avoid edema. It is best to consult with your doctor about the exact amount of water to be consumed. Neuropathy, it is best to use reasonable medication under the guidance of the doctor.

In addition, diabetic patients should pay special attention to foot care, because diabetic foot is a serious complication of diabetes, once appeared will be very difficult to treat, so the main focus on prevention. Pay attention to the cleanliness of the feet every day, use no more than 40 ° warm water to wash the feet, avoid using hot water or too cold water. Learn to self-examine your feet and check them every day to see if there are any abnormalities in skin color or wounds. If there is any abnormality, consult your doctor as soon as possible to deal with it, and do not deal with it on your own. It is not uncommon for a small wound on the foot to eventually develop into an ulcer leading to amputation of the diabetic foot.

Sugar man health network, a temperature control of sugar platform, welcome to pay attention to the questions and answers!

It is well known that diabetes can cause many complications, with vascular and neuropathy being common. The basis of diabetic foot is also vasculopathy and neuropathy. Vasculopathy includes microangiopathy and macroangiopathy. Edema of the feet as well as lower extremities is also very common in diabetic patients. Due to the high glucose state of the body caused by many tissues and organs non-enzymatic glycation changes, lipid metabolism disorders, blood hypercoagulability and many other factors, so that diabetic patients of the lower limb arteries are prone to vasculopathy, wall thickening, lumen narrowing. At the same time, the existence of microangiopathy gradually reduces the blood supply to the lower limbs, while diabetic neuropathy leads to the weakening or even loss of sensation in the endings of the limbs, causing muscle atrophy and deformity of the feet, and peripheral neuropathy makes the feet susceptible to traumatic injury and temperature damage, which leads to infection, swelling, and even ulceration, the formation of diabetic foot, and the development of gangrene of the feet. Swollen feet are also a common symptom of diabetes mellitus in the middle and late stages of nephropathy. On the one hand, in the early stage of kidney disease, intermittent micro-proteinuria occurs, and in the late stage, persistent proteinuria, hypertension and glomerular rate filtration decrease, resulting in hypoproteinemia, which triggers edema: on the other hand, impaired renal function also affects the elimination of water from the body, and the accumulation of water in the body causes edema, plus diabetic patients are affected by the obstacle of blood circulation of the lower limbs, which further aggravates the swelling. Usually, the swelling of the feet gradually develops to the lower limbs. Hypoproteinemia, nausea, fatigue, azotemia, heart failure, anemia, and hypertension appear in the stage of renal failure. Early edema appears on the face, ankles, abdomen, and chest, and in the late stage, there are bad breath, anorexia, nausea, vomiting, bleeding tendency, insomnia, malaise, and poor concentration.

Author：Jing-Yun Zhang Unit：Beijing Fengtai Hospital Member of Pharmaceutical Affairs Network

August 20, 2018

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Diabetes is an "abomination" because it is the "source of all diseases", and the complications of diabetes are abhorrent. How can diabetes feet swelling, there are many reasons, let's analyze:

(1) vascular blockage: diabetic long-term lipid disorders, high blood viscosity, especially some people like sedentary, more likely to form venous thrombosis, blood vessel blockage, foot swelling. If the arteries are blocked, there is a possibility of necrosis of the toes.

(2) Diabetic nephropathy: Decreased renal function, loss of protein from the urine, decreased water excretion and hypoproteinemia can lead to swollen feet.

(3) Diabetic peripheral neuropathy: muscle vasoconstriction is regulated by the nerves, and when the nerves become diseased, they cannot regulate the blood vessels, the peripheral blood vessels dilate, and blood stasis leads to swollen feet.

(4) Diabetes-induced cardiac lesions: such as coronary heart disease cardiac insufficiency, can also cause swollen feet.

(5) Malnutrition: Diabetes mellitus can also cause edema due to loss of blood sugar, breakdown of fat and protein in those who are wasting away, and most malnutrition.

Friends with diabetes, usually have a good dietary control and exercise, the rules of taking medication, pay attention to monitoring blood glucose, if the feet swollen, must go to the hospital to confirm the cause of the disease, the right medicine in order to solve the problem.

Thanks for the invite, I hope my answer helps.

Swollen feet in diabetics may occur because of high sugar levels in the skin's microcirculation, which leads to skin infections, bacterial growth, and eczema;

Swollen feet in diabetics are a symptom of diabetic foot. The diabetic foot is one of the most complicated diabetic complications for diabetics, and the diabetic foot becomes unusually fragile due to the high glycemic environment in their bodies, which is why it is said that the occurrence of swollen feet in a diabetic foot is likely to be an early symptom of diabetic foot;

In addition, diabetic patients with impaired renal function can also cause edema, on the one hand, renal disease leads to a large amount of protein excreted from the urine, plasma osmotic pressure is reduced, making the body water collection and edema. On the other hand, kidney damage can also affect the body's water discharge, water retention in the body and edema.

The above are common clinical causes, but regardless of any reason, for diabetic patients, the appearance of swollen feet is certainly not normal, the risk factor is high, must pay attention to, give timely treatment.

Sugar lovers know that diabetes can cause a variety of complications, threatening a variety of organs and organs, but also includes the blood vessels and the nervous system and many other aspects, and furthermore can cause diabetic patients to suffer from swollen feet.

Among them, diabetic nephropathy is a common factor causing lower limb edema in diabetics. Kidney disease will cause many proteins to be excreted from the urine, and plasma osmolality will be lowered, which will let the water in the body gather and edema; on the other hand, kidney damage will also affect the water discharge in the body, and the water will be retained in the body and edema will occur. At the same time, diabetic patients because of a long time by the influence of high blood sugar, lower extremity vascular sclerosis, blood vessel wall thickening, elasticity is reduced, blood vessels are prone to thrombus formation, and agglomeration of plaques, caused by lower extremity vascular occlusion, branched end of the nerve damage, which caused diabetic patients to occur in diabetic foot edema phenomenon.

After diabetics develop swollen feet, the most important thing they should do to keep their condition from getting worse is to control their blood sugar and get it down.

Treatment measures include oral hypoglycemic drugs, insulin injections, dietary therapy, etc. Only with a multi-pronged approach can good treatment results be achieved.

Diabetic foot swelling is a predisposing factor for ulcers and is often exacerbated by wearing overly tight shoes. It is also a common and overlooked important factor affecting ulcer healing. Swelling can be unilateral or bilateral and can be localized to the whole foot or toes. Specific causes are described below:

1. The usual causes of bilateral swelling include heart failure, renal damage secondary to diabetic neuropathy, chronic venous insufficiency (sometimes unilateral), occasional neurogenic edema secondary to diabetic neuropathy, association with increased arterial blood flow and short-circuiting of arteries and veins, primary lymphedema, and severe ischemia associated with ptosis.

2. The causes of single-foot edema are usually related to localized lesions of the foot or lower extremity, including infection (especially when there is redness and breakage of the skin), Charcot foot (redness, heat, and swelling of a single foot, sometimes swelling up to the knee), gout (redness, heat, swelling, and pain of the foot may also be present, especially redness, swelling, and heat pain in the first metatarsal phalanges joints area of the foot), trauma, bone fracture, muscle or tendon strains (often accompanied by bruising and swelling and a history of trauma), deep vein thrombosis, lymphedema secondary to malignant lesions.

3, limited hematoma or abscess of the foot (fluctuation may be present), unilateral limb vascular replacement. Toe swelling is seen in trauma, fractures, soft tissue infections, osteomyelitis, gouty Charcot foot.

What about swollen feet in diabetes?

1、Outside dressing

Heat-clearing and detoxification method: the main method of external treatment, mostly used in acute infection, commonly used heat-clearing and detoxification drugs for honeysuckle, forsythia, violet dicotyledonin, wild chrysanthemum, dandelion, yellow cypress, cyperus, fritillaria, angelica dahurica, rhubarb, bitter ginseng, xuanming powder, chennai, zephyr leaves, etc., can be made into creams, dispersions, externally applied in the redness around the wounds to make the infection confined, also known as the "hoop", or "hoop". The infection is limited, also known as "hoop". Wash or soaking agent is also commonly used, can clear away heat and detoxification, prevent and treat infections, so that the medicine directly to the place of disease, prompting necrotic sore healing.

2. Internal use

Internal treatment of Chinese medicinal preparations: such as Pueraria Mirifica, Pulsatilla, Lampsia, Thromboxane Injection, Chuan Ixiongzine, Safflower Injection, Compound Danshen, blood-sparing and other Chinese medicinal preparations, all can activate the blood, remove blood stasis and clear the collaterals, reduce the aggregation of platelets and blood viscosity, prevent the formation of micro-thrombosis, improve microcirculation, and have a certain degree of efficacy on the diabetic foot, and the combination of the application of other drugs can obtain better results. Oral preparations of traditional Chinese medicine also include thirst-quenching pills.

3、Daily Conditioning

Daily regimen taking party: such as buckwheat mulberry leaves composite bacteria fermentation solution, the use of buckwheat, mulberry leaves, acacia rice, goji berries, chrysanthemum, cassia seeds and other six kinds of medicinal food to lower the role of the three highs, adding probiotic fermentation and become a daily auxiliary conditioning of diabetes can be used to lower blood glucose, blood lipids and blood pressure, reduce blood viscosity, unclogging blood vessels, promote blood circulation, improve diabetic foot has a certain degree of efficacy, and is suitable for It is suitable for diabetic patients to take for a long time.

We are all familiar with diabetes. Perhaps the complications of diabetes are little attention, and diabetic edema is mostly caused by its own complications, the causes are:

1>Diabetic nephropathy: in the early stage of diabetes, glomerular ultrafiltration is the most prominent feature, diabetic nephropathy, renal vascular injury, glomerular filtration rate decreased, a large amount of protein from the urine, plasma osmolality decreases, plasma protein is low, i.e., medically referred to as "hypoproteinemia", at this time, the water in the blood is easy to enter the tissues through blood vessels, that is, the formation of edema. At this time, water in the blood will easily enter the tissues through blood vessels, that is, the formation of edema.

2> Diabetic cardiovascular disease: diabetic patients are generally obese and often accompanied by abnormalities in blood pressure and blood lipids. These are risk factors for atherosclerosis, diabetes is also one of them. Long-term diabetic patients with right heart failure when the body circulation stagnation, there will be jugular venous rage, lower extremity edema performance.

3>Diabetic malnutrition: diabetes as a high metabolic disease, prone to malnutrition, coupled with the loss of protein in the body, so it is easy to appear edema, the foot is in the lower most part of the body, so it is most likely to appear.

4> may be an early symptom of diabetic foot, the body's high sugar environment makes the feet of diabetic patients unusually fragile, the emergence of swollen feet should be noted to prevent the progression of diabetic foot.

There are many other causes of this symptom, such as diabetic microvascular neuropathy, infection, etc. However, no matter what the cause, diabetic patients with this type of symptom should seek medical treatment in time to seek a suitable treatment program, so as not to delay the condition. Diabetic patients should pay attention to diet, develop good habits, regular medication, more exercise, improve the body's immune system.

Answer: Cynthia Wang, M.S., M.A.

Welcome to Apricot Island for more useful health knowledge.

Swollen feet in diabetic patients are mostly a sign of kidney failure. Diabetic nephropathy is one of the most common complications in diabetic patients and often follows diabetic retinopathy.

Diabetic nephropathy is one of the most important microvascular complications of diabetes, and is the most important cause of renal failure failure, there is no one. According to statistics, about half of diabetic patients will develop diabetic nephropathy. The presence of microalbumin in urine is an early manifestation of diabetic nephropathy. So diabetic patients had better check the urine albumin index once or twice a year, and must control their blood sugar condition.

But then again, diabetic patients with swollen feet is not the basis for the diagnosis of diabetic nephropathy, just lower limb edema is likely to be the manifestation of cardiovascular disease or nephropathy, the patient should be highly vigilant, due to timely medical care to identify the cause, take timely treatment measures only good.