For those who have developed nerve damage or vascular disease it is important that they see their doctor and podiatrist at least every few months and check their feet daily for signs of foot ulcers or infection. For those who develop a foot ulcer it is vitally important that they are managed by a multi-disciplinary foot team," he concluded. Medical Xpress)—People with diabetes who develop foot ulcers are at more risk of dying prematurely than those without the complication, finds a new large-scale study. The researchers say the findings highlight the potential need for improved detection and management of those with diabetes and foot ulcers. Because treatment of diabetic foot infections can be complicated, the best approach is to involve a multidisciplinary team that can assess and address various aspects of the problem, suggest the guidelines, which are a revision and update of IDSA's 2004 diabetic foot infections guidelines. It is always damaged at the same level in both feet. For example, if you have nerve damage (neuropathy) at the ball of the foot, the nerve damage is only in the toes. In this case the part of the foot around healed ankle and arch might be just fine. Diabetics typically have special needs when it comes to the fitting of proper footwear and a trained Podiatrist is experienced in the diagnosis and fitting of special diabetic comfort shoes to deal with this problem. No one likes to be in pain or discomfort and there is no reason to be in that condition if properly fitted comfort shoes can eliminate the problem. Any time during the day that itching, tingling or burning is felt in one or both feet, stop and inspect to discover what is causing the problem. If a blister or sore has developed on the foot, call your doctor. Good-fitting shoes – A diabetic shoes need to be a special pair. Although of course there are a lot of online and local market vendors that sell specially fitted shoes for diabetics. A good pair of shoes for a diabetic is one that has a high and wide toebox, has removable insoles that can accommodate orthotics, has lesser pressure in areas of the shoes that usually cause feet problems such as calluses, blisters and wounds, and one that supports the feet very well. If you need to lose weight, ask to see a Dietitian for improving your diet and setting up a food plan to help you lose weight. Diabetics are more likely to develop serious gum disease such as periodontitis, a complication of gingivitis, swollen and bleeding gums, the Mayo Clinic reports. Diabetics who smoke have an even higher chance of developing gum disease. Bacteria in the mouth interact with the increased amount of glucose in the saliva, forming more plaque on the teeth, which attacks the tooth enamel. This leads to an increased incidence of cavities in diabetics. Skin Infections Reflexology , in my opinion, should be included in "regular care". Keeping the circulation going in a Diabetic's feet is first and foremost my goal as a Reflexologist. Focal neuropathy refers to damage of a single nerve strain or a group of nerves. The sudden weakness causes muscle pain in any part of the body. However, it should be noted that the manifestation of the pain is sudden and prevention is better than cure. Diabetic patients run the risk of developing this disorder. Therefore, it is necessary for them to learn how this disorder can affect their lives, the symptoms associated with it, and what can be done to prevent it. Having the knowledge of these things will help them in identifying neuropathy, and taking necessary steps to prevent it too. I having been treating Morton's Toe for over thirty years; and what I do know for sure it can be the missed reason for the following aches, and pains not only of the feet, but also of the whole body. Doctors tell millions of people every day, that the reason for their aches and pains is that they have "arthritis". However, they never explain to the patients WHY they got arthritis to start with. I believe that in many cases Morton's Toe is the explanation for this WHY, and the reason for and other pains in their back, knee, hip or lots of other places in their in the body.