Footwear and the Diabetic Foot Exam
Questions And Answers
What is Diabetes Mellitus? -
correct answer ✅A metabolic disease in which the body's ability to
produce any or enough insulin causes elevated levels of glucose in
the blood
- When you eat, your body turns food into sugars, or glucose. At
that point, your pancreas is supposed to release insulin.
- Insulin serves as a key to open your cells to allow the glucose to
enter and allow you to use the glucose for energy
- But with diabetes, this system does not work
- Elevated levels of glucose in the blood cause microvascular
inflammation throughout the body and damage every organ
Complications linked to poorly controlled diabetes -
correct answer ✅1. Gum disease
2. Gastroparesis
3. Neuropathy
4. PAD (Peripheral arterial disease)
5. Stroke
6. Erectile dysfunction
7. Infections
8. Healing of wounds
,Footwear and the Diabetic Foot Exam
Questions And Answers
How does DM affect the feet? -
correct answer ✅1. Disease
2. Neuropathy
3. Skin Breakdown
4. Infection
5. Amputation
- Don't forget Charcot Arthropathy
Step 1 - Disease -
correct answer ✅Prevalence: 37.3 million (11.3%)
Prevalence in seniors: 15.9 million (29.2%)
Prediabetes: 96 million (37.2%)
Deaths: Diabetes is 3rd leading cause
Step 2 - Neuropathy -
correct answer ✅What is neuropathy?
- Refers to many conditions that involve damage to peripheral
nervous system and other parts of the body
- Nerve signaling in neuropathy is disrupted in three ways
, Footwear and the Diabetic Foot Exam
Questions And Answers
1. Loss of signals normally sent (like broken wire)
2. Inappropriate signaling when there shouldn't be one
3. Errors that distort the messages being sent
How does DM cause neuropathy? -
correct answer ✅- Microvascular inflammation damages nerves
- Blood glucose over 140 mg/dL is toxic to nerves
How do we prevent it?
- Keeping blood sugar under control
- Incidence of DPN at time pf Dx is 7.5x
- It takes 10-15 years of out-of-control blood sugars for neuropathy
to develop
- People with prediabetes are also at risk
- Diabetes is not the only cause of neuropathy
Peripheral Neuropathy -
correct answer ✅1. Sensory neuropathy
- Abnormal sensation
Questions And Answers
What is Diabetes Mellitus? -
correct answer ✅A metabolic disease in which the body's ability to
produce any or enough insulin causes elevated levels of glucose in
the blood
- When you eat, your body turns food into sugars, or glucose. At
that point, your pancreas is supposed to release insulin.
- Insulin serves as a key to open your cells to allow the glucose to
enter and allow you to use the glucose for energy
- But with diabetes, this system does not work
- Elevated levels of glucose in the blood cause microvascular
inflammation throughout the body and damage every organ
Complications linked to poorly controlled diabetes -
correct answer ✅1. Gum disease
2. Gastroparesis
3. Neuropathy
4. PAD (Peripheral arterial disease)
5. Stroke
6. Erectile dysfunction
7. Infections
8. Healing of wounds
,Footwear and the Diabetic Foot Exam
Questions And Answers
How does DM affect the feet? -
correct answer ✅1. Disease
2. Neuropathy
3. Skin Breakdown
4. Infection
5. Amputation
- Don't forget Charcot Arthropathy
Step 1 - Disease -
correct answer ✅Prevalence: 37.3 million (11.3%)
Prevalence in seniors: 15.9 million (29.2%)
Prediabetes: 96 million (37.2%)
Deaths: Diabetes is 3rd leading cause
Step 2 - Neuropathy -
correct answer ✅What is neuropathy?
- Refers to many conditions that involve damage to peripheral
nervous system and other parts of the body
- Nerve signaling in neuropathy is disrupted in three ways
, Footwear and the Diabetic Foot Exam
Questions And Answers
1. Loss of signals normally sent (like broken wire)
2. Inappropriate signaling when there shouldn't be one
3. Errors that distort the messages being sent
How does DM cause neuropathy? -
correct answer ✅- Microvascular inflammation damages nerves
- Blood glucose over 140 mg/dL is toxic to nerves
How do we prevent it?
- Keeping blood sugar under control
- Incidence of DPN at time pf Dx is 7.5x
- It takes 10-15 years of out-of-control blood sugars for neuropathy
to develop
- People with prediabetes are also at risk
- Diabetes is not the only cause of neuropathy
Peripheral Neuropathy -
correct answer ✅1. Sensory neuropathy
- Abnormal sensation
