Diabetes patients usually attach great importance to the heart, kidneys, and other organs, but also cannot ignore the bones and joints. The non-infective destruction of bone and joint caused by neuropathy is referred to as neuroarthropathy (neuropathic joint disease), which often occurs in diabetes patients aged 50-59 years old or older. Therefore, elderly patients with diabetes should take strict precautions against the occurrence of such disease.
DNOAP (Diabetic neuropathic osteoarthropathy) and DPN (diabetic peripheral neuropathy) are closely correlated. DPN can cause the feeling of diabetes patients to be reduced or disappeared, accompanied with the disorder in the joint movement reflex control, pain sensation in the patient will be weakened or completely disappeared. A little bit of action will make a sound of the joint if the foot of ankle swelling, which will be extremely dangerous. And usually, diabetes patients will find that the ankle joint has been broken in the course of examination.
Due to the lack of insulin, diabetes patients often have hepatic osteodystrophy and renal lesions, resulting in reduced activity of vitamin D and calcium malabsorption. The lack of calcium can lead to the occurrence of bone hyperplasia in these diabetes patients.
Generally, main symptoms of osteoarthritis include soreness of waist, backache, painless swelling in extremities joints, local fever, tenderness or painless fracture, joint laxity or subluxation. Spinal hyperosteogeny has a very high incidence rate in the elderly patients with diabetes, and often accompanies with low back pain and limb pain, diabetes patients may also suffer from spinal stiffness and limitation in mobility.
Diabetes patients should pay much attention to the prevention of bone and joint disease, meanwhile, it should be noted particularly that the disease most happens in the foot, even in both feet sometimes.
The first step: Sensitive
After the joint is injured, diabetes patients may feel no obvious pain and often delay the treatment, largely because they cannot find the occurrence of early joint disease due to the sensation of pain unlike other people in good health. In this regard, diabetes patients should be sensitive to their bodies, diabetes patients with a slight discomfort should go to the hospital for examination immediately, so as not to miss the treatment opportunity.
The second step: Notice the symptoms
Diabetes patients have to observe their own physical abnormalities. Arthritis is mostly seen in the foot of the patient, but also can be seen in the knee, elbow, etc.. Diabetes patients should pay much attention to the following symptoms:
Loosening of the diseased articular capsule, subluxation of joint, joint friction sound, local fever and swelling may be found in some subluxation when diabetes patients are in movement, besides, the pain is not obvious, and skin sensation of the lower limb may be disappeared. Diabetes patients should visit the hospital when there are symptoms mentioned above. In order to avoid trauma, preventive measure always include the emphasis on foot hygiene; meanwhile, diabetes patients should wear appropriate footwear, furthermore, special shoes or insole should be wore when there is a bone joint deformity; be sure to avoid scalds, stabs and other types of injures, and prevent from infection of the foot skin as far as possible.
The third step towards prevention:
If the patient has a sudden joint pain someday, for the first time to identify whether there is a risk of diabetes or not, and patients diagnosed with diabetes should always pay attention to changes in their joints.
The fourth step: Regular life
Do exercise every day, keep moderate diet habit, eat more vegetables, cut down on animal fat, so as to prevent weight gain. Some elderly patients with diabetes prefer play cards and not do exercise. In fact, play cards have adverse impacts on human health particularly, many joint diseases are therefore developed due to long-time sitting.
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