The presence of foot pain in diabetes may be complicated by the diabetic foot, which is closely related to complications such as peripheral neuropathy and vascular sclerosis of the lower extremities due to unstable long-term control of blood glucose.
The early symptoms of the diabetic foot may not be particularly obvious, manifesting only as abnormal sensation and pain in the foot, with significant local edema, ulceration, and gangrene as the disease progresses.
So when foot pain is present, to determine if it is due to symptoms of diabetic foot, the first thing to look at is how well the blood sugar is controlled. If the blood sugar is not well controlled, if there is persistent hyperglycemia, if the pain persists without relief, and if the pain worsens with activity, even if there is no local swelling, color change, etc., there is a high suspicion of a complication of diabetic foot.
Diabetic patients should usually watch their feet for changes in skin color and other aspects. Take active steps to control blood glucose and lipids smoothly. It is important to have regular blood glucose, lower extremity vascular ultrasound, glycosylated hemoglobin, and glucose tolerance tests.