Dr Chopra further says not everybody needs hospitalization if the pain is not interfering with your life style then exercise and complete abstinence from smoking a required. The patient suffering from the above symptoms has to undergo certain tests before it is diagnosed as Vascular. Firstly colour Doppler Or Ultrasound of the leg arteries to show the site of narrowing or blockage and seeing if collaterals will be capable of taking the increased blood flow post? operatively. Dr Chopra further says that less than 2% land up with major amputation if timely advise is taken from the vascular surgeon. Life would become much better if not absolutely normal. Now it just so happens, that the food we eat enters our digestive tract where it gets broken down into tiny units (glucose, galactose, fructose, fatty acids, amino acids etc.) which get absorbed into the blood. This blood passes through the liver where a bit of glucose gets stored as glycogen and the rest is put back into circulation for the body cells to use. The fatty acids and amino acids end up in muscles and adipose tissue if they aren’t used for energy. We’ll look at them later and concentrate on glucose for the time being. When your blood sugar is high, there is a chemical reaction that directly damages the ends of the longest nerves in your body. The longest ones start in your back (where they exit the spine) and head all the way down to the toes in one long piece. Because the ends get damaged first, any nerve damage starts in the toes and gradually creeps up the foot toward the ankles. Type 2 can often be prevented it the person maintains a healthy body weight and exercises regularly. Treatment for diabetes often includes medication; including insulin and focuses on maintain proper levels of blood sugar and cholesterol. Poor vision, especially in older people, those with diabetic retinopathy , and those with other diabetes-related eye conditions, may result in falls and foot injury Depression is more common in people with chronic disease and may result in lack of self-care leading to skin infection or injury Epidemiology Incidence and prevalence The American Diabetes Association (ADA) has reported that 15% of people with diabetes will experience a foot ulcer at some point in their lifetime, although recent research suggests this figure may be as high as 25% They may find it more difficult to access preventive care and may have fewer resources to organize appropriate well-fitting footwear Codes ICD-9 code Excessive need for liquids is another indicator of diabetes. Patients of diabetes could also feel like consuming a lot of water time and again. Diabetes leads to elevated blood sugar levels and the system tries to counteract with diluting the blood, which translates to the mind that we are feeling thirst. Raised sugar levels in the bloodstream contributes the system to dilute the blood and this in turn makes the patient feel need for liquids. Diabetes is one of the dreadful debases all over the world. Those who are suffering from this severe disease should take immediate steps to come out of this problem. Robert Winkler says he limped around on his painful left foot for six months, suffering unnecessarily from a misdiagnosis by a physician who didn't know about the symptoms and treatments for Charcot foot, a form of localized osteoporosis linked to diabetes that causes the bones to soften and break, often resulting in amputation. When his primary care physician finally agreed to Mr. Winkler's request for an x-ray, they discovered the metatarsal bones in Mr. Winkler's left foot were all broken—a common symptom of this serious and potentially limb-threatening lower-extremity complication. Nails should always be trimmed to prevent any rubbing or scratching and feet must be protected from extreme weather conditions.