Patient discussion about shoe
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Q. Why should people with diabetes wear shoes all the time?
Earlier today I read an article about shoes and the different problems with different kinds of shoes. I can't find it anymore, which is why I didn't post the link. But in the article, it said that someone with diabetes or would likely eventually get diabetes should never go without shoes; whether inside or outside their house. Why would that be?
|A1||Many people with diabetes have decreased circulation, which means slower healing time. Adding to this, many also have neuropathy (nerve damage) in their feet. I have seen many diabetics that have decreased sensation in their feet and didn't even know it. If you can't feel it when you injure your foot, and it doesn't heal, it can lead to infection and amputation. Shoes protect feet from injury, that is why we recommend wearing them at all times. For this reason, it is also recommended that diabetics inspect their feet each day.|
|A2||People with diabetes have a greater tendency towards developing neuropathy ... nerve ending damage. This can result in lack of sensation to extremities i.e., their feet.|
diabetics also heal slower than someone that doesn't have the condition. This is to do with the higher glucose (sugar) level in their bloodstream which does have the effect of damaging many organs. Diabetics are also more prone to have circulatory problems ... again due to the higher levels of glucose.
Q. The cobbler's shoes are never fixed
A bit philosophical/ethical question: do you think it’s a appropriate to an alternative therapist to treat people with disease he or she has and can’t cure himself?
|A1||Even dietitian can suffer from depression and eat too much, or a gym coach that suffers from injury that prevents him or her from exercising. The knowledge and capabilities are not dependent on the specific situation of the therapist, not to mention the many explanations for such cases. |
However, I do agree it may seem a bit suspicious…
|A2||the question is- can someone else cure it? western medicine? if so you are obligated to send that man to the right therapist. if the answer is no- then you have to ask yourself if there is a better treatment for this man, something that can ease his pain better then what you can give him. if there is- do so. if not, just remember that the Hipocrates oath is starts with "first of all-do no harm".|
|A3||In my opinion – yes. First of all, many treatments are technically impossible to be performed by the therapist on his or her own body. Moreover, it’s a common notion in many alternative medicine disciplines that different people respond differently to the same treatments, so it’s not unacceptable that the healer would suffer from a disease he or she claims to cure in others.|
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