( ... ) Dr. Paul Brand, whose pioneering research on leprosy in India during the 1940's spotlighted the value of wound prevention in treating that disease( ... )recognized that the decay of hands and feet associated with leprosy stemmed from the victims' loss of a sensation of pain in their limbs. That left them vulnerable to wounding themselves without realizing it and put them at high risk of developing serious infections.
Diabetics suffer a similar loss of sensation, called neuropathy, in their feet. In patients where it is identified, doctors often discover a wide range of other diabetic problems that are developing silently.
A high percentage of victims of foot neuropathy also suffer from the early stages of peripheral vascular disease, a narrowing of the arteries that carry blood to the feet. Once vascular disease has progressed to the point that it restricts blood flow to a wound site, the chances the wound will heal drop sharply. ( ... )
Wow. I know I sometimes get bruises and don't know why, but my feet I *notice*. I'm also very aware of how they look since I rub lotion into them once or twice a day (verra dry skin I have, yes indeed). That said, I knew my maternal grandmother had at least one foot amputated as a result of diabetes. So I may want to reference this info in the future.