Diabetics are indeed prone to leg pain, especially in the calves and feet, there are often several reasons for this, such as diabetics in order to control blood glucose walking more, the muscles are in a state of prolonged fatigue will be prone to symptoms, in addition to diabetes itself will also induce blood vessels and nerves in the lower limbs of the problem leads to leg pain, what should we do? Let's have a good chat.

Diabetics go too far to lower their sugar.

Keep your mouth shut and your legs open.This is one of the more basic strategies for controlling blood sugar. Exercise can well help patients to control their weight, and the body's metabolism is more active, especially after 1~2 hours after meals, proper exercise can well help patients to control their blood sugar.

However, some patients with diabetes, do not want to use drugs to control blood sugar, simply want to rely on exercise to bring blood sugar control down, almost every day after three meals to exercise for a long time, there are some diabetic patients walking every day may be more than 30,000 steps, and in order to control blood glucose, almost no rest!

Continuous, prolonged, over-exercised muscles are sure to be overwhelmedDuring exercise, the lactic acid produced by the muscles as well as other metabolic substances are not well removed and continue to accumulate, and the patient will certainly experience soreness in the legs.
address: Under normal circumstances, we recommend that patients with diabetes exercise after a meal for a period of time that is not necessarily too long.40 minutes or so should do it.The time of exercise is not necessary, but it can be extended to 50 minutes or an hour depending on the physical condition of each person, but there is no need to force the exercise for too long a time. And we usuallyIt is recommended to workout for about three days and to take a day offGive your body a chance to rest.Even a machine that keeps running can have problems, let alone us. Isn't that right?

Now byWalking in circles, brisk walkingThe number of diabetics who come to lower their sugar levels is very high, and it is recommended that you must walk in the process ofWear a pair of shoes that fit.The sole of the shoe should be slightly thicker and the bottom should be slightly softer, which will also help to reduce the pressure on the lower limbs, and not overstimulate the joints in the process of walking. In the process of fast walking, the speed does not need to be too fast, can slightly sweat on it.A heart rate that is 60-70% of your fastest heart rate is fine, everyone's maximum heart rate is different and is measured by: 220 - age！

In addition to fast walking site should also pay attention to, as far as possible to choose a flat playground, do not choose those rugged mountains, or uneven concrete road, for the lower limbs of the stimulation is also relatively large, may induce pain.

Damage to blood vessels from diabetes can also lead to leg pain!

Prolonged poor control of blood sugar, or diabetes for too long is prone to cause damage to blood vessels, this is something we all already know. Then when the lumen of the blood vessels becomes narrow, the blood will become more and more poor circulation, and the metabolic wastes and impurities formed in the process of exercise can not be quickly taken away.Deposits in the distal part of the limb tend to cause discomfort, pain, drowsiness, and soreness in the legs.。

This can become even worse if there are some diabetics who also smoke.

当When the disease becomes more severe, the patient may develop intermittent claudication.That is, after walking for a period of time and experiencing significant pain, you need to rest for a period of time before you can slowly walk again, after which the pain reappears, turning into a vicious cycle like this.

address: to go to the hospital forColor Doppler Analysis of Blood VesselsThe examination of the lower extremity blood vessels to clarify whether stenosis has occurred, and in severe cases, it is necessary to make aAngiography of the lower extremities, to clarify exactly how many stages of stenosis are present in the vessel and whether surgical intervention is needed? Vascular CT is also a better option.

After clarifying the problem, with the help of a medical professionalScientific and rational medication, control your vascular condition while being helped by your internistAggressive blood sugar control, patients who smoke must quit smoking, try to control their diet, and slowly bring their blood sugar under control to keep their symptoms firmly in place.

appearedPatients with vascular problems or arguably all patients with diabetes should be performing ankle pump exercises.This movement promotes blood circulation in the lower extremities, minimizes the extent of vascular problems and helps us prevent vascular lesions in the lower extremities.

Diabetic neuropathy can also cause pain

If a diabetic has frequent leg pain and cramps, it is not necessarily due to calcium deficiency, but most likely due to nerve damage caused by diabetes, a condition we call diabetic peripheral neuropathy.Pain, burning, tingling and numbness are the most common symptoms.. In addition many diabetics take metformin to control their blood sugar, and the development of sustenance affects the absorption of vitamin B12, so it is possible that vitamin B12 deficiency may also cause symptoms.

address: Patients taking metformin for long-term diabetes control must be properly supplemented withVitamin B12that can act as a nutrient for the nerves and help control pain. And it's important to supplementvitamin Dcan help support healthy nerve function. Those whose pain is more pronounced and affecting their quality of life canAppropriate oral analgesics。give or have acupuncture and moxibustionIt can also help relieve some of the symptoms for people with nerve pain.

Home measures for diabetics experiencing pain

●Ankle pumps.In the previous has been said that this action can be very good to promote blood circulation in the lower limbs, it is recommended that diabetic patients do when nothing, there is no fixed number of children per day, 300, 500 is not too much, 500, 1000 is not too little.

● Habitually take a hot bath or soak your feet in warm water every day.Diabetes has been ill for a long time blood sugar control is not good or has developed neuropathy, in the foot soak must measure the temperature, try not to be higher than 45 degreesOtherwise, it can easily lead to burns, because in many cases, after diabetes develops neuropathy, the sensation of temperature will become worse, which can very easily lead to burns.

● Try to sleep at nightElevate the lower limbs about 15 to 20 degrees, which can promote blood circulation in the lower limbs, reducing the swelling and pain that may come with it.

● In your daily life, you can drink beverages that promote blood circulation, such asginger teaThe InGinger contains some anti-inflammatory and blood circulation promoting properties.Points, proper consumption of some of these drinks can be very therapeutic.

summarize

One thing that diabetics must be aware of is that theYou can't rely on exercise alone to control your blood sugar.This is a combination of dietary control, medication, and lifestyle changes to achieve a better result. Relying on exercise alone, prolonged over-exercise may lead to sports injuries, such as meniscus injuries, joint damage, ligament damage, and when these injuries occur, treatment is often ineffective due to the presence of diabetes, and because of the inability to exercise, resulting in blood glucose control has become more and more difficult.

Also diabetics need to be clear thatDiabetes is prone to problems with blood vessels as well as nerves, which can lead to pain in the lower leg or foot.When the pain is not particularly serious, through physical measures can help alleviate, that also can be self-control, if the pain is getting more and more serious, affecting the quality of life, to go to the hospital in a timely manner to carry out the appropriate checks, the specific how to do in the article has been given to you, if you still have other doubts you can leave a message below, we can discuss together.

I adhere to the simple language to explain the complexity of the disease knowledge Xie Xinhui, code word is not easy, if you agree with my views, please help point a focus on me point a praise it, if you or your family and friends also have diabetes leg pain in this area of trouble, please forward this article to the need of them it, thank you!

There are many reasons for diabetics to experience leg pain, which can be caused by diabetes-related complications or by other factors. It is important to be very vigilant to prevent the occurrence of missed or misdiagnosed cases, and to treat them in a timely manner according to the various causes.

Causes of lower extremity pain in diabetics

Diabetic peripheral neuropathy

When diabetes sometimes causes leg pain, the first thing many people think of is whether diabetic neuropathy is the cause. Indeed, this is the most common cause of leg pain in diabetics.

Diabetic neuropathy may damage sensory, motor, and autonomic nerves. Distal symmetrical polyneuropathy is the most common, accounting for 75% of all diabetic neuropathy, and some studies have shown that neuropathy is more than 50% in diabetes with a duration of more than 10 years.

One of the manifestations of peripheral neuropathy in diabetic patients is pain, sometimes very painful, known as painful neuropathy, which belongs to the acquired peripheral neuropathy inverted neuralgia, easy to embedded pressure, the pain manifested as burning pain, pinprick pain and non-spontaneous pain, accompanied by sensory hypersensitivity. Contact with the skin may be an increase in pain, such as wearing socks and shoes, may make the patient feel abnormal pain.

Treatment of diabetic neuropathy begins with improving lifestyle; both alcohol and vitamin deficiencies can cause nerve pain, so abstinence from alcohol and vitamin supplementation are basic treatments. Sometimes pain medication or even surgery is needed to get better.

Diabetic peripheral vascular disease

Diabetic patients with peripheral vascular disease will also appear pain, this pain performance is generally more specific for intermittent claudication. Diabetic patients long-term blood sugar control is not ideal, arterial vascular atherosclerosis and plaque formation, arterial lumen narrowing, when walking, the arterial lumen spasm ischemia, there will be severe pain in the lower limbs, the patient will stop, to be relieved of the spasm, the disappearance of the pain, to be able to continue to walk.

This is a protective measure of the blood vessels, but if there is severe peripheral neuropathy and this pain sensation is diminished and cannot be effectively transmitted to the brain, then continuing to walk can result in severe ischemia of the foot, and lesions such as sensory gangrene can lead to amputation and other serious consequences.

How to identify pain caused by peripheral vascular disease is to touch the patient's lower extremity arteries, such as the dorsalis pedis, popliteal artery, or even the femoral artery, and look at the pulsation and segmentation of the vessels, which will generally be diminished or even absent in the case of lesions. Lower extremity Doppler examination and lower extremity angiography can more clearly distinguish the degree and extent of arterial lesions.

diabetic foot

Diabetic foot can also present with pain in the legs. This is the result of a combination of three factors: peripheral neuropathy, peripheral vasculopathy and infection in diabetes, and the patient presents with pain in the foot and leg, disruption of the integrity of the skin, bacterial infections, increased local secretions, and unpleasant odors.

When the nerve and vascular lesions of the lower limbs appear, we should pay attention to the protection of the feet, wear suitable shoes and socks, do not exercise too much, wash the feet with warm water every day, be assisted by others to cut the nails, carry out foot examination every day, and find redness, swelling and breakage in time to go to the hospital for examination and treatment.

Pain due to all of the above factors requires that the treatment of nutritional nerves, antiplatelets and anticoagulation be accompanied by stabilization of blood glucose, reduction of fluctuations in blood glucose, attention to the protection and care of the foot, and prompt treatment of any problems that arise.

Diabetic patients with pain due to co-morbidities in other parts of the body

lumbar spinal stenosis

Patients with lumbar spinal stenosis may also present with intermittent claudication, which is neurologic in origin. Attention should be paid to the differentiation. Lumbar spinal canal intermittent claudication, mainly lumbar spinal stenosis, the vertebral body and nerve root pressure, walking lower limb muscle movement will make the corresponding spinal ganglia in the vertebral canal of the nerve root of the blood vessels of physiological congestion, venous stasis and nerve root pull, the corresponding part of the microcirculation of the hands and feet and the emergence of ischemic radiculitis, the emergence of lumbar and leg pain, lower extremity numbness and pain. When squatting, sitting down or lying down to rest, the pressure load on the nerve root is reduced, the spinal cord and nerve root ischemia is improved, the symptoms will be reduced and disappear. However, they will reappear when walking and will be relieved when stopping, and so on.

Patients with neurologic claudication generally have good dorsalis pedis arterial pulsations, have phasic sensory deficits, and walk distances that taper off as the disease progresses. Angiography of the lower extremities is usually free of stenosis of the vessels. These help to differentiate patients with vascular claudication. However, it should be noted that both factors may be present in diabetic patients.

lots of exercise

A large number of exercises will lead to leg pain, diabetics and non-diabetics exercise early will appear leg pain, due to a large number of exercise after lactic acid and other acidic metabolites accumulate in the lower limbs can not be discharged in a timely manner and lead to. Exercise in this case should be gradual and not rushed.

gout

Gout appears in the lower limb pain will be more obvious, before a large amount of alcohol, eat seafood and other high-purine food history, or take diuretics and other drugs to interfere with the metabolism of uric acid, in general, the patient is obese, with a history of hyperuricemia. When gout attack, uric acid may be normal or high state.

Hyperuricemia patients who have had gout should usually reduce uric acid to a level below 360umol/L through lifestyle modifications, low purine diets, and medications in order to reduce the likelihood of another gout attack.

To summarize:

Diabetic friends can develop specific conditions that cause pain in the lower extremities. It is important to stabilize blood sugar and pay attention to foot protection in order to prevent serious events such as amputations.

When causes such as heavy exercise, gout or lumbar spinal stenosis occur, they should be handled promptly according to the cause. Diabetic friends must not ignore the possibility of other diseases causing pain in the lower limbs while closely observing the various complications of diabetes to prevent missed diagnosis.

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The presence of leg pain in diabetics is a red flag that should be taken seriously enough.

How long have you been diabetic? Generally diabetes mellitus is prone to complications of diabetes mellitus when the duration of diabetes mellitus is more than 5 years. In your case, you need to exclude diabetic macrovascular disease.

Long-term poor glycemic control, often accompanied by abnormal lipid metabolism, the endothelium of blood vessels will be damaged, and atherosclerosis with plaque formation will easily occur. Plaques gradually increase, thickening, interconnected, and gradually form a blockage of blood vessels. This is similar to the gradual blockage of a sewer pipe by oil.

If the blockage reaches a certain level, for example, 60% to 70% stenosis, it will cause the limb blood supply obstacle, in the usual quiet time, blood supply demand is not high, may be able to ensure the blood supply, may not have uncomfortable performance. If there's a lot of activity. For example, walking, may appear distal extremity blood supply is insufficient, pain is for an ischemic performance. Some people often clinically manifested as not walking a few hundred meters will feel leg pain, need to stop and rest for a few minutes or a few moments of pain will be relieved, in order to continue to walk. This phenomenon is clinically called "intermittent claudication".

If such symptoms occur, you should go to the endocrinologist for at least a complete ultrasound examination of the lower limb vessels to understand the degree of stenosis, and if necessary, stent implantation is needed to improve the blood supply so that the symptoms can be relieved.

It is worth suggesting that adequate attention must be paid, otherwise the degree of stenosis will become more and more serious, or even occlusion. Coupled with the presence of diabetic neuropathy, it is easy to gradually appear the distal extremities of the skin color changes, changes in sensation, skin ulceration does not heal. This will lead to the occurrence of diabetic foot. In severe cases, amputation is required.

Therefore, it is recommended that the sugar patient should visit the endocrinology department as soon as possible. In order to clarify the cause and dispose of it in time.

You can follow me, I will from time to time to popularize medical knowledge to enrich your medical knowledge. Through the private message, you can also consult some endocrine field questions, I will use my free time to help you answer.

Hello, there may be diabetic peripheral vasculopathy and diabetic peripheral vasculopathy, pre-diabetic foot symptoms of diabetic neuropathy and diabetic peripheral vasculopathy caused by numbness of the limbs, accompanied by pins and needles of pain, if not treated in a timely manner will easily be caused by diabetic foot, it is recommended to check the lower extremity vascular ultrasonography, neurophysiological examination of the diabetic foot, such as a comprehensive examination. In order to make a clear diagnosis, which will help treatment, diabetes is to damage the systemic blood vessels will be complicated by cardiovascular disease, cerebrovascular disease and diabetic foot; microvascular will be complicated by diabetic nephropathy, diabetic retinopathy. Once the complications appear, it means that the condition is already very serious. We often say that "diabetes is not scary, it is the complications that are scary". The complications of diabetes develop slowly and subtly. Chronic complications are scary, but as long as the regular treatment, will get good control, we recommend that you go to a diabetes specialist hospital comprehensive treatment, do not think that a little bit of hypoglycemic drugs can control the condition. I wish you a speedy recovery!

Leg pain is one of the frequent problems of diabetics. The reason why diabetics experience this condition is closely related to their high blood sugar. For diabetics, the biggest concern is the various complications caused by high blood sugar. And leg pain, too, is often closely related to complications.

People diagnosed with diabetes often need to take medication for a long period of time, even if their diet has been better controlled. The purpose of taking medication is not only to lower blood sugar, but also to prevent various complications caused by high blood sugar. Among the many complications of diabetes, vascular disease is more common.

Diabetes causes atherosclerosis of large and medium-sized arteries, which mainly invades the aorta, coronary arteries, cerebral arteries, renal arteries and peripheral arteries of the limbs, causing coronary artery disease, ischemic or hemorrhagic cerebrovascular disease, renal arteriosclerosis, arteriosclerosis of the limbs and so on. While peripheral arterial atherosclerosis of the limbs is dominated by the arteries of the lower limbs, which will show pain in the lower limbs, and diabetic patients will feel frequent leg pain. Even intermittent claudication and unsteady walking will occur when walking.

For diabetic patients, although exercise can play a role in lowering blood sugar, but also pay attention to the amount of exercise. If the amount of exercise is too large, the muscles are in a state of strain for a long time, it is easy to appear leg pain. A bite can not be fat, exercise also need to be gradual.

Exercise can accelerate the body's metabolism more, especially after 1~2 hours after meals, appropriate exercise, can be very good to help patients control blood sugar. For diabetic patients, after 1~2 hours after meals, you can choose some suitable ways of exercise, such as walking, cycling and so on. The amount of exercise is suitable for slight sweating. And the exercise time, one day in about one hour can be.

While exercise can lower blood sugar, dietary treatment is equally important. Adjusting your diet on top of the medication you take can make the medication work better.

The main reason for leg pain in diabetic patients is poor blood sugar control, which causes diabetic vascular degeneration and neurodegeneration, resulting in lower limb pain. Diabetes mellitus blood sugar control is not stable, will cause the body's peripheral nerve tissue lesions, and the emergence of segmental demyelination of the nerve, and further cause sensory abnormalities, the early manifestation of numbness, pain, and the later manifestation of the loss of consciousness, and even the emergence of infections, ulcers and so on.

Diabetes itself can cause problems with lipid metabolism, leading to degeneration and even narrowing of the blood vessels at the distal end of the heart, to the point where localized, including impaired circulation in the legs, can also cause pain.

Possible Causes: 1. Diabetic peripheral neuropathy 2. Lower extremity vascular embolism 3. Lumbar disc herniation

Diabetes will have a lot of complications, so you need to treat the complications, what kind of symptoms on the symptomatic treatment, high blood sugar will not be able to stand the body, this is very simple mainly neuralgia, some people's teeth allergic to a sweet tooth pain, pain to death, in fact, the sugar does not irritate and then there is no irritation can make the toothache to the heart can not stand it, which is because the The teeth are oversensitive and can't handle the sugar.

And diabetic patients because of the long time to let the body in a high sugar state, so there will be some neuralgia phenomenon, not just the nerves in fact, a variety of cells, tissues, organs, will be because of high blood sugar and cause a variety of symptoms and conditions, so it will be painful, this kind of pain, but the hair up is very uncomfortable, such as a toothache you will be under the tooth shabu will be better, but your blood glucose can not be down, the nerves have always been sensitive and rejection will be very painful. It will be very painful.

There will be a variety of symptoms and complications caused by high blood sugar will appear. So diabetics, the need is to lower blood sugar, blood sugar down, these symptoms naturally eliminated, so blood sugar does not fall, a rise in some, different cells, tissues and organs of the sensitivity of the activation of the pain and discomfort of all kinds of symptoms will be more and more, more and more obvious.

The last time I answered a similar question, I wrote an answer to the audit did not pass, the content did not exceed the dimensions of the heart, but, with the facts to tell the diabetic patient, do not fear death, people are going to die, to have the courage to fight with the disease. Many unknowable things, in your strong perseverance to get well, do not look into the high-tech era, some things high-tech hard to explain.

Diabetes does not get relief and medication, produce complications, specific what kind of complications, depends on the patient's body and mind which part of the hidden virus, these things in the complications guided, scurrying out to torture people. I am not a doctor, there is no seniority certificate, does not prevent me from reading medical books, from the medical books to learn the knowledge, there are theories, there are other people's clinical experience, graded treatment methods, enriched my medical path, benefit a lot.

Hello, it may be due to a long term condition that can cause damage to the blood vessels, resulting in blockages causing lesions, leg pain due to lack of blood flow, and then peripheral neuropathy can also be painful. Without knowing the cause, do not blindly speculate on your own and use medication incorrectly, as it may have serious consequences.

Recommendation:

1、It is necessary to go to the hospital to except the lower limb vasculopathy and/or peripheral neuropathy caused by diabetes mellitus, and the treatment will be effective only after clarifying the cause of the disease;

2. Comprehensive screening for chronic complications of diabetes is required at the time of diagnosis of type 2 diabetes or more than 5 years after diagnosis of type 1 diabetes;

3. Whether or not complications have occurred, it is important to actively control blood glucose, as well as blood pressure, blood lipids and weight;