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ASK JANIS

by Janis Roszler

 

Photo: Portrait

Janis Roszler, RD, CDE, LD/N, is a registered dietitian, certified diabetes educator, and certified insulin pump trainer. She has counseled individuals with diabetes for over 14 years, and is currently the diabetes educator for the website: www.diabetic.com

This column is for educational purposes only. For answers that meet your specific educational needs, consult your physician.

Dear Janis:

I notice my feet sweat with my tennis shoes on. I am a diabetic; is this a problem?

Dear S.Y.:

It is important for you to keep your feet dry. Moist skin becomes soft and more prone to infection. For this reason, foot soaking is not recommended for individuals with diabetes. Burns from the water can also occur. If you sweat a lot, be sure to use powder on your feet. If you moisturize your feet, do not moisturize between your toes.

Dear Janis:

I am thirsty all the time. A co-worker suggested I might have diabetes. What are the symptoms and what could cause it?

Dear Randy:

The exact cause of diabetes is unknown. Heredity may play a role in developing both types of diabetes. Eating sweets does not cause diabetes, but must be limited to help control it. Being overweight, certain medications, and emotional and physical stress related to medical conditions such as pregnancy, illness and surgery, can play a role in its development. Also, for reasons not yet known, certain ethnic groups such as Native Americans, Hispanic Americans and African Americans tend to have a higher incidence of type 2.

The warning symptoms of [type 1] diabetes include: unusual thirst, frequent urination, intense hunger, numbness or tingling in hands and feet, blurred vision and extreme fatigue. If you have any of all of these symptoms, it is important that you see your doctor.

(Editor's Note: Type 2 diabetes is characterized by slow onset and ambiguous, low-key symptoms. If you suspect you have diabetes, or if you have a family history of diabetes, your doctor can tell you for certain, with a blood test.)

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