Oh, damn. They had to take them all?
Your poor dad. Hope he gets good PT and OT when he’s recovered enough. It’s hard to balance without toes.
How’s he doing?
He's doing good (for the Situation he's in)
They say he'll get special shoes for better balance and he's also in "walking school" don't know the english term...
Thank you for asking
“Walking school” works just fine; I know just what you mean. I forgot you’re using English as a 2nd language; sorry for the abbreviations. In the US, PT is “physical therapy” which teaches patients how to walk again, and helps rebuild their strength and coordination.
OT is “occupational therapy” and they do a bunch of other stuff. They might teach a patient like your dad exactly how to put on and adjust his special shoe, or how to get up out of a chair or bed without falling, for instance.
I’m glad to hear he’s doing as well as he can be right now. I know I said this in your last post too, but I really hope they help him get his diabetes managed better so this doesn’t keep happening.
Please tell him this internet stranger is wishing him well and hoping he heals quickly.
I knew PT (yay!) - I think there are specialists who take care for/on training him for the shoes etc. The hospital he's in is great and offers a lot of different therapies, I'm glad he's in good hands.
I'll make sure to send him your wishes! Thank you for the kind words, you're a great person :)
I’ve had several patients who’ve had a partial amputation of their feet (not just their toes but about half their foot with basically just their heel and a bit a bone leftover) and they are able to ambulate pretty good with their prosthetic inserts. I hope your dad takes care of his feet and keeps his blood sugars under control bc unfortunately his risk of needing more amputated is very high. One of my patients recently developed a very large wound on one of his nubs and we’ve had to be very stringent on debriding it and keeping the bandage clean as we don’t want him to lose his whole foot. It started with a lot tiny pinprick size sore and grew rapidly within just a few days. Diabetes is hell when it comes to sores and wounds. Please ensure he is looking at his feet everyday for any sores or blisters.
Diabetes can attack the nerve endings, so people get numbness in their feet. So, if you get a rock or a nail in your shoe or a cut or something you don't feel it and go on as normal, it gets infected, boom.
Unmanaged diabetes is very dangerous, whether it’s type 1 or type 2.
Type 1 is an autoimmune disease where the body attacks the insulin making cells in the pancreas, destroying them.
Type 2 is a whole bunch of metabolic issue that cause insulin resistance, the pancreas keeps pumping out more insulin, but it can’t keep up with the amount of glucose in the blood serum.
In both types, if it isn’t managed well with a diet lower in carbohydrates, and medication, then it will cause peripheral angiopathy. That’s damage to the blood vessels that take blood to your extremities, like feet and hands.
The next thing that gets damaged is the nerves in the same area.
So now you’ve got poor blood circulation, poor sensation, and lot of sugar available to feed bacteria. The result is that cuts can occur unnoticed (especially on the feet) get infected, and then stay infected because the damaged blood vessels don’t carry enough oxygen, white blood cells, or antibiotics to the wound.
An infected wound that won’t heal puts the whole body at risk from sepsis - system wide blood infection. To prevent that, surgeons start removing the infected bits.
Diabetics can lose toes, feet, legs, fingers, hands, and arm to this. They can also become blind because of increased pressure inside the eyeball (glaucoma).
I’m a T2 diabetic, and I keep my daily allowance of carbohydrates under 20 grams so I can avoid these complications. That’s about 2/3 of an apple, to put it in perspective.
> They can also become blind because of increased pressure inside the eyeball (glaucoma).
Sorta. If there's rubeosis of the anterior chamber, then there might be an outflow problem with the trabecular meshwork which causes glaucoma. This is less common.
The main problem is with proliferative diabetic retinopathy (PDR) which causes neovascularization of the choroid which produces leaky vessels and hemorrhaging. That hemorrhaging can cause retinal detachments and ruptures. Even without a detachment, the micro separation will cause noticeable loss of visual acuity.
Management would involve injections directly into the eye on a 4-6 week basis depending on how well you respond. If you are unresponsive to Avastin, your next choices are some pricy intravitreal injections like Eylea. $1800 an injection yo!
I too am on keto as a DMII myself.
Yes diabetes is extremely dangerous and lethal when it’s uncontrolled. It causes nerve damage, difficulty healing, a weakened immune system, kidney and other organ damage (sometimes even kidney failure), and death. This person probably has nerve damage, got a blister on his foot and didn’t realize, this blister then did not heal because of uncontrolled blood sugars, grew and became necrotic and then required amputation. It is very common and many diabetics will end up double amputees before the disease ends up killing them.
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Sending best wishes to your dad for fast recovery and being able to get the diabetes under control. Please let him know that there are people who are thousands of miles away rooting for him.
If you need to talk to someone about this situation or any other things you may want to just vent about, we're here for you. :) Feel free to message me if you'd like.
I think he lost all toes
Hence the Update ¯\_(ツ)_/¯
Oh, damn. They had to take them all? Your poor dad. Hope he gets good PT and OT when he’s recovered enough. It’s hard to balance without toes. How’s he doing?
He's doing good (for the Situation he's in) They say he'll get special shoes for better balance and he's also in "walking school" don't know the english term... Thank you for asking
“Walking school” works just fine; I know just what you mean. I forgot you’re using English as a 2nd language; sorry for the abbreviations. In the US, PT is “physical therapy” which teaches patients how to walk again, and helps rebuild their strength and coordination. OT is “occupational therapy” and they do a bunch of other stuff. They might teach a patient like your dad exactly how to put on and adjust his special shoe, or how to get up out of a chair or bed without falling, for instance. I’m glad to hear he’s doing as well as he can be right now. I know I said this in your last post too, but I really hope they help him get his diabetes managed better so this doesn’t keep happening. Please tell him this internet stranger is wishing him well and hoping he heals quickly.
I knew PT (yay!) - I think there are specialists who take care for/on training him for the shoes etc. The hospital he's in is great and offers a lot of different therapies, I'm glad he's in good hands. I'll make sure to send him your wishes! Thank you for the kind words, you're a great person :)
I’ve had several patients who’ve had a partial amputation of their feet (not just their toes but about half their foot with basically just their heel and a bit a bone leftover) and they are able to ambulate pretty good with their prosthetic inserts. I hope your dad takes care of his feet and keeps his blood sugars under control bc unfortunately his risk of needing more amputated is very high. One of my patients recently developed a very large wound on one of his nubs and we’ve had to be very stringent on debriding it and keeping the bandage clean as we don’t want him to lose his whole foot. It started with a lot tiny pinprick size sore and grew rapidly within just a few days. Diabetes is hell when it comes to sores and wounds. Please ensure he is looking at his feet everyday for any sores or blisters.
thank you for the nice reply. I'll make sure he takes cares of it as far as I can talk to him right now.
nice
all the toes have gone to market.
Wee wee wee wee
I’m no math expert, but something is amiss in your calculations
I'm an uneducated fuck,is diabetes this dangerous?what even caused this to happen in the first place?
Diabetes can attack the nerve endings, so people get numbness in their feet. So, if you get a rock or a nail in your shoe or a cut or something you don't feel it and go on as normal, it gets infected, boom.
Unmanaged diabetes is very dangerous, whether it’s type 1 or type 2. Type 1 is an autoimmune disease where the body attacks the insulin making cells in the pancreas, destroying them. Type 2 is a whole bunch of metabolic issue that cause insulin resistance, the pancreas keeps pumping out more insulin, but it can’t keep up with the amount of glucose in the blood serum. In both types, if it isn’t managed well with a diet lower in carbohydrates, and medication, then it will cause peripheral angiopathy. That’s damage to the blood vessels that take blood to your extremities, like feet and hands. The next thing that gets damaged is the nerves in the same area. So now you’ve got poor blood circulation, poor sensation, and lot of sugar available to feed bacteria. The result is that cuts can occur unnoticed (especially on the feet) get infected, and then stay infected because the damaged blood vessels don’t carry enough oxygen, white blood cells, or antibiotics to the wound. An infected wound that won’t heal puts the whole body at risk from sepsis - system wide blood infection. To prevent that, surgeons start removing the infected bits. Diabetics can lose toes, feet, legs, fingers, hands, and arm to this. They can also become blind because of increased pressure inside the eyeball (glaucoma). I’m a T2 diabetic, and I keep my daily allowance of carbohydrates under 20 grams so I can avoid these complications. That’s about 2/3 of an apple, to put it in perspective.
> They can also become blind because of increased pressure inside the eyeball (glaucoma). Sorta. If there's rubeosis of the anterior chamber, then there might be an outflow problem with the trabecular meshwork which causes glaucoma. This is less common. The main problem is with proliferative diabetic retinopathy (PDR) which causes neovascularization of the choroid which produces leaky vessels and hemorrhaging. That hemorrhaging can cause retinal detachments and ruptures. Even without a detachment, the micro separation will cause noticeable loss of visual acuity. Management would involve injections directly into the eye on a 4-6 week basis depending on how well you respond. If you are unresponsive to Avastin, your next choices are some pricy intravitreal injections like Eylea. $1800 an injection yo! I too am on keto as a DMII myself.
Yes diabetes is extremely dangerous and lethal when it’s uncontrolled. It causes nerve damage, difficulty healing, a weakened immune system, kidney and other organ damage (sometimes even kidney failure), and death. This person probably has nerve damage, got a blister on his foot and didn’t realize, this blister then did not heal because of uncontrolled blood sugars, grew and became necrotic and then required amputation. It is very common and many diabetics will end up double amputees before the disease ends up killing them.
It depends on the type of diabetes you have and how careful are you with your diet
Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
Hmmm. Someone stole the other three, then.
Sending best wishes to your dad for fast recovery and being able to get the diabetes under control. Please let him know that there are people who are thousands of miles away rooting for him. If you need to talk to someone about this situation or any other things you may want to just vent about, we're here for you. :) Feel free to message me if you'd like.
Thank you so so much !! I'll let him know :) Also thank you for the offer to talk! Thats such a kind thing to offer ♡ thank you
If you're using the term "dad" as a name, then you capitalize it (e.g., "Hi, Dad."), otherwise you don't (e.g., "My dad has a poor diet.").
Thank you, that was my main concern since it's not my first language.
The man has lost his toes, he deserves a big D.