Showing posts with label feet. Show all posts
Showing posts with label feet. Show all posts

Sunday, 20 October 2013

Surfing with diabetes: cosy toes

My recent surfing trip to Newquay with my husband and close friends was a highlight of 2013.  In fact, surfing at any time is a highlight of my year. But while I had the time of my life throwing myself into the waves and trying (with reasonable success) to walk on water, my feet took a bit of a battering.  A remarkably small cut to a toe on my left foot has for the first time in my life had me thinking seriously about my choice of footwear whilst in the water.  After a month of sensible shoes and regular airings, my toe is only now entering the final stages of healing.  Pretty lengthy for a less than 5mm cut from a tiny piece of glass that scuffed my toe.

Knowing how to look after our feet is a lesson all PWDs need to learn but if I'm truthful, I've hardly sat down with a 'Good Footcare' guide and studied the ins and outs of looking after my digits.  I simply make sure that any bumps or scratches on my feet are investigated and if I have a cut I make sure I disinfect it thoroughly. Pretty basic stuff.

But after having watched as the recent cut healed at a frustratingly slow rate and with a fair amount of pain, I decided next time I need to be a little more prepared. So I've decided that for my future surfing trips I am going to be rocking a pair of these:


At 7mm thick they are still flexible enough to feel the board beneath my feet, but thick enough to stop the scratches, bumps and scuffs from any sharp edges the beach can throw at me.  They are also ideal for winter surfing if, like me, you have a tendency to feel the cold.

Check out this site for a reduced pair you may be interested in.

Enjoy!

Wednesday, 1 August 2012

Vascular antics: when aterties turn bad

For the past two years I have been struggling with some pesky sporadic pains in my legs which appear whenever I try to walk anywhere for more than a few minutes.  Similar to cramping, it feels as though my calf muscles have all of a sudden become too short for my legs, leaving me limping and in a lot of pain.  It all subsides after a few minutes but needless to say, a 28 (and a bit) year old shouldn't be having this kind of difficulty walking. I visited my nurse at my old (and totally useless) doctor's surgery a while ago asking about it, who during a routine diabetes review told me in a matter-of-fact manner that I had, and I will never forget this, a 'weak pulse in your foot'.

As with most things, the professionals just love to blame it all on the weight.  Because if having to drag clothes from the back of the rail (not so easy when you're sporting a couple of E cup cahoonas) wasn't bad enough, apparently we (the chubbies) need to be reminded on a regular basis that we just aren't doing well enough when it comes to our diet and exercise.  

'Just lose weight and it will most likely improve' she said.

Most likely.  That seems, well, like a hopeful guess.

But you see, I'm not silly.  I know that there are millions, maybe billions, of people far heavier than myself who don't get these crippling pains.  So there must be another cause.  Another explanation.  With the pains in the legs, the weak pulse in my foot (thanks, lady) and the fact that I am now back with my previous great GP, I decided two weeks ago that I'd had about enough of walking like I have wooden feet, and made by appointment with the doctor.

As I trundled through my week-long wait for my appointment, the thoughts of how serious this could be started to dawn on me. Of course with the wonders of Google and having typed in 'weak pulse in feet and pain in legs' I had convinced myself I was harbouring of a whole host of frightening conditions, starting North of 'calf strain' and ending somewhere South of 'fasciectomy' (where they cut limbs open to release pressure, before carrying out a skin graft). I have seen more photos of black feet rotten with gangrene in the last week, than I care to recall.  

I'm a catastrophiser, you see (look it up, there's a picture of me next to the dictionary entry).

'Anna Presswell', the familiar voice called.

Into the sterile, lemon-coloured room I went and launched into my symptoms, hoping he would immediately recognise and be able to explain my condition, offering me some reassurance that this really was just down to the weight.  

After having a good poke around of the feet and a good check of the toes, out came what he refered to as, 'The Doppler'.  It turns out, 'The Doppler' is the same machine they use to hear a baby's heart beat for the first time.  Out came the jelly, and before I knew it I was listening to my own pulse through the medium of foot-whispering.  Little did I expect that the first time I used one of these, it would be to try and hear my own heart-beat, through my feet.  I expected something a little more, conventional.

After some fumbling about, searching and eventual comparison to an area where my heartbeat could be heard clearly, a very faint, distant pulse was found.  And I really mean faint.  Too faint, for my liking.  When comparing it to the other areas, it was like a whisper.  One we had to listen really closely for.

I let out the breath I've been holding onto.

As he took me through the reasons it may be happening, I mentally check every one of the boxes.  Weight, check.  Cholesterol, check.  Diabetes, check,  Smoking, check.  And before you judge me, save it. It was a silly decision the first time took a drag of a cigarette as an angry and rebellious teenager, but it was my decision and I alone am allowed to judge.  I have turned a corner in my life in the last few years and learning that smoking really can be overcome, was on of those lessons.  The cholesterol has been addressed, the weight is coming down, the smoking is a thing of the increasingly distant pass and unfortunately, despite trying to give that up too, the diabetes is a keeper.

Having explained that I am doing all the things the Doctor would be advising me to do had I come in with no intentions of changing, I have been tasked with continuing the weight-loss for another two months and make a mental note in the diary to come back for another check.  I don't think I will be needing to make any mental note, thanks all the same.  It will be the 8th of October when I make my appointment.

I have always prided myself on having been able to keep the complications of diabetes at bay, but it seems I wasn't able to escape forever.  At least this kind of problem is one I can do something about, something I can reduce, reverse or at least stop in its tracks.  I have changed my lifestyle and continue to all the time.  I find new healthy options to foods I once craved all the time.  Each week that goes by cigarettes become more repulsive and exercise becomes more enjoyable, and more frequent.

I am becoming the text book diabetic.

This is the best kind of wake up call.  Yes, it is a complication of diabetes, but its also just a reminder that mixing all of those factors together does have implications, for anyone.  Ones that I can address, but implications nonetheless.

This is also the next challenge along the way.  The next hurdle. And it will be my next success.  There was the smoking, then the eyes, now the legs.

And I will wipe the floor with these vascular antics.

And just for the sake of it, here is a picture of a pair of lovely healthy feet, similar to my own.  I even carry around the leaves, for full effect.


Wednesday, 2 May 2012

'Special' shoes

As you get older things you once would never have considered suddenly begin to seem to be a good idea.  Like, growing your own veg or just having one night out this weekend; getting a smaller TV package to reduce the bill or putting money away for a rainy day.  This year, I began to consider - shudder - 'special shoes'.

Ten years ago I considered this sort of thing for people who had one leg significantly longer than the other and needed something to help them walk better.  Or perhaps for people who have conditions meaning they fall over if their shoes don't have weights in.  This was not something for me. I was way too 'cool' for that.

A few years on with some wisdom in the bank and at my ripe old age of 28 years and 18 months, things have begun to change. Gone are the days when I could wear heels so high I had to be drunk just to stand in them.  Countless times after eventful nights clubbing I would wake up with toes  completely numb thanks to being 'squished' (the only appropriate word) into your shoes for the inexplicable purpose of 'being fashionable'.

Nowadays, after having done my time in the 5 inch heels and matching blisters and having realised that those blisters really weren't worth it, I am beginning to realise the value and importance - for a diabetic - of wearing shoes which actually fit!

Don't get me wrong, my shoes don't look like this:



But I have started to wear shoes described as 'wide fit' which offer decent support and are properly measured. Why?  Because it is a very easy way to give your feet a helping hand - or, foot maybe - towards staying healthy.  My work shoes are now a cute pair of Clark's black ballet pumps with a small 1/2 inch heel and air circulation. Low and behold, they are like a pair of slippers compared to my former cheaper pair!

It's worth pointing out that with 'good' control and at the age of 28 and 18 months, there shouldn't be any reason I should be panicking just yet.  But you have no doubt seen the 'Putting Feet First' campaign that Diabetes UK are running.  The facts and figures about "100 people per week have a limb amputated due to diabetes" and the constant reminder that diabetics are disproportionately represented in the amputation stats countrywide, means I may as well take the easy route to good care wherever I can.  That means checking my feet after drunkenly danced barefoot, wearing decent shoes most of the time and taking care of any hard skin which could disguise a foot ulcer.

Not only am I a lot more comfortable most of the time, but I also now have the benefit of being able to giggle to myself at all those people teetering around in shoes far too high for them with the unmistakable, 'I'm walking downhill' motion about them.  Sexy?  ....Not really!  I'll stick to my 'special shoes' thanks all the same.

Anna (currently oh, so comfy)

Monday, 30 April 2012

Shards of glass and chocolate roses

This weekend saw the wedding of two of my closest friends so Jamie and I hot-footed it to Birmnigham ready to celebrate. Thanks to being amongst friends when diabetes came up - which it inevitably does when the pump is produced from various pockets and nooks and crannies - the conversation started to flow and for once, the eyes didn't glaze over. People were actually interested.


While chatting about it one friend commented how difficult it must be to negotiate a day like this.

"Naaaaaah" I confidently stated, "It's nothing. As long as I test regularly and think about what I'm drinking, it's only the same as everyone else's night, really."

But there it is; I test regularly and think about what I'm drinking. For me, that's normal. Necessary. For everyone else, it's a hassle. So it got me thinking about how differently I really do act. Just how much extra does it take? Well I thought I would write it all down so you can see for yourself. So here it is:

3pm - The wedding is about to kick off so naturally (for me) a test is in order. 12mmol. Drat; a touch on the high side. Thanks to the drinking plans, I need to sort that out. A small correction (extra insulin) later and I'm back on track. It's just a diet coke for me, at the moment. The ceremony takes place. We smile, we well up, we hear readings from our own wedding, we remember.

4pm - The drinking has started, I still feel a little 'wonky', time for another test. 11.3mmol. Ok so I haven't gone down much, but I'm now drinking Gin and Tonic and I haven't gone up. I'll take that, in this instance. We continue to drink.

7pm - Time for the food - better test again. 9.2mmol. Fab, G and Ts obviously agree with diabetes, I better swap to doubles on hearing this excellent news. We continue to drink.

9pm - Dinner was delicious, but thanks to the guest next to me not wanting their cheesecake desert, I am two deserts up and wondering what that means for the blood sugars. 10.3mmol. Well, after 2 deserts, several double gins and a fair bit of emotion, I am pretty happy with 10. We continue to drink.

11pm - I don't test (I am far to busy dancing), but I have discovered that the hearts on that wedding cake are actually made of white chocolate. I eat them. Most of them. I continue to drink.

12.30am - Well, the lack of tests over the last 3 hours no doubt evidences the fact that I am trollied. I am dancing barefoot and can feel the shards of glass from broken drinks flying past my feet. My sugars are 12.2. I don’t even care. It's a final double for me, please Mr Bartender.

1.30am - I am back at the hotel. Despite being very drunk I wash my black, grub-covered feet which are all danced out, so Jamie can check them for damage from shards of glass. They are fine. We stop drinking.

At 2am the night is over. My blood sugars are 8mmol. I give myself a temporary 80% basal overnight, I chow down on a banana and I keel into bed.

So what's the verdict? Is it a pain? Does it change my night? My answer is this:

Yes, we have to make adjustments.

No, a diabetic dancing barefoot is not a good idea.

Yes, I have to blood test more regularly.

But I challenge you to find anyone there who had more fun than I did (bar the bride and groom, hopefully). Congratulations to my wonderful friends Emma and Matt. Your wedding was a gem.

Anna (still dancing barefoot and enjoying every beat)