When most people think about diabetes, blood sugar levels come to mind first. But one of the most common—and often overlooked—complications is diabetic neuropathy, a type of nerve damage caused by persistently high blood sugar. It most commonly affects the feet and legs, and if left unmanaged, it can have a significant impact on mobility and daily life.
Over time, high glucose levels can damage the tiny blood vessels that supply the nerves. Without sufficient blood flow, nerves don’t function properly. Other factors, such as high blood pressure, high cholesterol, and smoking, can make things worse. For people over 45, where circulation naturally slows and other health conditions may be present, the risks are even higher.
Spotting the Symptoms
Early signs of neuropathy can be subtle: tingling in the feet, burning sensations, or shooting pains, often worse at night. As the condition progresses, many people lose feeling altogether in their feet and toes.
That might sound like a relief from pain, but numbness can be dangerous. Without sensation, it’s easy to miss small cuts, blisters, or pressure points from shoes. Minor injuries like these can develop into infections or ulcers, sometimes leading to serious complications.
Neuropathy also affects movement. Weakness in the feet and legs, poor balance, and a higher risk of falls are common as the condition advances. Everyday activities—walking on uneven ground, climbing stairs, or simply moving around the house in low light—can suddenly become challenging.
How It Affects Daily Life
For many over 45s, these changes can significantly impact independence and confidence. The fear of tripping or falling often leads people to cut back on activity. Unfortunately, reduced movement can result in weaker muscles, stiffer joints, and an even higher risk of falls—a cycle that can be difficult to break.
Managing the Condition
The good news is there’s plenty that can be done to manage diabetic neuropathy and protect mobility:
- Keep blood sugar under control – slowing the progression of nerve damage.
- Check your feet every day – catching blisters, cuts, or pressure points early can prevent serious problems.
- Wear protective footwear – shoes should fit well and minimise rubbing or pressure.
- Stay active with physiotherapy – strengthening muscles, improving balance, and keeping joints flexible makes a real difference.
- Manage pain effectively – through medication, therapy, or other strategies.
A newer treatment generating interest is Stimpod therapy, a form of electrical stimulation designed to “wake up” damaged nerves. Early reports suggest it can reduce pain and, in some cases, even improve sensation. While it isn’t widely available yet, I’ve used it with some of my clients and seen very encouraging results.
Final Word
Diabetic neuropathy is a serious complication, but it doesn’t have to take away your independence. By staying alert to symptoms, looking after your feet, remaining active, and exploring new treatments where appropriate, it’s entirely possible to maintain mobility and quality of life well into later years.
Ed Voss Physiotherapy
Supporting healthy, active living for runners and active adults over 45
📞 Tel: 07542 940478
🌐 www.edvossphysio.co.uk
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