I advise patients with diabetic neuropathy to break in new shoes gradually.
I advise patients with diabetic neuropathy to break in new shoes gradually. I suggest that they wear them a maximum of 1 hour the first day, 2 hours the second day, 3 hours the third day, and so on up to a whole day. In this way, there is more time for the shoes to gradually adapt to the shape of the patient’s feet, thereby reducing the risk of potentially dangerous ulcerations.
-Fabrizio Losurdo, MD
Bari, Italy
Man With Newly Diagnosed Type 2 Diabetes: What HbA1c Goal-And How to Get There?
May 8th 2013The patient, an active 49-year-old man, had an HbA1c of 8.6 after diabetes was first diagnosed. It’s now 7.6 with metformin and lifestyle measures. Is the current A1c goal adequate, or should you treat more aggressively?