Diabetes and Neuropathy: The Silent Threat to Your Feet

Diabetes is often referred to as a silent killer, but few people realize how silently it can affect their feet. For millions of people worldwide, and especially in Hong Kong where diabetes is on the rise, the combination of diabetes and neuropathy can lead to devastating foot complications.

If you or a loved one are diabetic, pre-diabetic, or even part of Hong Kong’s growing elderly population, it’s not just your blood sugar levels that need attention—your foot health should also be a priority. Here’s why.

The Stealthy Impact of Diabetes on Your Feet

Diabetes is more than just a condition that affects blood glucose levels. It’s a systemic disease that can damage nerves, blood vessels, and tissues throughout the body. When it comes to your feet, the risks are particularly high.

1. Nerve Damage (Diabetic Neuropathy)
Diabetic neuropathy is one of the most common complications of diabetes, with studies estimating that it affects 50% of diabetic patients worldwide. In Hong Kong, where 10% of adults have diabetes, this translates to hundreds of thousands of individuals silently suffering from nerve damage.

What happens?
Neuropathy damages sensory nerves, reducing your ability to feel pain, heat, or cold. This lack of sensation means you might not notice minor injuries, blisters, or cuts. Left untreated, these small issues can escalate into serious infections or ulcers.
The statistics are alarming:
According to the Hong Kong Diabetes Federation, diabetic neuropathy is a leading cause of foot ulcers and amputations in the region. Globally, it is estimated that 85% of diabetes-related amputations begin with a foot ulcer caused by neuropathy.

2. Poor Circulation
Diabetes also damages blood vessels, reducing blood flow to the extremities. Without proper circulation, wounds on your feet heal slowly, leaving them vulnerable to infections.

In Hong Kong:
Studies show that 200-300 amputations are performed annually due to diabetes-related foot complications. Many of these could be prevented with early detection and proper care.

Neuropathy: The Silent Warning Signal

One of the most dangerous aspects of diabetic neuropathy is its subtle nature. It develops gradually, often without noticeable symptoms in the early stages.

Key Warning Signs of Neuropathy in Feet:

• Tingling or burning sensations in your feet.
• Numbness or a "pins-and-needles" feeling.
• Muscle weakness or difficulty walking.
• Loss of balance or coordination.
• Unnoticed injuries, ulcers, or infections.

If you’ve experienced any of these symptoms, it’s crucial to consult a healthcare professional and assess your foot health.

Why Foot Health Awareness Matters in Hong Kong

Hong Kong’s aging population and rising prevalence of diabetes make foot health awareness more important than ever. By 2039, 1 in 3 people in Hong Kong will be over 65, which significantly increases the risk of diabetes, neuropathy, and related complications.

However, despite these risks, 50% of diabetics in Hong Kong remain undiagnosed, according to research by CUHK. This delay in diagnosis often leads to complications like neuropathy being discovered too late.

A Simple Step Can Save Your Feet

The good news is that many of these complications are preventable. Early detection, proper foot care, and lifestyle changes can significantly reduce the risk of serious foot problems. Here’s how you can take action:

1. Regular Foot Health Assessments
Taking pictures of your feet and performing regular self-checks can help identify early warning signs of neuropathy and other complications.

Look for redness, swelling, blisters, or unusual changes in skin color.
Check for any injuries, even minor ones, as they can escalate quickly.

2. Professional Assessment
Consider using tools like SoleFit Care’s Foot Care Hub, which provides an instant foot health report based on photos of your feet. This innovative solution is designed to help diabetics and the elderly detect foot issues early and take preventive action.

3. Lifestyle Adjustments
Maintain healthy blood sugar levels through diet and exercise.
Wear proper footwear that prevents pressure points and supports your feet.
Practice daily foot hygiene, including moisturizing to prevent cracks and inspecting your feet for injuries.

4. Consult a Specialist
If you notice any symptoms of neuropathy or foot abnormalities, seek advice from a podiatrist or healthcare provider immediately.

Don’t Wait Until It’s Too Late

The combination of diabetes and neuropathy is a silent threat to your feet, but the power to prevent complications lies in your hands. By taking proactive steps to assess your foot health regularly, you can avoid serious outcomes like ulcers, infections, or amputations.

In a city like Hong Kong, where diabetes is on the rise, awareness and early action can make all the difference. Don’t wait for warning signs—schedule a foot health assessment today and take the first step toward healthier feet!