The relationship between peripheral edema and diabetes.

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Peripheral edema is edema due to the accumulation of fluid in the feet, ankles, and legs. It can occur in one or both lower extremities. If you have diabetes, you need to take extra precautions for swelling .

Edema is the result of damage to the capillaries or increased pressure that causes the capillaries to leak fluid into the surrounding tissue and cause edema. People with diabetes often have circulatory problems that cause wounds to heal slowly or not at all. Swelling makes it difficult for wounds to heal, so it is very important to control swelling.

Get Medical Information / Emily Roberts

Symptoms

  • Stretched skin or shiny skin
  • Swelling or swelling
  • Pitting or pitting corrosion for various reasons

Causes

There are many common causes of edema that are quite benign. Some examples of more common causes of peripheral edema that are not specifically related to diabetes include:

  • Physical inactivity
  • Standing or sitting for a long time
  • Operation
  • Burns
  • Hot weather
  • The pregnancy
  • Menstruation
  • Menopause
  • Birth control pills
  • Certain medications
  • Excessive salt intake
  • Malnutrition
  • Poor nutrition

Edema may be present in only one limb (not both) due to:

Peripheral edema can also be associated with more serious conditions, many of which can be associated with complications of diabetes, such as heart disease , venous insufficiency, liver and kidney disease.

Certain diabetes medications can also cause swelling, especially the thiazolidinedione medications Actos (pioglitazone) and Avandia (rosiglitazone maleate). These medications have been shown to be hidden due to their possible cardiac side effects and should not be used by people with a history of congestive heart failure.

People with diabetes are twice as likely to have heart disease or heart failure (such as congestive heart failure ). If the patient has neuropathy, symptoms of heart disease or heart failure may not be felt. It is important for a diabetic patient to warn their healthcare provider about the signs and symptoms of edema.

Control

If you develop swelling, tell your healthcare provider so they can rule out serious complications. Here are some tips to help you manage swelling in your foot and lower leg.

  • Raise the affected leg or foot throughout the day.
  • Wear support stockings (and see your healthcare professional if you have arterial disease).
  • The exercise
  • Eat a low sodium diet
  • If you have a wound, cellulite, dermatitis, peeling, or itching, be sure to include these in your treatment plan.

Call your doctor as soon as possible if:

  • The swelling does not decrease or get worse.
  • You have liver disease and swelling in your legs or abdomen.
  • Your swollen member is red or hot
  • You have a fever
  • You notice a decrease in urine output.
  • You are pregnant and have sudden moderate to severe swelling.

When to contact a healthcare provider

New-onset edema, bilateral (in both extremities) or unilateral (in one extremity), should be urgently evaluated. Unilateral edema may indicate an urgent need for a DVT test. Call 911 if you have trouble breathing or chest pain.

Frequently asked questions

  • People with diabetes are more prone to edema (water retention), but it is not clear whether the cause is diabetes. Fluid retention is a sign of heart failure and kidney damage, two conditions that people with diabetes are prone to. Also, the type 2 diabetes medications Aktos (pioglitazone) and Avandia (rosiglitazone) can cause swelling.

  • Gravity contributes to lower leg swelling. To combat this, raise the affected foot or feet. If you experience bloating frequently, reducing the amount of sodium in your diet can help alleviate the condition.

  • Sometimes there is no need to worry that sometimes swollen feet will disappear overnight. Talk to your doctor for advice if the swelling lasts more than a day, occurs regularly, affects only one limb, or is accompanied by other symptoms.

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