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Old 11-24-2023, 12:32 PM
 
Location: East TN
11,103 posts, read 9,744,154 times
Reputation: 40474

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Hi, I'm new to this part of C-D, so I don't know anything about the diabetes forum. I'm posting about my older brother. He's almost 72 and has been diabetic for years. I don't know how closely he controls his glucose. Not well, I'm afraid, as he's pretty stubborn. He has had some ulcers on his toes and recently had a middle toe amputated within the last 3 months. He's currently in the hospital having lost circulation to the same foot. They've re-established circulation, but he's having all the remaining toes on that foot amputated as well as some of the foot just beyond the toes because some of them have turned black and I guess are gangrenous.

So this leads to my question, has anyone here had to deal with partial foot amputation and how well did you manage afterwards? Are there special shoes for those without toes? Does it hamper your walking a lot after your re-hab? Do you use a cane or walker? Is this going to put him in a wheelchair for life? What do you find to be your best form of exercise, maybe a recumbent exercise bike?
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Old 11-24-2023, 04:18 PM
 
Location: MIAMI FLORIDA
307 posts, read 211,057 times
Reputation: 1107
Quote:
Originally Posted by TheShadow View Post
Hi, I'm new to this part of C-D, so I don't know anything about the diabetes forum. I'm posting about my older brother. He's almost 72 and has been diabetic for years. I don't know how closely he controls his glucose. Not well, I'm afraid, as he's pretty stubborn. He has had some ulcers on his toes and recently had a middle toe amputated within the last 3 months. He's currently in the hospital having lost circulation to the same foot. They've re-established circulation, but he's having all the remaining toes on that foot amputated as well as some of the foot just beyond the toes because some of them have turned black and I guess are gangrenous.

So this leads to my question, has anyone here had to deal with partial foot amputation and how well did you manage afterwards? Are there special shoes for those without toes? Does it hamper your walking a lot after your re-hab? Do you use a cane or walker? Is this going to put him in a wheelchair for life? What do you find to be your best form of exercise, maybe a recumbent exercise bike?

I lost my big toe on my right foot last year due to gangrene/lack of circulation/ From the time I first noticed the toe was turning black,and to the time I rushed into emergency;the toe had to go...that was about a week. I also developed osteomyelesis;so they had to cut even further down the foot to prevent the infection from having my entire foot amputated.

I was already walking with a cane before the surgery...and was barely able to walk 1/2 a block before I had to stop due to the overwhelming pain of neuropathy/claudication.

They had to place 2 stents in each of my legs to facilitate circulation ;as the surgery wound would not heal.
I spent 4 1/2 months in 2 hospitals and 2 nursing homes...I was released on November 11th of 2022...and it took until April this year for the wound to totally close;after frequent out-patient debridement.

My quality of life keeps diminishing...even with the 2 stents I still can't walk more than a few steps without stopping;and can't keep my balance when I stand up(have to hold on to the walls or furniture constantly).

I had to stop exercising on a stationary bike because the pain in my knees was is unbearable...I also have a drop foot on the same foot. They had a special brace to use inside my shoe to keep the foot straight...but it caused ulcers on my calf and bleeding...Had to stop that also.

Sorry to sound so negative;but that's what I went through...20 years of treatment for diabetes 2 and other ailments...11 daily medications...I just don't see it getting any better and my mental health is suffering too.

Hope it turns out better for your brother.
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Old 11-26-2023, 06:54 AM
 
Location: My beloved Bluegrass
20,123 posts, read 16,144,906 times
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My brother had part of his foot removed, along with a few toes, about four years ago. He now has to wear a special shoe and brace but is able to walk and function without using a cane or walker. He had to use a walker for several months until he learned how to compensate. I think though, the ability to function after an amputation like this is highly dependent on where the removal occurred, the person’s general health, and the attitude of person. This is one of those rare areas where stubbornness can be a virtue, as long as the person is determined to walk.

They were able to get my brother’s diabetes back under control, which has allowed him to do better with his circulation and diabetic nephropathy. The amputation was a monumental wake-up call for him and several of us siblings believe if he hadn’t had that happen he would be dead now instead.

My heart goes out to you, there is nothing more heartbreaking than watch someone you love engage in what you believe is self-sabotage by ignoring their health. Been there, done that - it sucks.
__________________
When I post in bold red that is moderator action and, per the TOS, can only be discussed through Direct Message.Moderator - Diabetes and Kentucky (including Lexington & Louisville)
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Old 12-28-2023, 09:18 AM
 
170 posts, read 74,050 times
Reputation: 99
Toes are there for balancing when you walk.
Some will try to walk with their heels.
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Old 12-28-2023, 09:34 AM
 
Location: Knoxville, TN
11,402 posts, read 5,960,793 times
Reputation: 22361
This thread is a good wake up call for me.

I finally have been eating to control blood sugar since I am borderline diabetic. A nice side effect is I am losing weight as well.

This thread is a good reminder not to cheat on my no sugar/low carb eating regimen. When I cheat, the floodgates open. My nurse sister said if I really behave, I can back off my insulin resistance and avoid going to Type 2 diabetes.

Thanks for the thread, and Happy New Year!

Maybe this thread will finally get me to stick to riding the stationary bike at least 3 days a week. Wish me luck. Being scared straight works. Hearing about the hardships and suffering of diabetics is a good reminder that motivates me. I am sorry that it has to come at someone else's expense, but wise people learn from others mistakes instead of having to learn from their own.
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Old 01-05-2024, 08:38 PM
 
Location: WA
2,857 posts, read 1,802,529 times
Reputation: 6836
51 year old son, did all that was required for a diabetic; excellent doctor, informed him his calf, below the knee would be removed. Modern technology, his prosthetic is blue with a wolf on it ! He's adapted quite well, just part of his journey. By CD ,

His paternal grandmother, in her 70's, had a leg amputated
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Old 01-21-2024, 04:39 AM
 
691 posts, read 640,722 times
Reputation: 260
Quote:
Originally Posted by TheShadow View Post
Are there special shoes for those without toes? Does it hamper your walking a lot after your re-hab? Do you use a cane or walker? Is this going to put him in a wheelchair for life? What do you find to be your best form of exercise, maybe a recumbent exercise bike?
Hope the best for your brother.
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Old 01-23-2024, 05:20 AM
 
Location: The Driftless Area, WI
7,237 posts, read 5,114,062 times
Reputation: 17722
Quote:
Originally Posted by deadwood View Post
Hope the best for your brother.
I certainly agree with you there, but have to wonder--

Deadwood commenting on diabetic gangrene and amputations?...Gotta be a joke in there somewhere.
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Old 02-08-2024, 02:42 PM
 
Location: East TN
11,103 posts, read 9,744,154 times
Reputation: 40474
Well, I haven't posted here for a while. My brother got out of the nursing home rehab place and went home after 2 weeks. Unfortunately, he had to go back to the hospital as he had developed infection in the bones of two of the foot bones and they had to take off more of those 2 bones. So now he has a little less than half a foot left on that side. He didn't have to go to the rehab again, he refused, so they sent him home and he's got a wound care nurse who comes by every other day. He's using a wheelchair for the time being. I don't know if he'll be able to get around with a cane and a prosthetic shoe. It's definitely a wake-up call to any diabetic who doesn't stay on top of their foot care.

Thank you for all your wishes, and the info on how others progressed with similar injuries. Under the circumstances, he's amazingly positive and doesn't get too down.
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