Where to massage for diabetic foot

Written by Luo Han Ying
Endocrinology
Updated on February 23, 2025
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For diabetic patients, we do not recommend foot therapy. Why is that? First, the foot therapy institutions outside are not very professional; many individuals start working without proper training. The massage might lack strength, and the hygiene standards are often not met, which can lead to local injuries and infections.

Second, diabetic patients have a specific bodily constitution due to high blood sugar levels, making their tissues particularly susceptible to damage. Once damaged, these tissues do not heal easily. If the hygiene is substandard, the feet of diabetic patients are especially prone to infection. Diabetic foot patients, because of poor blood supply, are also more susceptible to fungal infections. Therefore, given these factors, it is advised that diabetic patients avoid foot therapy.

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Symptoms of Gestational Diabetes

The symptoms of gestational diabetes differ from those of non-pregnancy diabetes; non-pregnancy diabetes is mainly characterized by excessive drinking, eating, urination, and weight loss. During pregnancy, excessive drinking and eating may be physiological responses due to increased appetite, and frequent urination may be caused by the enlarged uterus pressing on the bladder during early pregnancy. Weight loss is generally not apparent in gestational diabetes due to the growth of the fetus, the uterus, and the increase in amniotic fluid. For women who had a higher body mass index before pregnancy and a family history of diabetes, it is recommended to start glucose tolerance screening from the time of planning to conceive. For those who gain weight rapidly after becoming pregnant and have a significant increase in amniotic fluid, we typically conduct routine diabetes screening between 24 to 28 weeks of pregnancy. Gestational diabetes has severe impacts on the pregnant woman, the fetus, and the newborn, thus early detection and treatment are advised.

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How to Control Gestational Diabetes

During pregnancy, if the pregnant woman has diabetes, it is essential to control blood sugar reasonably. Otherwise, high blood sugar can seriously affect both the fetus and the pregnant woman, and in severe cases, it can cause diabetic ketoacidosis in the pregnant woman and fetal death in utero. Diabetes in pregnant women can be intervened in the following ways: First, through dietary control, eat less sugary foods, such as sweets, pastries, and fruits. Second, it is necessary to be moderately active during pregnancy, taking a walk or maintaining 5,000 to 10,000 steps daily, which helps in the consumption of glucose in the body. Third, if the above two methods are ineffective, insulin should be used to control diabetes.

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Gestational diabetes symptoms

During pregnancy, there are two scenarios concerning diabetes: one is where diabetes is diagnosed before pregnancy, referred to as pregestational diabetes combined with pregnancy. The other scenario is where the sugar metabolism is normal before pregnancy, or there is an underlying reduced glucose tolerance, and diabetes appears or is diagnosed during pregnancy, also known as gestational diabetes. Over 80% of diabetic pregnant women have gestational diabetes. Typically, gestational diabetes doesn't show clear symptoms of the classic "three polys and one less" - excessive drinking, eating, urination, and weight loss. Some women with gestational diabetes may experience itching of the vulva, caused by repeated infections with Candida albicans. Additionally, gestational diabetes may lead to conditions like fetal macrosomia and polyhydramnios during pregnancy, and pregnant women with gestational diabetes are more prone to infections.

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How is type 2 diabetes treated?

The treatment of type 2 diabetes includes the following aspects. First, dietary treatment is recommended, advising regular and quantitative meals three times a day, and avoiding late-night snacks and extra meals. Second, appropriate exercise. Third, self-monitoring of blood glucose; it is best to purchase a glucometer for home use and show the recorded blood glucose levels to the doctor during hospital visits. Fourth, diabetes education. Fifth, medication treatment, which includes oral medications and insulin therapy. It's important to visit an endocrinology specialist promptly to determine the most suitable medication under the guidance of a doctor.

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Gestational diabetes check at how many weeks?

Screening for gestational diabetes is generally recommended between 24 to 28 weeks of pregnancy, using a 75g glucose tolerance test to measure fasting blood glucose, blood glucose one hour after consuming glucose, and blood glucose two hours after consuming glucose. However, for pregnant women with high-risk factors, it is recommended to screen for blood glucose at their first prenatal visit. High-risk factors include women with a history of gestational diabetes, a history of delivering a large baby, obesity or polycystic ovary syndrome, those with a first-degree relative with a history of diabetes, positive fasting blood glucose or urinary glucose in early pregnancy, those who have had multiple unexplained miscarriages, fetal malformation, stillbirth history, and women who have given birth to newborns with respiratory distress syndrome. These women should all be screened for blood glucose at their first prenatal visit.