I STEPPED ON A NAIL TODAY!

An accident all diabetics dread.  Stepping on a nail has led to many a foot amputation.  That’s exactly what happenned to me today.  The great thing is: I FELT IT.  And it was painful!.  The bad thing is this type of accident is slow to no healing for many diabetics. 

This accident doesn’t strike terror in me like when I dropped a board on my foot and my big toe nail was so engorged with blood that the nail popped off.  Like then I won’t be going to a doctor.  Hopefully the same results will occur.  That it will be painful for a while then heal up, normally. 

I continue to inject my short acting insulin in or around the toes for maximum effect.  Everything should be fine.

I will keep you guys posted on the progress (or regress).

Now I egress.

Ron

FEET ARE COLD

For the last month my feet have been feeling very cold.  Visually there doesn’t seem to be any problem.  Both look and feel healthy.  Because of the diabetes I may be more suseptable to the weather.  Or it could be that the blood flow is being restricted; thereby causing the heat that would otherwise go to the feet to be restricted.  Doing more calf raises (300+ per exercise) and running more.  It can’t hurt.

will keep you posted on any changes.  Injecting in my feet or close to them is still keeping them healthy.

DON’T LOSE YOUR FEET TO DIABETES!

I almost lost my feet to diabetes.  Now I have virtually no foot problems because I changed how I injected the insulin.

Read my story save your feet maybe your life!

I have been a type 1 diabetic for 17 years.  As much as I wish it weren’t true, it is.  Back then the doctors told me that there may be foot problems.  “it takes about 15 to 20 years, though, so don’t worry about it.”  sure enough, 15 years later the numbness started setting in. then the cold.  later, lack of feeling.  All the while their apearance getting more sickly.  All of it was insidious.   Over the years I only noticed my shoes getting “tighter”.

One day the nurse looked at my feet.  A wave of sadness went across her face and she left the room.  That’s when I took the first good look at my feet in years.

They looked like they were made of black alligator skin.  A black ashy look, swollen, callousing that litterally traveled from my big toes, encompassing the heal, all the way up my achilli’s tendon. The calloussed skin litterally brushed off like dandruff.  For the first time in my life I was afraid that I would have to have my feet amputated.

It got worse. One day my feet were freezing. After again, putting them next to a heater, I realized I could not feel them.  They  were so numb they felt DEAD.  That’s the best way to discribe it.  Black, caloussed, swollen, numb, DEAD!  I wanted to cry because amputation was now about to be real.  I could walk, but I could not feel the floor under my feet..  This was bad.

As sad as this moment was, It was also one of those “EUREKA!” moments.

While staring at them, it dawned on me that they were cold because they weren’t producing heat.

THE CELLS weren’t producing heat because they weren’t getting any food (glucose).

They wern’t getting any food because they weren’t getting insulin.

The insulin is needed for the glucose to get past the cell walls to “feed” the  cells.  NO INSULIN, NO FOOD,  NO HEAT!

They weren’t getting enough insulin because all or almost all of the insulin was getting used up as it traveled through the muscles of the hips, thighs and calfs.

By the time what’s left got to the feet,  it’ was virtually gone.

WHAT WAS HAPPENING?

I theorized: MY FEET WERE STARVING TO DEATH!…. a few cells at a time.

I think this dead tissue is also what causes the swelling.  Like when any part of the body is injured, swelling occurs to help remove the dead tissue.

(“This could also be the reason for eventual diabetic kidney failure.  The kidneys work overtime to “filter” these dead cells. Eventually shutting down from too much work.  Just a thought.”)

Anyway this thought (cell starvation) was an inspiration and my salvation.

Normally I would shoot in the stomach area.  It’s easy.  If my feet were starving because of lack of insulin to get food into the foot cells;  switching the injection sites to the feet, so the feet get the insulin first, may make a difference.  It certainly couldn’t hurt.

So I did.   On march 3, 2011, I started shooting in or near my feet.

Within 30 minutes (using R) of injecting by the toes in each foot, I could feel the difference! I felt warmth and tingling for the first time in months.

In about 10 days the swelling was gone.  Calousing, slow healing, numbness, all disappeared over the course of just a few months, max.

The blackness of my feet took well over a year to go. To be honest, this past month (October 2012, 19 months later.) was when I finally declared it completely gone. Which confirmed what I suspected: they were very close to being dead.  And having to be amputated.

Now my normal pattern of injection sites are:  25% in each foot or as close as possible to them (ankle, under calf muscle, behind or to the side of the knee).  Under the skin and not in a muscle or artery. Just like other injection sites. (cleaning the site first). At least below the knee, at each injection time. and 50% in the stomach area.  That’s a minimum of 3 injections 3 times a day (brkfst, lch, dnr) with R..  My N is still once a day at dinner or bedtime in the stomach area.  But sometimes that’s a close to foot injection too.

Why 3 times a day with R?  Because I normally shoot R at each meal.  This guaranty’s  that the feet get all of insulin they need first,  at each meal.  Not last as was before.

To date (nove 5, 2012) there is just a small amount of numbness in the right foot. A smaller-than-dime-size area at the flex point below my right big toe.  That’s down from total numbness from toes to halfway up my calf area.

My feet, which I felt were about a year away from being amputated are now as healthy as  can be.  No swelling,sores, callous’s, complications, of any type.

I recently dropped something on my right big toe causing it to swell and the toenail eventually coming off.  This would normally strike terror in a diabetic.  Although I was a little worried, the toenail grew back and there were no healing  problems at all.

I knew that changing my injection sites could not hurt, even if it didn’t work.

IT DID!!!

IF YOU HAVE DIABETIC FOOT PROBLEMS, IT WILL SAVE YOURS, TOO!

Your feet need very little insulin to keep them alive.  By starting there, they get it first.  It works.

Even if you don’t see the foot problems now, It doesn’t mean it’s not happenning.  If you are like most of us, you won’t notice it until the problems have advanced considerably.

Some people have hand or finger problems, too.  Another extremity.  Fingers, like toes,  would also be the last recipient of  insulin. Shoot under the skin around the fingers to save them.

Remembering that little bit of college anatomy physiology saved my feet.  May have saved my life. That’s why I started this blog.

Pass this information on to anyone you know who is a diabetic;  you could save their feet.  maybe their life

where do you inject your insulin makes all the difference.

October 26, 2012
WHERE TO INJECT YOUR INSULIN TO SAVE YOUR FEET FROM AMPUTATION.
Sorry for the disappearing pictures. Don’t know what happened. Will work to make it right.
Again, I want to stress. This blog is not selling anything. It’s information that I believe can save my fellow diabetics from foot amputation or worse. Read my first blog. If you follow the advice, like me, you will see a dramatic improvement in your feet. As well as your overall health.
As we diabetics know, injecting insulin is a necessary pain. Without it our cells simply starve to death regardless of how much we eat. The insulin is the “key” to unlocking the “cell door” to let the glucose in so that the mitochondria can create energy for us to stay alive. Insulin moves the glucose through the cell walls. Without insulin, glucose doesn’t get through. The cells starve to death, no matter how much we eat. That’s it in a nutshell.
For our feet, they are the extreme end to our body. When we inject insulin, it must work its way to them. Unfortunately it gets used up before it gets there.
The reason is simple. The biggest, thickest, most energy demanding parts of the body: your hips and legs get the insulin first.
JUST CHANGING YOUR INJECTION SITE CAN KEEP THEM FROM GETTING AMPUTATED!
Start injecting into the foot area.
When I first realized that my feet weren’t getting enough insulin I started injecting right at the toe area. Flex my toes and injected under the skin.
Why? Now the feet get the insulin first.
Sometimes you can’t take your shoes off. My second choice is the ankle. Flex the foot and inject around the top of it.
Sometimes even this area is not as assessable as we’d like. At those times my injection site is below and to the side of the knee. Or any area below the knee as long it is in a fatty area and
NOT directly into a muscle or artery.
The objective is to give your feet the best possible opportunity to get all of the insulin it needs to keep its cells from starving to death. By having your injection site at least below the knee, your feet will get more of the insulin. If your feet are seriously damaged like mine were,
TRY TO ALWAYS INJECT DIRECTLY INTO THE FEET UNTIL THEY HAVE HEALED. This may be inconvenient. But it beats amputation. After they heal you can experiment on choices.
Even though my feet have long since healed, I still do this. I don’t want to take any chances.
I take R and N. My insulin dosage for R is 15 units per meal (it had been as high as 35 units per meal). So I inject 5 units in each foot or ankle. And 5 units in my abdomen area. All of us have different insulin requirements. So it would be unreasonable to try and tell you how much insulin should inject into each foot.. May I suggest 25% of your dosage in each foot. And 50% in the upper body. However much you put, in by injecting directly in the feet you guaranty they get their fair share.
It’s been 19 months since I switched injection sites. All “dead feeling” swelling, discoloration, infections, callusing, increased numbness has gone. There has been slight foot pain periodically that disappeared. The nerves appear to be much better. I still have a small amount of button size numbness under my right big toe just at where it flexes. But it continues to get better, although slowly.
I hope this info helps you get better. That you will enjoy a happier, healthier life because of it. Check in every now and then for updates.

don’t lose your feet to diabetes

9/27/2012

DIABETES

Don’t lose your legs/FEET over it.

IF YOU DON’T WANT TO HAVE YOUR FEET AMPUTATED, READ THIS!

You don’t have to buy anything or even do anything you don’t already do as a diabetic.  Just change the way you do it. It can save your feet, maybe save your life.

If you are like me, a diabetic you’ve been told how you could eventually lose your feet and even your legs because of the disease.  Nerve damage and or bad blood circulation.  Doctors don’t seem to know exactly why this happens or how to counter it.

I believe I have figured out why: The insulin you inject is used up before it gets to your feet. And they slowly starve to death.

The cells of the lower extremities, just like the rest of the body need insulin to get glucose through the cell walls to create energy in a process called the “Krebs” cycle.  If you inject insulin in your mid-section area like I “used” to do, so much of the insulin is used powering the waist hip and legs there is little to no insulin left.

Read on.

I became a diabetic in 1995 (@ age 40) after having an accident that knocked off my right knee cap.  My family: immediate, maternal and paternal is rampant with the disease.  With two sisters having it (half of the six siblings).  A mother, her mother, her grandmother.  Paternally  dozens of extended family members with it. So eventually getting it was just in the cards.

That said, It was difficult to understand that I would have Type one diabetes.   My present age is 56 years old. 6’ 215 lbs.  While that may be high on the insurance scale, I am muscular, strong, fast with a very low body fat composition (the last time I had it checked it was 6.5%).

I have been doing regular exercise since I was 4 years old (started with my mom and Jack La Lane).  And have been lifting weights since I was 7 years old (started after watching Steve Reeves break out of chains in “Hercules in Chains”).  I have always been fairly active: amateur power lifting, physique, long distance biking, hiking, rock climbing, little running, long walks (neighborhoods, cities, museums etc.

If there was one person who shouldn’t have gotten it, it would be me.  But I did.

In 2009 I had a checkup and the nurse looked at my feet and a wave of sadness rushed across her face that was so intense, it frightened me.  She left for a few minutes and came back with some vitamin enriched cream. For the first time in years I took a good look at my feet. They were almost completely black, scaly, all the way past the ankle; with little sensitivity.  (I am a brown colored African American but this was not natural). The callus’s on my heals had literally traveled up the Achilles tendon with deep cracks in them..  It rubbed off like dandruff. They looked like crocodile skin and felt as if they were dead.

After that visit I paid a lot more attention to my feet and realized they were in bad shape and getting worse.

My feet, ankles and lower legs were:

So cold all of the time that I had to wear socks to bed to try and keep them warm. Keeping my feet warm literally required using a space heater.

The feet were numb all the time.

The lower legs were now thick and numb.

Feet were swollen all of the time.

Walking was becoming more painful every day.  As if I were walking right on my bones.

On the morning of March 3 2011 I could walk. BUT I could not feel my feet or halfway up my lower legs at all.  The best description of how they felt was: dead.

For years prior to this day, I had done hundreds of calf raises to increase blood circulation. To prevent this from happening. I had been told that this was probably a result of poor circulation.  It didn’t hurt.  Nor did it work.

The deterioration was getting worse and happening faster.  There was no doubt in my mind that I would be losing one or both my feet within a year.  Withlegs following.  Having several relatives that have amputations or have died I knew I wasn’t just being paranoid.

That morning was a turning point. I sadly looked at my feet and said to myself:

“I think their starving to death.”

Why?

As all of us know, every cell in every part of the body needs insulin to get glucose through the cell wall.  That’s is how they “eat.”  Without insulin it doesn’t matter how much glucose “food”  is available, your cells can’t get it and they will starve to death. .   Heat energy is created during this metabolic process which helps keep our body temperature regulated at 98.6 degrees That’s what I theorized was happening to my feet,     If part of the body, In my case the feet, is very cold, it can only be because it isn’t creating heat. The only reason that could be happening is that little or no insulin was getting to the feet to start the metabolic process.

How can that be?

Easy…. Once I thought about it.  I normally shoot my insulin in my stomach area.  It’s the most convenient injection site.

Assuming half goes up the other half goes down.  The area, closest to the injection site will get the most.  The area furthest from the injection site, the least.  the feet (the furthest part of the body)

it travels down and gets use by the most powerful energy consuming muscles in the body. The gluteus Maximus and the rest of the hip muscles.

From there it feeds the largest, strongest group of muscles in the body.  Your thigh muscles.  Using up even more of the insulin

After that the insulin travels to feed the lower leg muscles: gastrocnemius muscle.  Responsible for holding about 95% of your body’s weight when you stand or walk, these muscles require a lot of energy.

By the time the insulin reaches your feet, it is virtually if not all gone.

How do you get insulin past all of the insulin using muscles?   Make each foot the injection site. Insulin now starts at the extremity and works up. Gaurantying an insulin supply for the feet before its used up.

Having decided that the feet needed more insulin, I first started injecting my insulin in EACH of my feet.  (I use both R and N)

I noticed a difference within 30 minutes.

The feet first started feeling “icy hot” like they had been rubbed with menthol.

Within 3 days the “thick” dead feeling was gone.

Within 10 days all swelling had disappeared.

In about 3 weeks the feet felt fully alive for the first time in years.

In the same time my feet went from feeling freezing cold to icy hot to warm to normal.

Healthy color started at the toes and was slowly returning to them.

Numbness was slowly going away.

It has now been about a year and a half since I changed the points of injections.

All of the callusing is gone, completely.

There is still a small amount of numbness on the bottom of the feet. right where the big toe flexes.  And along the side of the big toe.  But even that area is vastly improved.  I used to could not feel that area at all.  I theorize that the nerves take considerably longer to re grow.

About 6 months ago I dropped something on my big toe causing the nail to bruise, fill with blood and eventually pop off.

This would have terrified me a year earlier.  (a cousin had a similar problem and ended up getting her toe amputated.  She has since started injecting close to her feet and has not had any more problems since.)  the old nail fell off and a new healthy one has since replaced it.

this is how a healthy foot should look.

My feet which previously looked as if they were dead,   This is notmy foot, this is how it used to look. Now look and feel as healthy as anyone’s.   It took almost a year for all of the sick and dying cells to finally shed.  Which tells me that they were very sick indeed.

They not only look good, they feel great…. I mean just that.  They actually feel “great”

The reason for the change is clear:  By changing my injection sites so my feet get the insulin first they are no longer starving for insulin.

If your feet are becoming a problem, or even if they haven’t…yet. By making your injection sites closer to the feet,  giving them an ample amount of insulin every day can make the difference between having your feet or having your feet amputated.

How often should you inject in your feet?

Like the rest of your body, before every meal, it possible.  I have to inject insulin before every meal with R  An inject R and N. in the evening.  I make it a point to try and inject as close to the feet as possible each time

I take 15 units of R before each meal.  I make it a point to inject each foot with 3 to 5 units of R in each foot or close to,  before each meal.

Sometimes also injecting the N in each foot too.  Don’t think that matters as much because it is long- acting insulin and probably cycle’s more evenly before it’s activated anyway.

Since it can be inconvenient to take you shoes off to inject in your feet each time,  I will inject at the ankles under the calf muscles, just above the calf muscle o the side and behind the knee.

The key is to give your feet the best opportunity to get as much insulin as they need to survive.

If you have serious foot problems it’s best to inject at least at the ankle area.  Once everything is healed you can experiment with what’s best for you.

Be careful.  Like any other part of the body, you want to inject sub-dermally.  But not in a vein.  The feet have a lot of veins close to the surface.  It will serve no purpose if you inject in a vein that sends the insulin straight to the top of the body where it then has to work back through 98% of the muscle mass before your feet get a chance at it.

Hygiene is a key consideration.  Feet are sweaty.  So clean the site as you would any other injection  site.

Make this simple change in your injection site, and your feet will stay with you for the rest of your life.

Over all I inject my insulin in up to 4 different injection sites at each injection time.  To try to make sure that the whole body gets enough insulin. By doing this I have eliminated virtually all of my foot problems.  I can’t say with 100% certainty that injecting close to the feet did it.  Actually I can say that.  And plan to continue this way.  Because the opportunity to lose my feet was far closer than I ever want it to be.

 Again, this is not a picture of my foot.  But this is how my feet looked a year and a half ago.

 This is how my feet look today