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What Causes Swollen Feet And Ankles In Diabetic?

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Posted on Tue, 31 Mar 2015
Question:
Having swelling in my feet & ankles, weather here is hot, 90 degrees.

Have type 2 diabetes & controlling blood sugar without meds

Any suggestions?
XXXXXXX Sellers
doctor
Answered by Dr. Panagiotis Zografakis (38 minutes later)
Brief Answer:
Could be a vein, heart or kidney problem

Detailed Answer:
Hello,

bilateral feet and ankles swelling is usually caused by vein insufficiency (particularly in the hot days). Avoiding standing will cause reduced swelling. Walking may be more helpful. Rising the legs helps even more.

Other things to consider include:
- heart disease: peripheral edema is a common feature of this condition. Diuretic use is recommended in cases like this. An ultrasound scan of the heart (echo) would be diagnostic.
- kidney disease: inability of the kidney to manage fluids or loss of albumin in the urine may cause swelling in the legs or elsewhere. A urinalysis and blood tests for urea, creatinine, total protein and albumin can be helpful.

I hope I've helped!
Contact me again, if you'd like to know more about your condition.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (1 hour later)
Since I am diabetic I am checked often for any kidney or heart condition,
however I do have varicose veins. Do you think that they maybe causing this problem?
doctor
Answered by Dr. Panagiotis Zografakis (5 minutes later)
Brief Answer:
It could be

Detailed Answer:
Thanks for the input!
Varicose veins is a sign of venous insufficiency. This means that your veins cannot push the blood towards the heart as effectively as they should. The result is that the feet and the ankles may swell when standing for a long time (or faster) and they loose the excess fluid when you lie down.

Kind Regards!
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Swollen Feet And Ankles In Diabetic?

Brief Answer: Could be a vein, heart or kidney problem Detailed Answer: Hello, bilateral feet and ankles swelling is usually caused by vein insufficiency (particularly in the hot days). Avoiding standing will cause reduced swelling. Walking may be more helpful. Rising the legs helps even more. Other things to consider include: - heart disease: peripheral edema is a common feature of this condition. Diuretic use is recommended in cases like this. An ultrasound scan of the heart (echo) would be diagnostic. - kidney disease: inability of the kidney to manage fluids or loss of albumin in the urine may cause swelling in the legs or elsewhere. A urinalysis and blood tests for urea, creatinine, total protein and albumin can be helpful. I hope I've helped! Contact me again, if you'd like to know more about your condition. Kind Regards!