Diabetic neuropathy usually occurs in those with diabetes. It can damage the peripheral nerves, causing sharp, shooting pain, numbness, or tingling, especially in the feet. Living with this painful condition can turn any normal task into an excruciating chore. In addition to controlling blood sugar levels, mitigating its debilitating effects on mobility and comfort is essential.
Orthotics, custom-designed shoe inserts, are an effective treatment option for diabetic neuropathy. They provide support, cushioning, and pressure relief to sensitive areas. These devices also help control balance, decrease pain levels, and avoid additional foot deformities.
With the right orthotics, thousands are taking more confident steps and enjoying a better quality of life. Understanding the connection between diabetic neuropathy and orthotics helps us treat this condition proactively. Part of this knowledge has given us a foundation to support functional mobility.
Key Takeaways
- As one of the most debilitating complications of diabetes, diabetic neuropathy can greatly affect nerve function and quality of life. Early diagnosis and management can stop the progression and prevent life-threatening complications.
- Orthotics provide serious relief from diabetic neuropathy symptoms. They offer crucial foot support, redistribute pressure, and improve stability, all of which alleviate pain and discomfort.
- Custom-made orthotics offer tailored solutions for individual foot conditions, while prefabricated options provide accessible and affordable support for mild symptoms. Specialized diabetic shoes take that protection and comfort to the next level.
- Properly fitted orthotics help prevent foot ulcers, injuries, and long-term complications, enabling patients to maintain mobility and improve their quality of life. Regular foot care practices and footwear assessments are essential for sustained benefits.
- To prevent and control nerve pain for the long term, maintain healthy blood sugar levels and stay active with low-impact exercises. Pair orthotics with other therapeutic treatments to promote your foot health from the ground up.
- Collaborating with healthcare professionals ensures the right orthotic solutions and comprehensive treatment plans, addressing both neuropathy symptoms and underlying diabetes management needs.
What Is Diabetic Neuropathy
Diabetic neuropathy is a major and common complication of diabetes that affects the peripheral nerves. It occurs as a result of long-term exposure to elevated blood sugars, which causes nerve injury. This disorder affects as many as two-thirds of those with diabetes mellitus during their lifetime.
It doesn’t just impact their ability to accomplish daily tasks. The disorder can appear in the first 10 years after a diabetes diagnosis, highlighting the importance of watchfulness.
There are several types of diabetic neuropathy, each with its own set of symptoms. Peripheral neuropathy, for instance, which is common in diabetes, affects the hands, feet, and legs leading to numbness or burning pain.
Autonomic neuropathy, by contrast, affects the internal organs, interfering with processes like digestion or heart rate. Identifying these varieties is important for individualized treatment.
Getting diagnosed early and having an intervention is key. By treating symptoms early on, we can avoid serious complications such as foot ulcers and balance problems. This proactive approach saves patients their mobility and quality of life long-term.
How Orthotics Help Relieve Neuropathy
1. Provide Proper Foot Support
Orthotics play a crucial role in providing necessary structural support to the feet and ankles, especially for neuropathy patients. For those suffering from painful diabetic neuropathy, improving foot position is essential to alleviate tension in muscles and joints. This improvement begins with the right arch support, which helps redistribute the body’s weight more evenly across the foot, thereby relieving pressure on sensitive areas prone to diabetic foot ulcers.
Custom orthotics elevate this support by molding it to the exact contours of your feet, ensuring a comfortable and supportive fit that meets individual needs. Shock-absorbing cushioning built into orthotics further protects sensitive areas from jarring effects during daily activities, which is particularly beneficial for individuals managing diabetic nerve damage.
Moreover, customized orthotics can address specific diabetic foot problems by providing additional cushioning over bony prominences and adapting with cutouts for deformities, such as hammertoes. This level of support is vital not only for comfort but also for protecting the long-term health of the feet, allowing patients to walk or stand with reduced risk of developing further complications related to diabetic neuropathies.
2. Reduce Pressure On Sensitive Areas
Neuropathy frequently manifests as increased sensitivity or loss of feeling in the feet, particularly in neuropathy patients. This condition leads to increased pressure points that are at risk for developing diabetic foot ulcers or sores. Orthotics play a critical role in mitigating these threats by redistributing pressure evenly across the foot, which lessens the pressure on at-risk areas.
Insoles constructed of soft and textured materials are extremely soothing for those suffering from painful diabetic neuropathy. Their densities of 270 and 320 mg/cm³ allow them to control friction efficiently, which is particularly useful for individuals with pedal paresthesias or dysesthesia. These symptoms can make even everyday activities, such as walking, extremely challenging.
Regularly evaluating the fit of orthotics is equally important, as diabetic feet are subject to changes in condition over time. Correct these alterations as soon as possible. That way, orthotics will properly reduce pressure and avoid issues such as open sores or infections.
3. Improve Balance And Stability
Balance is a significant issue for people living with diabetic neuropathy, often stemming from the loss of sensation in the feet. Orthotics play a crucial role by enhancing proprioception, which is the body’s ability to sense its position and movement in the environment. This compensation for the loss of sensory input can greatly improve postural stability, especially for neuropathy patients.
By correcting gait abnormalities that lead to instability, orthotics allow patients to walk more naturally. The medial-lateral balance index serves as a valuable measure for assessing balance improvement, effectively quantifying a patient’s ability to control lateral motion. This enhancement can be transformative for those with diabetic nerve pain, preventing falls and providing a secure base for daily activities.
Research has shown that using textured insoles can improve balance by activating sensory receptors. This makes orthotics invaluable for individuals managing instability due to diabetic polyneuropathy, as they help ensure safety during movement and enhance overall mobility.
4. Promote Better Blood Circulation
Along with improving overall comfort, proper foot alignment with the help of orthotics directly improves blood flow in the lower extremities. This is especially true for those with diabetic neuropathy since decreased circulation can exacerbate symptoms and cause secondary issues.
By distributing pressure more evenly and promoting proper alignment, orthotics relieve painful swelling and irritation of the feet and ankles. Improved circulation reduces the chance of getting an ulcer or infection, which can be a frequent issue for patients with diabetes. Keeping blood flow strong and healthy is a key part of managing diabetes well.
Orthotics are an important component of your success in reaching this objective. Soft insoles pad your soles and help reduce pain. They encourage low-impact movement, which helps circulate blood to the feet and alleviate stiffness.
5. Prevent Further Foot Complications
Orthotics are a proactive measure that shifts the focus from simply managing neuropathy symptoms to preventing more severe complications from occurring. For example, these practices dramatically reduce the risk of foot ulcers. Foot ulcers are one of the leading causes of hospitalizations among diabetic patients.
Orthotics provide a cushion between your foot and the ground. This protective layer protects your sensitive skin from cuts and abrasions, preventing external wounds from occurring. We have learned that diabetic peripheral neuropathy is an important risk factor for Charcot neuroarthropathy—a destructive process that can result in complex foot deformities.
Orthotics can lower that risk. They relieve unwanted pressure by giving crucial support to help stabilize the foot and avoid overstressing its structure. Combine your orthotics with footwear that fits best to get the most support. When used in conjunction with regular foot care, you can significantly lower the risk of serious complications.
Types Of Orthotics For Diabetic Neuropathy
Custom-Made Orthotics For Specific Needs
Custom-made orthotics provide a personalized solution for diabetes patients by accommodating the specific anatomy and deformities of each foot. These orthotics perform miracles for individuals with developing deformities such as bunions and hammer toes. They offer pain relief to those afflicted with painful diabetic neuropathy, significantly improving their quality of life.
Custom orthotics help redistribute pressure evenly across the foot, preventing the development of diabetic foot ulcers and assisting in the healing of existing wounds. This is extremely important for individuals living with neuropathy patients who are at a higher risk of complications. The process includes a thorough examination, foot scanning, and detailed measurements to craft them to your unique needs for a custom fit.
This custom step increases comfort dramatically and improves overall balance and stability, thereby reducing the risk of falls, which is a serious issue for patients with diabetic peripheral neuropathy. Investing in custom orthotics may require a significant initial investment, but the long-term benefits, including pain relief and decreased risk of amputation, are vital for proper foot care.
Prefabricated Orthotics For General Support
For those looking for a more convenient and affordable solution, prefabricated orthotics offer overall support for diabetic neuropathy. These off-the-shelf solutions are a game changer for those suffering from mild symptoms providing immediate relief without the need for a custom solution.
These orthotics come with built-in arch support to help relieve pressure from sensitive areas and improve overall foot alignment. They may not be appropriate for all of a patient’s individual needs. They can be very useful in alleviating pain and improving overall life satisfaction.
Most important, though, is choosing the proper size and style to guarantee maximum comfort and functionality. A cushioned padded prefabricated insole will lower the impact on your feet with every step you take in your every day activities by at least half. This flexibility makes them a great alternative when custom orthotics are not feasible.
Specialized Shoes For Diabetic Feet
Specialized diabetic shoes are another essential element of foot care for those with neuropathy. These diabetic therapeutic shoes also feature additional depth and width. This unique design allows for a generous fit, easily accommodating fluctuations in swelling or foot deformities.
Materials such as leather and mesh are breathable and help keep moisture away. This helps to prevent infections and other skin complications. Padded soles provide a protective barrier for sensitive feet against shock. They reduce the risk of getting pressure points or ulcers.
These shoes are typically sold with removable orthotics. This feature allows you to easily insert custom or prefabricated orthotics to provide superior support. An asymmetrical DPN patient will experience less pain and greater comfort with the use of customized orthotics.
In addition, customized footwear may help tailor their mobility needs to the individual. When all of these components are combined, diabetic shoes provide the ultimate support and comfort to prevent serious diabetic complications.
Identifying Candidates For Orthotics Use
Recognizing Signs Of Neuropathy Early
Diabetic neuropathy usually begins subtly, manifesting as tingling, burning, or numbness in the feet. As these symptoms progress, they can significantly impact balance and mobility, making proper foot care essential. Regular self-monitoring is integral to recognizing these changes, including loss of sensitivity to temperature or touch, which can indicate complications like diabetic nerve damage.
For our diabetic patients, treating these early signals is crucial in preventing diabetic foot ulcers and other deformities. Timely identification not only addresses current discomfort but also helps avert more severe issues. Annual foot exams, particularly for those who have been living with diabetes for five or more years, are vital for ongoing diabetes management and screening for neuropathy, ensuring that balance disorders are effectively monitored.
Untreated neuropathy may progress to debilitating sequelae such as Charcot arthropathy. This is especially true when the weight-bearing leads to deformities in the bones, making early intervention incredibly important.
Consulting A Specialist For Assessment
Professional evaluation is indispensable for those experiencing neuropathy symptoms. Specialists like podiatrists and neurologists provide targeted assessments, including nerve conduction studies. These tests help confirm neuropathy and evaluate its progression.
Based on findings, experts recommend orthotics tailored to individual needs, considering factors such as foot structure and joint mobility. Comprehensive assessments exclude those unsuitable for orthotic solutions, like patients with severe deformities or infections. Collaborative care ensures patients receive effective solutions, like depth sneakers with removable insoles, which enhance comfort and reduce ulcer recurrence by up to 30%.
Understanding The Importance Of Proper Fit
Orthotics must fit correctly to function effectively. Poorly fitted devices can worsen issues, causing irritation or failing to distribute weight properly. The fitting process includes detailed measurements, adjustments, and follow-up visits to refine comfort and support.
For example, sneakers offer flexibility and customizable features compared to traditional footwear. Regular evaluations keep orthotics aligned with changing needs, reducing risks like ulcer recurrence, which drops to 20% with protective footwear. Properly fitted orthotics, combined with ongoing care, significantly improve mobility and foot health outcomes.
Benefits Of Using Orthotics For Diabetic Feet
Prevention Of Foot Ulcers And Injuries
Orthotics significantly decrease the risk of foot ulcers, which are one of the most common complications of diabetes. By redistributing pressure over the foot, orthotics help reduce high-pressure areas that cause sores. Textured insoles work to give you better overall cushioning while giving you better balance.
This improvement corresponds to a 19% decrease in elliptical area, which is a quantification of balance control. The reduction of pressure through redistribution is very effective at lowering the rate of recurrence of foot ulcers. In patients treated in modified protective footwear, the recurrence rate dropped from 50% to only 20%.
Daily foot inspections, along with the use of orthotics, help to prevent build-up and degeneration over time. Thorough diabetic foot care practices, such as wearing orthotics, help prevent serious injury to the feet and promote overall foot health.
Reduced Pain And Discomfort During Movement
Diabetic neuropathy will frequently cause discomfort with ambulation. With the right orthotics, your feet can feel a world of difference as orthotics support the foot’s structure and reduce unnecessary strain. For example, textured insoles increase both gait and plantar perception, letting users walk better and feel more comfortable.
This added support reduces pain. It further decreases fall risk, particularly among individuals with diabetic peripheral neuropathy. We have many users who report significant reductions in their pain within just weeks of using orthotics.
Their renewed confidence in their ability to stay active contributes to better overall health, reinforcing the importance of orthotics to future daily life.
Enhanced Quality Of Life And Mobility
Since foot health is intimately connected to one’s quality of life, taking advantage of orthotics allows diabetic patients to reclaim their independence. Better mobility creates more opportunities to engage in social and physical activities, promoting mental health.
Wearing textured insoles while standing decreased total sway velocity by 5%. This increase in support allows you to walk with more confidence. In addition to providing comfort to diabetic patients, orthotics allow them to remain active, which is important in controlling their physical and emotional well-being.
By preventing the development of further complications while promoting and supporting everyday movement, orthotics lead to long-term benefits such as improved balance and reduced functional limitations.
Daily Practices To Support Foot Health
Maintain Good Hygiene And Dry Feet
- Diabetic patients have their own set of challenges. Without protective sensation, minor injuries can quickly become serious, like amputation. For instance, if they step on a sharp object, they might develop severe complications.
- Always wear shoes, even at home. Soft slippers or socks just won’t cut it. Shoes with proper cushioning and support can shield your feet from blisters, cuts, and other injuries that could worsen without prompt care.
Avoid Walking Barefoot To Prevent Injuries
- Low-Impact Exercises: Swimming, cycling, or yoga avoid strain, improving circulation and maintaining mobility. Regular movement: Wiggling toes, circling feet, or light walking every 30 minutes benefit blood sugar and circulation.
Engage In Low-Impact Physical Activities
- Check for any signs of cuts, swelling, or redness. Watch out for any changes in skin color or temperature.
Regularly Inspect Feet For Changes
- Orthotics + therapy = symptom relief.
Additional Treatments For Neuropathy Relief
Managing Blood Sugar Levels Effectively
Glycemic control is still the cornerstone of treatment for diabetic neuropathy. We know that high blood sugar damages nerves over time, so keeping blood sugar levels within the target range is important. Eating a well-balanced diet filled with whole grains, lean proteins, and vegetables assists in keeping glucose levels under control.
Moving more through regular exercise—such as just walking or swimming—also increases insulin sensitivity, helping you gain better control. Tools such as continuous glucose monitors (CGMs) or fingerstick tests log changes, providing a picture of the moment. Partnering with healthcare providers helps pave the way for a diabetes management plan tailored to the individual, focusing on personal needs and goals.
Exploring Pain Management Techniques
The orthotic world is much broader and deeper than pain management. Neuropathy relief Pregabalin (Lyrica) and Gabapentin (Neurontin) are ADA-recommended treatments and tricyclic antidepressants such as Amitriptyline relieve pain. Physical therapy helps strengthen surrounding muscles, reducing unnecessary pressure on nerves and relieving pain.
Alternative therapies like acupuncture and mindfulness train the body to relax, leading to decreased pain perception. A holistic approach that combines these different options guarantees the best care possible.
Treating Corns And Bunions Appropriately
Foot deformities such as corns and bunions increase the severity of neuropathic pain if left unaddressed. Orthotic modifications and protective padding counteract pressure, saving the foot from potential complications. Early detection through routine foot exams prevents the development of more serious problems.
Correcting these problems is key itokeeping you on the go and pain-free.
Considering Alternative Therapies
Alternative treatments, including acupuncture, therapeutic massage, and herbal remedies, can help relieve symptoms of painful diabetic neuropathy when done under a physician’s guidance. These solutions are best addressed through conversations with healthcare providers, ensuring safety for neuropathy patients while utilizing evidence-based approaches to prioritize effective diabetes management.
Comprehensive Foot Care
Complications from painful diabetic neuropathy that diabetes patients encounter include the development of diabetic foot ulcers, infections, and Charcot joint disease. Preventive care such as daily foot examinations and routine foot hygiene helps lower risk. The importance of early intervention in managing diabetic neuropathy complications cannot be overstated.
Common Foot Issues Linked To Diabetes
Understanding Charcot Joint And Its Symptoms
Charcot joint disease, sometimes referred to as Charcot’s foot, damages the bones in the foot. This complication weakens the bones due to nerve damage and is often found in those who have diabetes. The disease changes the structural anatomy of the foot, resulting in instability.
Easily mistaken for benign inflammation, symptoms such as swelling, redness, and deformity indicate much more serious complications underneath. Without early detection, joint collapse may develop, greatly impeding mobility. Orthotics offer important support, redistributing weight and protecting more sensitive areas.
For instance, custom insoles can help avoid the development of pressure sores, a frequent ailment in diabetics.
Limited Joint Mobility And Its Impact
Joint flexibility is frequently diminished due to diabetes, negatively impacting an individual’s balance and increasing fall risk. As their mobility becomes limited, so does their ability to engage in other activities, such as walking.
Orthotics help by providing stability to joints, enhancing biomechanics, and decreasing stress. Moderate physical activity, like walking or light stretching, works hand-in-hand with orthotic support to keep joints functioning and prevent stiffness.
Osteoporosis And Bone Weakness Concerns
Diabetic patients are at an increased risk of developing osteoporosis, a condition that weakens bones and raises the risk of fractures. Regular bone density screenings identify early warning signs.
By redistributing body weight evenly, orthotics help minimize stress on fragile bones. Taking a holistic approach through nutrition and exercise keeps bones strong while helping to manage diabetes.
Osteoarthritis And Joint Pain In Diabetics
Osteoarthritis often impacts diabetics, bringing on joint pain that restricts movement. A lack of movement can lead to further joint damage in the long run.
Orthotics reduce pain by providing extra padding for joints and improving other vital alignments of the foot. Including joint health in diabetes care, like physical therapy, helps with long-term mobility and comfort.
Choosing An Orthotics Provider
Most importantly, a skilled orthotics provider is a key component of diabetic care. Find a team with experience in treating diabetic foot complications.
Customization is essential, as feet are some of the most diverse anatomical structures around. Having local providers means more convenience for adjustments and continuous care, leading to better outcomes.
How To Choose The Right Orthotics Provider
Evaluate Provider Expertise In Diabetic Care
This makes choosing a provider with specialized training in diabetic foot care essential. At the same time, a trained expert knows the particular challenges that come with diabetic neuropathy, like diminished sensation and the heightened risk of ulcers.
Providers experienced in diabetic care can provide detailed evaluations, treating each patient’s specific foot problems with the help of custom orthotics.
For instance, an individual with a high arch will require a different type of orthotic solution as compared to someone with flat feet. These evaluations increase comfort and performance. They’re important because properly made custom orthotics can help realign foot structures allowing for more natural movement patterns and less chance of injury.
Flexibility in design is important too, since diabetic feet may shift and change over time. Working with an experienced provider ensures that you have access to creative, customized solutions. These custom solutions grow and change with your lifestyle, giving you the long-term relief and happiness you deserve.
Look For Customization Options In Orthotics
Customization is important in treating feet with special needs like those of diabetic patients.
Custom orthotics, on the other hand, are made to your precise measurements. This custom-fit improves comfort and minimizes the potential for issues. Orthotics custom-made for someone in recovery from knee surgery can truly be beneficial.
This is even more the case for those with difficult foot shapes, like flat feet. Affordable affordability is key, according to Dr. Matthew Neuhaus, quality orthotics shouldn’t cost more than $75. Design flexibility helps make modifications if circumstances evolve, so it remains effective over time.
A provider who offers these kinds of options is showing that they truly care about the quality of patient care and their long-term success.
Ensure Local Accessibility For Follow-Up Care
Choosing a local provider makes follow-up care easier, which is key to improving diabetic foot health outcomes. Regular checkups make sure the orthotics continue working well, as foot conditions can change over time.
Having a local provider allows for quick modifications or repairs, saving you from delays that might increase your pain. The American Podiatric Medical Association recently announced that foot issues have caused over 30% of Americans to call out of work.
This underscores the urgent need for timely care. Build a lasting relationship with a local provider so they can monitor you over time. This connection helps to establish trust, allowing you to more easily share your concerns and receive tailored solutions.
Integrate Orthotics Into Comprehensive Care
Diabetic neuropathy management must be holistic. Orthotics are not a cure-all, but they are an important component of a comprehensive diabetes management strategy.
Correcting foot mechanics helps improve mobility and reduce pain, thus improving quality of life. Effective foot care strategies, combined with regular medical check-ups and a healthy lifestyle, empower you to take control of your well-being.
Taking proactive steps, including finding the right orthotics provider, will go a long way toward improving your foot health.
Conclusion
Living with diabetic neuropathy can be all-consuming, particularly when painful feet make everyday activities impossible. Orthotics provide a simple, effective solution to address your discomfort and safeguard your feet. They promote proper alignment, relieve pressure, and prevent some of the most frequent diabetes-related complications. Whether it’s custom insoles or cushioned shoes, the right orthotics can make a real difference in how you move and feel.
Caring for your feet doesn’t end with diabetic orthotics. Getting regular check-ups, practicing good hygiene, and staying active can all contribute to healthier feet. Pairing orthotics with these habits puts you on the path to long-term relief.
If you’re ready to take that step, the first step in the right direction is connecting with a trusted orthotics provider. Your feet deserve the best care—don’t wait any longer.
Frequently Asked Questions
1. What Is Diabetic Neuropathy?
Diabetic neuropathy, a form of nerve damage due to high blood sugar, often begins in the feet and legs, resulting in sharp pain, tingling, or numbness. By maintaining tight glucose control and utilizing supportive treatments like textured insoles, neuropathy patients can find relief.
2. How Do Orthotics Help With Diabetic Neuropathy?
Orthotics help by offering cushioning, support, and pressure relief, particularly for neuropathy patients experiencing diabetic nerve pain. They relieve discomfort and protect against further damage from diabetic neuropathy by improving overall foot alignment and shielding sensitive areas.
3. Who Can Benefit From Orthotics For Diabetic Neuropathy?
Anyone suffering from diabetic neuropathy, particularly painful diabetic neuropathy, who is dealing with foot pain, numbness, or sensitivity can use relief. They’re invaluable for diabetes patients’ momostiskk for foot ulcers or deformities.
4. What Types Of Orthotics Are Best For Diabetic Neuropathy?
Specially designed custom orthotics for diabetic feet are best for neuropathy patients. These textured insoles offer personalized support, alleviate pressure points, and lower the risk of diabetic foot ulcers.
5. How Do I Choose The Right Orthotics Provider?
Find a diabetic care provider you trust, such as experienced podiatrists or orthotic specialists, who have a strong track record in treating diabetic neuropathy and managing diabetic nerve pain.
6. Are Orthotics Covered By Insurance?
Most insurance plans will cover orthotics as a treatment for painful diabetic neuropathy, but this depends on your specific plan. Always check with your provider to ensure you are eligible and that they can get reimbursed for neuropathy treatment.
7. What Daily Practices Support Foot Health With Diabetic Neuropathy?
To ensure optimal diabetic foot health, diabetes patients should check their feet every day, cleanse and moisturize them regularly, and always wear properly fitting footwear, including textured insoles for enhanced support.
Find Relief From Diabetic Neuropathy With Custom Orthotics From The Shoe Doctor!
If diabetic neuropathy is causing discomfort and impacting your daily activities, custom orthotics could be the solution to restore balance, improve mobility, and reduce pain. Diabetic neuropathy often leads to nerve damage in the feet, resulting in pain, numbness, and instability, which can further cause foot deformities and increase the risk of injury. Custom orthotics are designed to alleviate pressure points, provide targeted support, and accommodate changes in foot structure, promoting proper foot posture and long-term health. By addressing the challenges posed by diabetic neuropathy, these orthotics can help you walk, run, and live actively—comfortably and safely.
At The Shoe Doctor, we bring over 20 years of expertise in crafting high-quality orthotics to combat issues like those caused by diabetic neuropathy. Our expert, Russell, utilizes cutting-edge 3D foot mapping technology to create orthotics that perfectly match the unique structure of your feet, taking into account any changes due to neuropathy. Collaborating with the Spine & Injury Medical Center in San Jose, we take a holistic approach to mobility challenges, ensuring that your treatment goes beyond foot health alone.
If you’re in the South San Francisco Bay Area, trust The Shoe Doctor for effective, personalized orthotics that improve your movement and comfort. Schedule your complimentary consultation today and take the first step toward relieving the discomfort of diabetic neuropathy for good!
