Summer activities, such as swimming or walking on the beach, usually are done while barefoot or wearing sandals. But for people with diabetes, these activities can be dangerous.
People with diabetes often have poor circulation and nerve damage in their hands and feet, according to the American Diabetes Association (ADA). They may not know when they have a foot injury and so are less likely to manage or treat the injury immediately.
If you have diabetes, the following suggestions can help you to enjoy the summer months while protecting your feet.
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Indications and Usage for Lantus® (insulin glargine [rDNA origin] injection)
Prescription Lantus® is a long-acting insulin used to treat adults with type 2 diabetes and adults and children (6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.
Do not use Lantus® to treat diabetic ketoacidosis.
Important Safety Information for Lantus® (insulin glargine [rDNA origin] injection)
Do not take Lantus® if you are allergic to insulin or any of the inactive ingredients in Lantus®.
You must test your blood sugar levels while using insulin, such as Lantus®. Do not make any changes to your dose or type of insulin without talking to your healthcare provider. Any change of insulin should be made cautiously and only under medical supervision.
Do NOT dilute or mix Lantus® with any other insulin or solution. It will not work as intended and you may lose blood sugar control, which could be serious. Lantus® must only be used if the solution is clear and colorless with no particles visible. Do not share needles, insulin pens or syringes with others.
The most common side effect of insulin, including Lantus®, is low blood sugar (hypoglycemia), which may be serious. Some people may experience symptoms such as shaking, sweating, fast heartbeat, and blurred vision. Severe hypoglycemia may be serious and life threatening. It may cause harm to your heart or brain. Other possible side effects may include injection site reactions, including changes in fat tissue at the injection site, and allergic reactions, including itching and rash. In rare cases, some allergic reactions may be life threatening.
Tell your doctor about other medicines and supplements you are taking because they can change the way insulin works. Before starting Lantus®, tell your doctor about all your medical conditions including if you have liver or kidney problems, are pregnant or planning to become pregnant, or are breast-feeding or planning to breast-feed.
Lantus® SoloSTAR® is a disposable prefilled insulin pen. Please talk to your healthcare provider about proper injection technique and follow instructions in the Instruction Leaflet that accompanies the pen.
Please click here or the link below for the full prescribing information for Lantus®
1. Maintain proper glucose levels
You should try to maintain a blood sugar level of 70 to 130 mg/dL before meals, and less than 180 mg/dL two hours after starting a meal, with a hemoglobin A1C level less than 7 percent, the ADA says. You can help do this through regular exercise; paying close attention to how often you eat and what types of foods you consume; using any medications you may require as directed; and monitoring your blood sugar as frequently as necessary for optimal control. See your health care provider or nutritionist to develop a diet plan that works for your individual needs and lifestyle.
2. Never walk barefoot
When you're at the beach, seashells, glass or ocean debris can puncture your skin and cause serious infections. Walking barefoot on a hot pavement can lead to severe burns and infection, the ADA says.
3. Buy the correct shoes and socks
Your shoes should be a perfect fit, the ADA says. Shoes that are too big or too small can cause blisters or calluses, so make sure to have your feet measured each time you buy shoes. Adult feet usually change sizes four or five times during the course of a lifetime, and weight fluctuations, changes in weather and poor circulation can change the shape and size of your foot.
4. Wash and inspect your feet daily
Look at your feet every day before putting on shoes and after taking them off. Using a magnifying mirror can be helpful if you aren't flexible enough to see underneath the foot. Check between the toes and at the heel. Before putting on your shoes, look inside them for debris that may rub your feet. Even a small pebble or sand can create a sore that may not cause pain but can lead to more serious infection if not treated promptly.
5. Use skin lotion to keep your skin smooth
Rub a thin coat of lotion on the top and bottom of your feet, but not between the toes, the ADA says.
6. Keep your nails trimmed
Cut them straight across and file the edges.
7. See a podiatrist regularly
During the summer months, your feet may be at risk for more fungal infection because of the heat and increased moisture, the ADA says. Your feet also may be more at risk for calluses because of the change in summer footwear. Your podiatrist can help you manage minor infections so they don't lead to complications.