Lymphedema &; Diabetes – Manage Both Conditions Effectively

There is a connection between diabetes and lymphedema, though diabetes itself doesn’t directly cause lymphedema. However, diabetes can increase the risk or exacerbate its symptoms due to several related factors. Poor circulation, common in people with diabetes, especially in the extremities, can lead to swelling and fluid buildup, worsening lymphedema. Additionally, diabetes weakens the immune system and slows healing, making individuals more prone to infections like cellulitis, which can damage the lymphatic system and aggravate lymphedema. People with diabetes are at higher risk of developing chronic wounds, particularly in the lower extremities, due to poor circulation and nerve damage. When lymphedema is present, the swelling increases the risk of skin breakdown, ulcers, and infections. Proper wound care is essential, and individuals may require specialized care to prevent infection, which could worsen both diabetes and lymphedema. Obesity, often associated with type 2 diabetes, is another significant risk factor, as excess body weight puts pressure on the lymphatic system, hindering proper fluid circulation. Peripheral neuropathy, or nerve damage caused by diabetes, further increases the risk by leading to sensory loss and a higher chance of injury. These injuries can cause inflammation and fluid retention, triggering or worsening lymphedema. Regular physical activity is crucial for managing both diabetes and lymphedema. Exercise helps improve circulation, maintain a healthy weight, and reduce swelling in lymphedema. Physical therapists often recommend specific exercises for patients to stimulate the lymphatic system and prevent fluid buildup. For diabetic patients, low-impact exercises like walking or swimming can be beneficial for improving circulation and managing blood sugar levels without putting too much strain on the limbs. In managing patients with both conditions, controlling blood sugar, addressing risk factors like weight, and preventing infections are essential to avoiding complications. A multidisciplinary approach that includes both diabetes management and specialized lymphedema treatment is often the most effective.

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Who can refer patients to our therapy center:

Physician | Oncologist | Vascular Surgeon | Case Manager | Nurse & Physician's Assistant | Podiatrist