Diabetes affects the blood vessels and nerves of the hands and feet. With less than normal supply of oxygen, nutrients, and nerve messages, there's a big risk of delayed healing. It's even possible that healing won't occur at all.

You probably heard the list of possible problems: infection, nonunion, malunion, and destruction of the joint. Any of these can delay recovery and even reduce long-term function. Impaired walking ability is at the head of the list. Gangrene and loss of limb are among the worst possibilities.

These are not meant to be scare tactics. The simple fact is that adults with diabetes are more likely than adults without diabetes to fracture a bone. And when they do, half of them will develop one or more serious problems.

Patients and their families who are aware of the potential complications will take the directions seriously and follow them very carefully. A lot of education and a little prevention can go a long way in obtaining a good result for patients with diabetes.