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Diabetic neuropathy can affect both the sensory and motor control of the foot. Without the ability to sense pain and/or increased pressure, you are at increased risk for foot ulcers. Protection of the feet at all times is of utmost importance.
Exercise is a key factor in controlling diabetes. Any type of exercise is helpful. But when orthopedic or neurologic problems occur, certain types of exercise may be better than others.
For example, biking and stair climbing put less pressure on the feet compared with walking. Always hold on to a railing when walking up and down stairs. Studies show that a recumbent bike may be the best choice when limiting forces on the foot.
With a few modifications, walking may still be an option. Good shoes can make a difference. You'll want footwear that provides good arch support. Newer shoes reduce the amount of pressure placed on the forefoot, arch, and heel. The more worn the shoe is, the more pressure is placed on the foot.
Using a cane or walking stick may help if you should trip, stumble, or lose your balance for any reason. Stay alert to any uneven areas, cracks in the sidewalk, tree roots, or other things that can trip you up. If walking seems out of the question, consider swimming or other exercises in the pool as alternative but still excellent choices.
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