Advice needed regarding non-friction blisters on feet

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Hi @Jill Grundy , welcome to the forum. TBH It’s wisest to get them professionally treated, either by the NHS Podiatrist if you have one or hopefully you have as they are the best, or Gp nurse.

Do you know what caused them
 
Er - blisters do not appear just like that - I definitely think you need to see your doctor, to find out what on earth has caused them.
 
blisters and red patches suddenly appearing on the feet and other places have been associated with corona virus.
best call your gp
 
Hey thanks for your replies. I had a huge one in the summer on the top of my foot, which I think was caused by the sun and I developed capillaritis on my feet and ankles, diagnosed by a dermatologist. These new ones on my toes just popped up (no sun or trauma) unless they get too big I plan to leave them to heal themselves. Does no one else get these?? I’ve been T1 for 33 years.
 
atoll said:
blisters and red patches suddenly appearing on the feet and other places have been associated with corona virus.
best call your gp
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From the information I can find, skin rashes in patients with Covid usually appear after other symptoms, so while it’s a possibility, it’s unlikely to be a symptom in this case. This article gives a bit more information, https://www.bbc.co.uk/news/health-52493574
 
Hey thank you all for your replies. My capillaritis and blisters are definitely not C19 related. Having done a lot of research, diabetic blisters do randomly occur, particularly with PN. I’m suffering very badly with both and it’s just started this year. The only relief I get for the burning feet is a fan blowing on them all night...
I use Freestyle Libre for CGM and I’m now finding I am getting DP and need to use my Humalog at 3am . I’ve changed my Lantus to twice daily, last thing at night and in the morning. Sorry about this long reply, but I’m not in a good place just now re the diabetes.
Jill
 
Jillg said:
Hey thank you all for your replies. My capillaritis and blisters are definitely not C19 related. Having done a lot of research, diabetic blisters do randomly occur, particularly with PN. I’m suffering very badly with both and it’s just started this year. The only relief I get for the burning feet is a fan blowing on them all night...
I use Freestyle Libre for CGM and I’m now finding I am getting DP and need to use my Humalog at 3am . I’ve changed my Lantus to twice daily, last thing at night and in the morning. Sorry about this long reply, but I’m not in a good place just now re the diabetes.
Jill
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If you mean Peripheral Neuropathy than that is another reason why you should seek help from a Podiatrist, it because of lack of feeling that you did not feel them .
 
Is it possible that the recent "blisters" are chill blains.
I experience these as I have Raynaud's disease which effects my circulation in my extremities. I believe the same is true of PN.
I have looked into how to avoid them and the only thing seems to be to avoid rapid changes in temperature so I try to keep my feet warm and bring out the thicker socks this time of year.
 
Hi both, the PN has not caused lack of sensitivity but the opposite, they are very sensitive and feel like they’ve been scalded particularly at night. I’ll be seeing a podiatrist next week. The blisters aren’t chillblains... and I can’t bear to have shoes or socks on for very long because the hot pain is unbearable. I’m very active and will be going out on my bike soon. Used to walk a lot but my feet can’t stand it.
thanks Jill
 
Aaaargh, Lantus. Doesn't suit everyone and that's a fact. Flipping nuisance not being able to find out quickly whether adjusting doses up or down has made as much difference as you hoped it would. Have to say when I was using it and then changed to Levemir (which is normally always needed twice daily) it was like a breath of fresh air being introduced to my BG and thus my mental capacity re both my diabetes control and everything else in my life.

I tweaked something - dose or timing thereof - and could usually have a darned good idea within 12 hours as to whether that had worked or not. Because of the pretty instant feedback I got this made making the changes I needed so much more painless to do. At first, I injected 60% when I got up in a morning and 40% before bed and gradually found that didn't work well. So I tweaked and I tweaked and I twea... In the finish I was on 18u when I got up and 4u at 9.30pm at night. Brill!! And it wasn't all that difficult to do, cos it just didn't take that long, because when something was clearly an unmitigated disaster, I could instantly put it back to yesterdays doses/timings, wait a couple of days for my body to get over disaster day, and try again with something slightly different. Once you get your basal doses and background BG as well adjusted as you can - then's the time to make any tweaks necessary to your boluses, which will be eased by virtue of your getting the basal sorted first.
 
Hi, sorry for not responding before now. I went to see the podiatrist and she said she hasn’t seen red feet like mine!! She has written to my GP suggesting an urgent referral. The diabetic nurses at the GPs also haven’t seen feet like them... I asked them if I could potentially be suffering from Erythromelalgia.... they have never heard of it. I’ve now got an appointment privately on 4th February. Let’s see what they say
 
Hi Jill. Just wondering if you are aware of Charcot Foot. If they are painful and red it might be worth having that checked out.... usually X-rays It is a rare complication of diabetes where the bones in the feet become unstable and is I believe associated with PN. @Flower is the resident expert on Charcot, so might be able to give you an idea of what to look for.
 
Hi Barbara, thanks I’ll do some research. Although my bones don’t seem to be affected.... it’s the skin on my feet that is giving me hell. I’ll message @Flower.
 
Jillg said:
Hi, sorry for not responding before now. I went to see the podiatrist and she said she hasn’t seen red feet like mine!! She has written to my GP suggesting an urgent referral. The diabetic nurses at the GPs also haven’t seen feet like them... I asked them if I could potentially be suffering from Erythromelalgia.... they have never heard of it. I’ve now got an appointment privately on 4th February. Let’s see what they say
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Sorry to hear about your sensitive and sore tootsies Jill. They feet sound very painful :(

Glad you are getting an urgent referral - hope they can come up with an effective treatment option.

I’ve not heard of Erythromelagia either!
 
I saw a specialist and I’m being referred for a skin biopsy... still waiting for it. He mentioned Erythromelalgia and Limited Cutaneous Sclerosis, but he did say that there’s no effective treatment for either.... I’ve got a malar rash and am convinced I’ve got Cutaneous Lupus. All rather worrying.
 
Jillg said:
I saw a specialist and I’m being referred for a skin biopsy... still waiting for it. He mentioned Erythromelalgia and Limited Cutaneous Sclerosis, but he did say that there’s no effective treatment for either.... I’ve got a malar rash and am convinced I’ve got Cutaneous Lupus. All rather worrying.
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Glad you are getting specialist treatment @Jillg

Hope they can shed some light on it and give you some options even if an appropriate course of treatment isn’t all that clear cut. :(
 
Hello and welcome to the forum @Jill 🙂 Hope you can get some answers asap.
 
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