PLEASE HELP! How do you ease joints locking up in diabetics?

I'll answer the pancreas part.

It's important that he tests his BG before bed and on occasions during the night. eg 2am. I know this can be annoying but having been a Type 1 for 24 years I have learnt sometimes the hard way. Hypos during the night certainly should be avoided.

Beware also that exercise before bed should be calculated into BG control as it will reduce BG levels. The effect however may not occur until 1-2 hours afterwards. Thus a reading at 2am etc would be best when starting this sort of program.

One more thing is footwear. Ensure he has good quality socks for circulation. Also I recently spent $200 on designed shoes and the difference is amazing. Perhaps medical benefits will cover or even a collection amongst family/friends?

Good luck, hope things improve.

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I've been diabetic for 44 years, and I know a few non medical things. Keep the feet warm, not hot. You can use warm compresses (heated towels). It sounds as if his blood isn't circulating well. Perhaps there is a heated pool where he could swim. A hot tub or even sitting in a regular tub might help. Are the toes drawing down or up? If down, some hard soled or wooden soled shoes or sandals might help. If it's muscle cramps after a long day on his feet, try wearing moccasins without a stiff sole, usually found in the bedroom slipper section of a shoe store. He should wear them around home while walking. Since his pancreas is still working intermittently, I suspect he's suffering from low blood sugar through the night. Check blood sugars when attacks occur. If it is low, give him a small non-diet soda or a glass of juice with a little sugar added. There should be a diabetic support group in your area, and he should let his doctor know about this.

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Joints Locking Up

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RE:

PLEASE HELP! How do you ease joints locking up in diabetics?

My boyfriend's dad has been having REALLY bad trouble with his feet. Because he is diabetic, his feet curl up and stiffen causing excruciating pain. It happens almost every night and the only thing that helps is that my bf rubs out the cramps, but they come back about 4 or 5 times a night....

What can I do to prevent these cramps?

To stave off future episodes of nocturnal leg cramps, consider the following tips:

Drink six to eight glasses of water daily. Doing so will help prevent dehydration, which may play a role in the cramping.

Stretch calves regularly throughout the day and at night. (See box below for more information.)

Ride a stationary bicycle for a few minutes before bedtime. This activity can help prevent cramps from developing during the night, especially if you do not get a lot of exercise during the day.

Keep blankets loose at the foot of the bed to prevent your toes and feet from pointing downward while you sleep.

Do aquatic exercises regularly during the week to help stretch and condition your muscles.

Wear proper foot gear.

How can I make them go away?

When cramping occurs, try these steps:

Walk on or jiggle the affected leg and then elevate it.

Straighten the leg and flex your foot toward your knee. Grab your toes and pull them upward toward your knee. You should feel your calf muscles stretching.

Take a hot shower or warm bath, or apply an ice massage to the cramped muscle.

Persistent or severe leg cramps often are treated with medication. Quinine sulfate is considered the most effective drug, but it can have unpredictable adverse effects and should be used with caution. (In 1995, the US Food and Drug Administration banned the sale of all quinine-based over-the-counter preparations.) Alternative medications include diphenhydramine hydrochloride, vitamin E, simple muscle relaxants (such as meprobamate [Equanil, Miltown]), verapamil hydrochloride (Calan, Isoptin, Verelan), chloroquine phosphate (Aralen Phosphate), and hydroxychloroquine sulfate (Plaquenil Sulfate).

Nocturnal muscle cramps can often be prevented by doing leg-stretching exercises, such as the one outlined below.

1. Stand 30 inches from the wall.

2. While keeping your heels on the floor, lean forward, put your hands on the wall, and slowly move your hands up the wall as far as you can reach comfortably.

3. Hold the stretched position for 30 seconds. Release.

4. Repeat steps 1 through 3 two more times.

5. For best results, practice this exercise in the morning, before your evening meal, and before going to bed each night.

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This information is not a substitute for medical treatment.

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