This is one of the lesser known long term complications of diabetes, but one which could result in amputation. 

Diabetes can affect the nerves in the feet, causing neuropathy, which results in numbness and the inability to feel pain. I have one client who stood on a nail, which pierced the sole of his work boot, and the sole of his foot, and he never felt a thing!

This is of course very dangerous, and people with diabetes need to be aware of injuries to their feet. The neuropathy may cause an injury to go unnoticed, the bone can then heal abnormally, and the foot can begin to collapse on itself. 

Sadly, Charcot foot is not being recognised promptly enough by GP's, and an onward referral to a diabetic foot clinic is often delayed. This can have severe consequences, particularly where an infection develops, and leads to an amputation. 

Treatment for Charcot foot is immobilisation in a plaster cast. There is no other established medical therapy for the condition. However, the outcome is good if the foot is immobilised early, and infection can be avoided.

Good foot health is imperative, especially where diabetic related amputation has now reached an all time high in England.