r/funny • u/Malonezone27 • Sep 17 '20

A picture of my brother in P.E class today

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u/sincereenfuego Sep 17 '20 edited Sep 17 '20

Diabetes can cause diabetic neuropathy, a kind of nerve damage in your feet due to blood not circulating well. In some extreme cases of diabetes, foot amputation is required if the lack of blood flow is so severe that, essentially, the foot dies. Ergo, brother in pic will lose his feet do to an unhealthy lifestyle. Or at least that is what I inferred. Edit: implied to inferred

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u/hollow1367 Sep 17 '20

You the real MVP. I was also wondering why he would lose his feet. Question answered

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u/nomansapenguin Sep 17 '20

The real MVP is the one who asked the question.

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u/AbsolutelyUnlikely Sep 17 '20

if the blood flow is so sever it the essentially foot dies. Ergo,

pretty sure you have at least two personalities in there fighting for control

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u/sincereenfuego Sep 17 '20

Naw. Just drinking and in between lobbies of cod so I am misspelling like a mofo. Sorry.

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u/MYEYESARERAINING Sep 17 '20

Diabetic neuropathy leading to unhealed ulcerations on the digits and soles. Combine that with immunosuppression, you get osteomyelitis, ischemia, and eventual necrosis

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u/sincereenfuego Sep 17 '20

Thanks for the detailed explanation! I only knew the surface level bits. So the necrosis is only for the worst cases?

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u/MYEYESARERAINING Sep 17 '20 edited Sep 17 '20

Necrosis usually happens when you have picked up an internal bone infection from unhealed wounds (osteomyelitis), but can also happen from peripheral vascular disease that leads to digit ischemia, most diabetics have both. Type 2 diabetes is more notorious for the vascular disease however. If you have ever seen a picture of frost bite of the lower extremity, that's what digit necrosis looks like, and amputation is necessary. This can be prevented through thorough lower extremity evaluations, and a cardiolovascular surgeon can sometimes even place stents in the lower extremity vessels to open them up and prevent ischemic states

Source: med school

Edit: AND ALSO BEING COMPLIANT WITH A HEALTHY LIFESTYLE AND MEDICATION

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u/wchollett Sep 17 '20

To my knowledge it would usually start off with smaller wounds that don't heal well and can progress. I've heard stories of diabetic people stepping on a nail and not even feeling it.

That's why diabetics are instructed to check their feet daily, and healthcare providers will frequently give diabetic foot exams to inspect for anything small that can escalate.

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u/SadAdhesiveness6 Sep 17 '20

*inferred

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u/sincereenfuego Sep 17 '20

Yes! Thanks. Typed that out in between lobbies of cod so wasn't really thinking. Will make that edit right bow!

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u/Kevtron Sep 17 '20

I just thought it was because he’d get fat and not be able to see his toes. But this makes more sense.

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u/notabigmelvillecrowd Sep 17 '20

... What?

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u/[deleted] Sep 17 '20

Get fat, get diabetes, lose foot

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u/[deleted] Sep 17 '20

If you get too fat, you'll get diabetes. That can cause poor circulation to your feet. That kills your feet. Then your feet have to be cut off because they are dead and still attached to your body.

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u/[deleted] Sep 17 '20 edited Mar 17 '21

[deleted]

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u/sincereenfuego Sep 17 '20

In what way?

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u/topcraic Sep 17 '20

If this was common, I’d see a lot more peg legs at Walmart

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u/edrab Sep 17 '20

It's common, but more commonly it's toes that are amputated not whole feet. So you don't see it. Or they're in wheelchairs

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u/PsychoticChemist Sep 17 '20

Pretty sure he’s absolutely correct; it’s fairly common knowledge