Why is good glucose control important for Diabetes?

So there is an effect, not as great as we thought in the past, but there is an effect on wound healing. So if you have poor blood glucose control, you often have poor wound healing, but it might be just identifying those people who have practices that are such that they don't pay that great attention to their health and so they're also the ones who go on to get worse foot disease. So as I've mentioned in the previous snippet, you must always examine your feet, wear the shoes that we may provide for you. These are there to protect you in the future because we accept the fact that you've got abnormal, sensational or misshapen feet as a consequence of your diabetes. With respect to the blood glucose, it's important in a particular circumstance which is painful diabetic neuropathy. If you're getting pain, it does mean that your nerves are still working and then when the pain goes away it probably means that your nerves are now dead but it can help in that situation where getting good blood glucose control will improve the pain. Sometimes getting tight glucose control can cause pain but that is not a reason not to have tight blood glucose control. You have to understand that people who have diabetic neuropathy also have other complications or a higher risk of other complications like eye disease and kidney disease and these are in these situations getting good blood glucose control is very important to stop the progression of those conditions. The other issue is that whilst you may have numbness in your feet before that you will have had a high likelihood of damage to something called your autonomic nervous system. Now this is the part of your nervous system that affects things like your heart rate, how well your guts move, whether you sweat a lot, and these are things that you're not normally aware of because they just happen in the background. A bit like your computer which has background processes just going on that you never notice except when they start interfering with your computer starting up. So these things are important because if you have good blood glucose control, for example, if you have high blood sugars, that can delay the emptying of your stomach and the transit through the bowel. So as you're likely to have autonomic neuropathy and that can cause slow emptying of the stomach may cause you to have very nasty vomiting, like recurrent vomiting, feeling a fullness that makes you feel very unwell and uncomfortable. Having good blood glucose control can help in that situation.