Conversation: The conversation between human and AI assistant.
[|Human|] recently got out of hosp.  my feet are motley colored red and white, tho some of the red may be due to my psoriasis, tho Ive never had it on my feet before .  being diabetic for 20 yrs tho proly makes for some changes. legs and feet cold all the time now.  what can I do to stay warm and get rid of the redness?
[|AI|]  Hello, When diabetes continues for a long time (over 20 years plus), whether well controlled or if control is not good, it does affect small and large blood vessels. Affection to small blood vessels causes problems with retina, kidney and erectile dysfunction. Whereas large vessel affection invariably leads to improper blood supply to lower limbs. This along with peripheral neuropathy can make limbs feel cold, numb and there may be altered sensation. Plus due lack of blood supply and hyperglycemia wounds do not heal quickly, leading to serious consequences. To overcome this maintaining a strict blood glucose control with fasting closer to 100 mg, PP 160 to 180 mg & HbA1c%<7, is necessary. Plus if the problem is severe, causing intermittent claudication (severe cramps on walking), then a color Doppler test or angiography may have been done. But most important is strict blood glucose control. Thanks