On its own, environmental factors can't cause the onset of diabetes but they trigger the onset of the disease. In the case of viruses, people are usually diagnosed as being insulin dependent right after a viral infection. Having been sick of acquired bacteria, signs of diabetes are evident and it leads to a vague conclusion of what caused the disease. Children with diabetes have to start undergoing insulin injections from a very young age. Sometimes, even kids as young as 5 years are known to have injected themselves successfully. As compared to the traditional syringe injector, the pen injector is known to be more convenient to use. The main thing that must be maintained is a relaxing atmosphere. Try using whatever methods that feels good for you when the foot rub is being done. Make sure that the foot rub is therapeutic and not a method of torture. The foot rub must be given in the person’s comfort zone and it mustn’t hurt badly. When the foot rub is being done if there is any sort of pain it should feel “good”. Another thing that helps with a foot rub is to warm the foot. By gently squeezing the foot between the hands, this causes the blood circulation to move freely and lessens feelings of sensitivity. There are a number of resources that a foot specialist will implement to manage and resolve a diabetic foot wound. There are a large number of gels, foams, and other healing dressings that are the first line of therapy. This is used in combination with some device to reduce or eliminate the pressure that caused the ulcer to form in the first place. The rule of thumb that is now used, based on the 2010 Consensus Study, is a 50% reduction of wound area within four weeks. If there is less than that, we must turn to an advanced biological dressing. Charcot foot commonly affects the tarso metatarsal, tarsal joints and metatarsal, which are located in the forefoot and midfoot. In 1963, William Jordan also described similar pattern for Charcot joint disease as a complication of diabetic neuropathy, and diabetes is now recognized to be the most common cause of the condition worldwide. It may also occur with several other diseases that affect the sensory nervous system (alcoholism, leprosy, syphilis, Charcot-Marie-Tooth Disease to name a few). It is estimated that 1 out of 700 patients with diabetes will develop Charcot joint. Other diseases that present in a similar fashion as Charcot include rheumatoid arthritis and gout. Your feet need blood flow too. Put your feet up when at rest, which will also help to decrease any swelling. Wiggle your toes and pump your feet at random intervals throughout the day, particularly when you’ve been sitting for extended periods of time. Also, try to avoid crossing your legs and cutting off circulation. According to Dr. Vail, Findlay OH foot surgery authority, "Neuropathy, or nervous system damage, affects sixty to seventy percent of diabetic patients. It is a major issue that can cause the loss of feeling in the feet or hands. Diabetic podiatric care effectively eliminates many of the conditions that can exacerbate the progression of neuropathy."