There appears to be a familial susceptibility. Diabetes, epilepsy or its treatment are also associated. The palmar and plantar fascia undergo thickening and contracture. In the foot the pressure of walking and standing maintain the foot's normal shape. In the hand, the medial side is most affected so that the little finger is held flexed. The condition can usually be considerably improved by excising the palmar fascia and carrying out Z-plasty on the overlying skin, since the tendons are not shortened.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.