Swollen feet: Diagnosis

Swollen feet are a Symptom, not a Diagnosis. If you have Diabetes and your feet are swelling, don’t ignore it. There are 4 common reasons this can happen

1) Your Medicines
Some medicines can cause fluid retention and swelling. These include pioglitazone, insulin in some situations, calcium-channel blockers such as amlodipine, certain painkillers, steroids, and medicines such as pregabalin or gabapentin. If you suspect a medicine is responsible, don’t stop it yourself. Speak to your doctor about adjusting the treatment.

2) Poor Venous & Lymphatic drainage
Your veins bring blood back from your legs. Your lymphatic system helps clear the remaining fluid. Both depend heavily on movement and muscle contraction. That’s why swelling can get worse when you
→ Sit for several hours
→ Travel for long periods
→ Stay inactive
→ Have gained significant weight

Regular movement can help. Walk for a few minutes every 30–60 minutes. Rotate your ankles. Elevate your legs when resting.

3) Kidney Problems
For someone with diabetes, this is an important warning sign. Kidney problems can sometimes develop silently. Tests such as eGFR and urine protein/albumin can help assess kidney function.

4) Heart Problems
When the heart is not pumping effectively, pressure can build up and cause fluid to accumulate in the legs. Persistent or worsening swelling may therefore need a cardiac evaluation. So, don’t simply treat the swelling.

Find out why it is happening. Your feet may be telling you something important about your health.