Dr. Shivaju Senior Consultant Physician · Diabetologist &…

Dr. Shivraju Senior Consultant Physician · Diabetologist & Internal Medicine Expert A patient walked into my clinic last month. Busy professional, managing his diabetes at home, checking sugars reasonably well, or so he thought. When I asked him to remove his shoes, there was a large ulcer on the sole of his foot. He had no idea it was there. No pain, no warning. Just silence from nerves that had quietly stopped working. That moment is not rare in my twenty years of practice. It repeats itself, across ages and backgrounds, and it still stops me. Because every single time, it was preventable. What you feel outside is not what is happening inside This is the line I repeat to every diabetic patient who tells me they feel fine. Blood sugars can be silently uncontr