When most of us hear the word "diabetes," the first word that pops into our minds is blood sugar but the long-term illness can sneakily damage things behind our backs, particularly in places we hardly pay attention to—such as our feet. One such overlooked complication is Charcot foot, a rare-seen yet serious diabetes side effect.

According to the Centers for Disease Control and Prevention (CDC), more than 29 million Americans now have diabetes and 86 million have prediabetes. In 2012, complications from diabetes cost the nation $245 billion in healthcare expenses and lost productivity.

A recent study in Clinical Diabetes and Endocrinology has uncovered a startling knowledge deficit: a majority of general doctors and non-podium specialists do not know about this life-threatening condition. That degree of ignorance is worrisome, given that when left untreated, Charcot foot has the potential to result in permanent deformity, amputation, or life-threatening infection.

Charcot foot is a potentially severe, though uncommon, complication of diabetic neuropathy, an ongoing high blood glucose level condition that injures nerves—usually in the feet. These damaged nerves cause pain not to be felt, so an otherwise small injury or infection can be ignored and left untreated. Eventually, that undetected injury will launch a chain reaction of bone and joint deterioration, resulting in swelling, structural abnormalities, and in very bad instances, even permanent disability or amputation.

The connection is all in the nerves. With diabetic neuropathy blunting the body's sense of pain, individuals don't even know they've hurt their foot. They just keep going, keep utilizing the damaged limb, and unwittingly continue to traumatize it. The end result? The bones get weaker, joints get knocked out of place, and the foot structure caves in—often called the "rocker-bottom foot."

In advanced stages, Charcot foot, if left untreated, can result in chronic ulcers, infections that penetrate the bone, and ultimately, amputation. Scarier still? Most physicians acknowledge that they aren't aware of the initial signs, allowing the condition to go undiagnosed and treated.

What Is Charcot Foot?

Charcot foot (also Charcot arthropathy) is a serious diabetic complication that results when damage to nerves—diabetic neuropathy—removes sensation in the feet. When there is no pain to warn of injury, a minor break or infection can escalate into a disastrous erosion of joint and bone framework in the foot or ankle. In extreme situations, it results in a total collapse of the arch of the foot, leading to severe deformity.

The American Orthopaedic Foot and Ankle Society reports that the injuries can be painless, but the damage can be limb- or life-threatening if not treated quickly.

How Diabetes Sets the Stage for Charcot Foot?

Diabetic neuropathy causes peripheral nerve damage and typically affects the legs and feet. With time, the damage to nerves results in loss of sensation and makes it difficult—or even impossible—to feel pain, pressure, or heat.

Now let's say you've broken a bone in your foot but you never experience the pain. You just keep walking. Gradually with each step, the damage increases, causing joint malalignment, bone resorption, and distorted foot architecture. That's basically how Charcot foot starts and develops—quietly, insidiously, and frequently undiagnosed.

Why Most Doctors Miss Charcot Foot?

In the survey of 400 non-foot-specialist clinicians, more than two-thirds of them confessed to knowing "little to nothing" about Charcot arthropathy. General diabetic foot care is taught commonly, but specific complications such as Charcot foot are not yet included in general medical knowledge for many specialties.

This implies patients may remain undiagnosed until the condition is well advanced. Authors of the study emphasize the importance of greater awareness and renewed training, particularly given diabetes diagnoses continue to increase worldwide.

Charcot Foot Symptoms to Watch For

While Charcot foot is uncommon, it does have early warning signs. The problem is spotting them before the damage is permanent. Symptoms are:

• Redness or skin color change
• Swelling, with little or no pain
• A feeling of warmth in the foot (especially if one foot feels noticeably warmer than the other)
• Changes in foot shape or structure
• Instability when walking

Remember: even if it doesn’t hurt, it doesn’t mean it’s not serious.

How Charcot Foot Is More Than A Health Complication?

Charcot foot itself is a complication of diabetes, but it can lead to an alarming range of further health issues:

Permanent deformity: The foot can change shape permanently, leading to mobility problems and inability to find shoes.

Ulcers and infections: Changes in the structure of the feet increase the risk of non-healing wounds that develop into severe infections.

Amputation: In severe cases, part or all of the foot must be amputated.

Systemic infection: If infection spreads to beyond the foot, it becomes life-threatening.

These complications highlight the importance of early detection, appropriate footwear, and proactive diabetes management.

Is Charcot Foot Preventable?

If you’ve been diagnosed with diabetes or prediabetes, regular foot checks should become part of your daily routine. Early detection is your best line of defense.

If Charcot foot is treated early, walking and mobility can be maintained—albeit with rest, elevation, and not putting pressure on the foot. Swimming or cycling are good substitutes for walking or running. For advanced stages, medical treatment may involve custom orthotic devices, immobilization, or even surgery. Coordination with a podiatrist or diabetes care team is critical in order to avoid permanent damage.

Although we always discuss high blood sugar, the complications downstream thereof—including those that influence your nerves, kidneys, eyes, skin, and yes, your feet—receive no less notice.

It's time to think beyond blood sugar levels. Charcot foot is a good example of how diabetes can quietly ruin your body in ways that will never be reversible if it isn't detected on time. The best part? With heightened awareness, early detection, and ongoing care, many of the worst consequences can be prevented.

If you or a loved one lives with diabetes, don’t overlook the feet. What seems like a little swelling could be a big red flag. Speak to your healthcare provider, schedule regular foot screenings, and remember: feeling nothing doesn't mean there's nothing wrong.

From childhood, many girls are taught to be agreeable, responsible and perfect in everything they do. They are praised for being obedient, hardworking and emotionally controlled. Over time, this expectation can shape behavior in ways that may quietly harm mental and physical health.

This pattern is often referred to as “Good Girl Syndrome”. While it is not a formal medical diagnosis, doctors say the effects of constantly trying to live up to expectations can be very real. The pressure to appear composed and capable all the time can lead to emotional suppression, chronic stress and eventually hormonal disturbances.

To understand how this pressure affects the body, NDTV Health spoke with Dr. Y. D. Meherprasad, Senior Consultant in Endocrinology and Preventive Healthcare at MGM Malar Hospital, Chennai, who says he has observed this pattern among many young women in his clinical practice.

The Hidden Stress Behind Perfection

Good Girl Syndrome describes a behavioral pattern where individuals, often women, feel compelled to meet expectations without showing weakness or stress. This can translate into people pleasing behaviour, fear of conflict and difficulty setting boundaries.

Dr. Meherprasad explains that constantly trying to maintain this image can create a persistent stress response in the body.

“Hormonal imbalances are being noticed in young Indian women associated with the Good Girl Syndrome, where women are always trying to meet expectations and are continuously successful, all without showing any signs of stress,” he told NDTV Health.

According to him, the problem arises when emotions are suppressed for long periods. “When women suppress emotions for long periods, the body remains in a state of constant stress response,” he said.

Emerging research in the field of psychoneuroendocrinology suggests that emotional stress can directly influence hormonal regulation in the body.

The Cortisol Connection

At the centre of this process is cortisol, the body’s main stress hormone. Normally, cortisol rises briefly during stressful situations and then returns to normal levels once the threat passes.

However, when stress becomes constant, cortisol levels can remain elevated for long periods.

Studies have shown that chronic high cortisol can disrupt reproductive hormones. One effect described in research is sometimes called “progesterone steal,” where the body prioritizes producing stress hormones instead of reproductive hormones.

Low progesterone levels can contribute to irregular menstrual cycles, acne and other hormonal symptoms that many young women experience.

Stress, Insulin Resistance And PCOS

Dr. Meherprasad says chronic stress may also contribute to metabolic changes. In some cases, it can mimic or worsen conditions such as Polycystic Ovary Syndrome (PCOS).

When cortisol levels remain high, the body releases more glucose into the bloodstream to provide energy for a perceived threat. If that energy is not used through physical activity, insulin levels rise to regulate blood sugar.

Over time, this can lead to insulin resistance, which is a key factor associated with PCOS. Women may experience abdominal weight gain, irregular ovulation and difficulty managing their weight.

Warning Signs The Body May Be Struggling

The effects of prolonged stress do not appear overnight. They often show up gradually through subtle changes in the body.

Dr. Meherprasad says menstrual irregularities are one of the early warning signs. Some women may experience delayed cycles or even a temporary halt in ovulation.

Sleep disturbances are also common. Many women report difficulty falling asleep because their minds remain constantly active, leading to fatigue the next day.

Other symptoms may include mood swings, persistent anxiety, brain fog and difficulty losing weight despite maintaining a careful diet.

Restoring Balance

Dr. Meherprasad says addressing these hormonal issues requires both medical evaluation and lifestyle changes.

Regular hormone screenings can help detect issues related to thyroid function, insulin levels and reproductive hormones such as LH and FSH. Early treatment is important if conditions such as PCOS or thyroid dysfunction are present.

Equally important is addressing the emotional component of chronic stress.

“Hormonal imbalance is not only physical but also closely linked to emotional health,” said the doctor.

He recommends prioritizing adequate sleep, regular physical activity and practices such as yoga that help calm the body’s stress response. Creating space for emotional expression through journaling or therapy can also help reduce long term stress.

In a culture that often rewards perfection, doctors say it may be time to rethink the idea of the “perfect girl”. Sometimes, protecting one’s health begins with allowing space for imperfection.

Cancer deaths in the United Kingdom have dropped to their lowest recorded levels, according to new data from the charity Cancer Research UK. The figures show that cancer death rates have fallen by 11 per cent in the past decade, reflecting progress in early detection, screening, treatment and prevention.

Researchers estimate that around 247 people in every 100,000 in the UK now die from cancer each year. This is a significant decline from the peak recorded in 1989, when about 355 people per 100,000 died annually from the disease. Overall, that represents a 29 per cent reduction over the past few decades.

Experts say this steady improvement is the result of sustained scientific progress, improved healthcare systems and public health measures that target risk factors such as smoking.

Major Declines In Several Common Cancers

The new data highlights falling death rates across several major cancers. Ovarian cancer deaths have dropped by 19 per cent over the past ten years, up to 2024. Lung cancer deaths have fallen by 22 per cent during the same period, reflecting the long-term impact of reduced smoking rates and better treatment options.

Deaths from stomach cancer have seen one of the most dramatic improvements, dropping by 34 per cent in the past decade. Bowel cancer deaths have decreased by six per cent, while breast cancer deaths have fallen by 14 per cent.

Other cancers have also seen notable declines. Cervical and prostate cancer deaths have both dropped by 11 per cent. Deaths from leukemia are down by nine per cent, while esophageal cancer deaths have fallen by 12 per cent.

Experts say improved diagnosis, new therapies and better awareness are playing a key role in these trends.

Screening And Vaccination Making A Difference

One of the biggest public health successes has been the decline in cervical cancer deaths. Since the 1970s, deaths from cervical cancer have fallen by around 75 per cent in the UK. Health experts attribute much of this progress to the national cervical screening programme run by the NHS.

Screening helps detect abnormal cells early, allowing treatment before cancer develops or spreads.

Another major contributor is the human papillomavirus vaccine, commonly known as the HPV vaccine. The vaccine protects against the virus responsible for most cervical cancer cases. It is routinely offered to schoolchildren in the UK, and since its introduction in 2008, at least 6.5 million young people have received it.

Public health experts believe the vaccine will continue to reduce cervical cancer rates in the coming decades.

Some Cancer Death Rates Still Rising

Despite the overall progress, the data also shows worrying increases in deaths from certain cancers. Gallbladder cancer deaths have risen by 29 per cent, while deaths from eye cancer have increased by 26 per cent.

Liver cancer deaths are up by 14 per cent, and kidney cancer deaths have risen by five per cent. Meanwhile, death rates for thyroid cancer, pancreatic cancer and melanoma have remained largely unchanged.

Another important trend is that the total number of people dying from cancer continues to rise. This is largely due to population growth and an ageing population, as cancer risk increases with age.

Calls For More Research And Clinical Trials

Experts say the long-term decline in cancer deaths reflects decades of medical research and innovation. However, they stress that continued investment is necessary to sustain progress.

Cancer Research UK researcher Dr Sam Godfrey said the figures show the impact of scientific breakthroughs over many years. He has called on the government to support more clinical trials and ensure that NHS staff have enough time and resources to take part in life saving research.

Public health policies such as smoking bans, along with screening programmes and vaccines, are also credited with helping drive down cancer deaths across the country.

Are you in the habit of catching up on social media or news updates while sitting on the pot? A new study shows you may be "unintentionally" spending extra time and increasing your risk of developing painful hemorrhoids by 46 percent.

The study, published in the open-access journal PLOS One, explained that getting distracted by news or social media can increase pressure on sensitive anal tissues, which leads to hemorrhoids.

Hemorrhoids, also called piles, are swollen and inflamed veins around your anus or in your lower rectum.

"Using a smartphone while on the toilet was linked to a 46 percent increased chance of having hemorrhoids. We're still uncovering the many ways smartphones and our modern way of life impact our health,” Trisha Pasricha, from the Beth Israel Deaconess Medical Center in the US.

“It's possible that how and where we use them -- such as while in the bathroom -- can have unintended consequences," she added.

For the study, the researchers examined data from colonoscopies of 125 adults in America, and conducted an online survey to understand their lifestyle habits and behavior while using the toilet.

Two-thirds of the participants reported using their smartphones while on

the toilet. Compared with those who did not, endoscopists found that they had a 46 percent higher risk of hemorrhoids.

Longer Toilet Time And Mobile Scrolling

More than a third of bathroom smartphone users reported spending more than five minutes there during a single visit -- reading news (54.3 percent), or browsing social media (44.4 percent).

In comparison, just 7.1 percent of non-users reported staying that long.

"Smartphone use may unintentionally extend the time people spend sitting on the toilet. Sitting for longer periods could increase pressure on tissues in the anal region, which may contribute to the development of hemorrhoids,” the researchers said.

Pasricha suggested individuals leave smartphones outside the bathroom to understand the actual time it takes for a bowel movement.

"If it's taking longer, ask yourself why. Was it because having a bowel movement was really so difficult, or was it because my focus was elsewhere?" she said, calling for more studies.

Hemorrhoids: The Symptoms, Risk Factors

Studies estimate that hemorrhoidal disease affects 40% of people all over the world, and it is one of the most common diseases in the anorectal region.

The two types of hemorrhoids are:

• external hemorrhoids -- under the skin around the anus
• internal hemorrhoids -- in the lining of the anus and lower rectum

• bright red rectal bleeding during bowel movements,
• anal itching or irritation, pain or discomfort (especially while sitting),
• swelling or hard, tender lumps around the anus

• straining during bowel movements
• sitting on the toilet for too long
• chronic constipation or diarrhea
• eating low fiber foods
• older age >50
• pregnancy
• lifting heavy objects

• consume 25-35g of fiber daily,
• drink 6-8 glasses of water,
• avoid straining,
• limit toilet time to under five minutes
• do not delay bowel movements,
• maintain hygiene.