Diabetic Foot Care
Diabetes is a disease where the body cannot make insulin or unable to properly use insulin. Insulin is a hormone that controls the level of glucose in our blood. In a healthy person, when blood glucose is high, the pancreas will release insulin. Insulin will allow our cells to take in the glucose and use it as energy or have it stored for later use, allowing for blood glucose levels to go back down.
There are different types of diabetes. Type 1 diabetes can occur when the immune system attacks the pancreas, causing little or no insulin to be released and leading to a build up of glucose in the blood. Type 2 diabetes can occur when the body is unable to properly use insulin or the body doesn’t make enough insulin leading to a buildup of glucose in the blood. Pre-diabetes is used to describe someone with higher than normal blood glucose levels.
Signs and symptoms of diabetes include: changes in weight, unusual thirst, frequent urination, blurry vision, severe fatigue and tingling or numbness in hands or feet. When the blood glucose is consistently high, it can damage nerves, blood vessels and organs. Diabetes related complications include: kidney disease, retinopathy leading to blindness, heart attack, stroke, circulatory and nerve disorders. Diabetes can affect the blood flow and nerves to your feet leading to complications such as loss of sensation, poor blood circulation, poor wound healing and increased risk of infection. If you have any concerns about Diabetes, it is best to seek medical attention.
The role of your podiatrist
Because diabetes is a systemic disease affecting many different parts of the body, ideal case management requires a team approach. The podiatric physician, as an integral part of the treatment team, has documented success in the prevention of amputations, one of the most serious conditions that they treat.
The key to amputation prevention in diabetic patients is early recognition and regular foot screenings every six months by a qualified Podiatrist. In addition to these check ups, there are warning signs with diabetic feet that you should be aware of so that they may be identified and called to the attention of the family physician or podiatrist. They include:
Wound Healing
Ulceration is a common occurrence with the diabetic foot, and should be carefully treated and monitored by a podiatrist to avoid amputations. Poorly fitted shoes, or something as trivial as a stocking seam, can create a wound that may not be felt by someone whose level of skin sensation is diminished. Left unattended, such ulcers can quickly become infected and lead to more serious consequences. Your podiatric physician knows how to treat and prevent these wounds and can be an important factor in keeping your feet healthy and strong. New to the science of wound healing are remarkable products that have the appearance and handling characteristics of human skin. These living, skin-like products are applied to wounds that are properly prepared by the podiatric physician. Clinical trials indicate that when applied to wounds, even those that are hard to heal, such products achieve impressive success rates.
If you have diabetes already:
Wash feet daily.
Using mild soap and lukewarm water, wash your feet in the mornings or before bed each evening. Dry carefully with a soft towel, especially between the toes, and dust your feet with talcum powder to wick away moisture. If the skin is dry, use a good moisturizing cream daily, but avoid getting it between the toes.
Inspect feet and toes daily.
Check your feet every day for cuts, bruises, sores or other changes that may be less obvious. If age or other factors hamper self-inspection, ask someone to help you or use a mirror.
Lose weight.
People with diabetes are commonly overweight, which nearly doubles the risk of complications.
Wear thick, soft socks.
Socks made of an acrylic blend are well suited, but avoid mended socks or those with seams, which could rub to cause blisters or other skin injuries.
Give up smoking.
Tobacco can contribute to circulatory problems, which can be especially troublesome in patients with diabetes.
Cut toenails straight across.
Never cut into the corners, or taper, which could trigger an ingrown toenail. Use an emery board to gently file away sharp corners or snags.
Exercise.
As a means to keep weight down and improve circulation, walking is one of the best all-around exercises for the diabetic patient. Walking is also an excellent conditioner for your feet. Be sure to wear the appropriate athletic shoe when exercising. Ask your podiatric physician what’s best for you.
See your podiatrist.
Regular checkups by your podiatric physician-at least twice annually-is the best way to ensure that your feet remain healthy.
Be properly measured and fitted every time you buy new shoes.
Shoes are of supreme importance to diabetes sufferers because poorly fitted shoes are involved in as many as half of the problems that lead to amputations. Because foot size and shape may change over time, everyone should have their feet measured by an experienced shoe fitter whenever they buy a new pair of shoes.
New shoes should be comfortable at the time they\’re purchased and should not require a “break-in” period, though it\’s a good idea to wear them for short periods of time at first. Shoes should have leather or canvas uppers, fit both the length and width of the foot, leave room for toes to wiggle freely, and be cushioned and sturdy.
Be careful not to:
Go barefoot.
Not even in your own home. Barefoot walking outside is particularly dangerous because of the possibility of cuts, falls, and other foot injuries on unfamiliar terrain. When at home, wear slippers. Never go barefoot.
Wear high heels, sandals, and shoes with pointed toes.
These types of footwear can put undue pressure on parts of the foot and contribute to bone and joint disorders, as well as diabetic ulcers. In addition, open toed shoes and sandals with straps between the first two toes should also be avoided.
Drink in excess.
Alcohol can contribute to neuropathy (nerve damage) which is one of the consequences of diabetes. Drinking can speed up the damage associated with the disease, deaden more nerves, and increase the possibility of overlooking a seemingly minor cut or injury.
Wear anything that is too tight around the legs.
Panty hose, panty girdles, thigh-highs or knee-highs can constrict circulation to your legs and feet. So can men\’s dress socks if the elastic is too tight.
Never try to remove calluses, corns or warts by yourself.
Commercial, over-the-counter preparations that remove warts or corns should be avoided because they can burn the skin and cause irreplaceable damage to the foot of a diabetic sufferer. Never try to cut calluses with a razor blade or any other instrument because the risk of cutting yourself is too high, and such wounds can often lead to more serious ulcers and lacerations. See your podiatric physician for assistance in these cases.
Source: http://www.podiatrycare.com.au/conditions-we-treat/diabetes/
Diabetes is a disease where the body cannot make insulin or unable to properly use insulin. Insulin is a hormone that controls the level of glucose in our blood. In a healthy person, when blood glucose is high, the pancreas will release insulin. Insulin will allow our cells to take in the glucose and use it as energy or have it stored for later use, allowing for blood glucose levels to go back down.
There are different types of diabetes. Type 1 diabetes can occur when the immune system attacks the pancreas, causing little or no insulin to be released and leading to a build up of glucose in the blood. Type 2 diabetes can occur when the body is unable to properly use insulin or the body doesn’t make enough insulin leading to a buildup of glucose in the blood. Pre-diabetes is used to describe someone with higher than normal blood glucose levels.
Signs and symptoms of diabetes include: changes in weight, unusual thirst, frequent urination, blurry vision, severe fatigue and tingling or numbness in hands or feet. When the blood glucose is consistently high, it can damage nerves, blood vessels and organs. Diabetes related complications include: kidney disease, retinopathy leading to blindness, heart attack, stroke, circulatory and nerve disorders. Diabetes can affect the blood flow and nerves to your feet leading to complications such as loss of sensation, poor blood circulation, poor wound healing and increased risk of infection. If you have any concerns about Diabetes, it is best to seek medical attention.
The role of your podiatrist
Because diabetes is a systemic disease affecting many different parts of the body, ideal case management requires a team approach. The podiatric physician, as an integral part of the treatment team, has documented success in the prevention of amputations, one of the most serious conditions that they treat.
The key to amputation prevention in diabetic patients is early recognition and regular foot screenings every six months by a qualified Podiatrist. In addition to these check ups, there are warning signs with diabetic feet that you should be aware of so that they may be identified and called to the attention of the family physician or podiatrist. They include:
- Skin color changes
- Elevation in skin temperature
- Swelling of the foot or ankle
- Pain in the legs
- Open sores on the feet that are slow to heal
- Ingrown and fungal toenails
- Bleeding corns and calluses
- Dry cracks in the skin, especially around the heel
Wound Healing
Ulceration is a common occurrence with the diabetic foot, and should be carefully treated and monitored by a podiatrist to avoid amputations. Poorly fitted shoes, or something as trivial as a stocking seam, can create a wound that may not be felt by someone whose level of skin sensation is diminished. Left unattended, such ulcers can quickly become infected and lead to more serious consequences. Your podiatric physician knows how to treat and prevent these wounds and can be an important factor in keeping your feet healthy and strong. New to the science of wound healing are remarkable products that have the appearance and handling characteristics of human skin. These living, skin-like products are applied to wounds that are properly prepared by the podiatric physician. Clinical trials indicate that when applied to wounds, even those that are hard to heal, such products achieve impressive success rates.
If you have diabetes already:
Wash feet daily.
Using mild soap and lukewarm water, wash your feet in the mornings or before bed each evening. Dry carefully with a soft towel, especially between the toes, and dust your feet with talcum powder to wick away moisture. If the skin is dry, use a good moisturizing cream daily, but avoid getting it between the toes.
Inspect feet and toes daily.
Check your feet every day for cuts, bruises, sores or other changes that may be less obvious. If age or other factors hamper self-inspection, ask someone to help you or use a mirror.
Lose weight.
People with diabetes are commonly overweight, which nearly doubles the risk of complications.
Wear thick, soft socks.
Socks made of an acrylic blend are well suited, but avoid mended socks or those with seams, which could rub to cause blisters or other skin injuries.
Give up smoking.
Tobacco can contribute to circulatory problems, which can be especially troublesome in patients with diabetes.
Cut toenails straight across.
Never cut into the corners, or taper, which could trigger an ingrown toenail. Use an emery board to gently file away sharp corners or snags.
Exercise.
As a means to keep weight down and improve circulation, walking is one of the best all-around exercises for the diabetic patient. Walking is also an excellent conditioner for your feet. Be sure to wear the appropriate athletic shoe when exercising. Ask your podiatric physician what’s best for you.
See your podiatrist.
Regular checkups by your podiatric physician-at least twice annually-is the best way to ensure that your feet remain healthy.
Be properly measured and fitted every time you buy new shoes.
Shoes are of supreme importance to diabetes sufferers because poorly fitted shoes are involved in as many as half of the problems that lead to amputations. Because foot size and shape may change over time, everyone should have their feet measured by an experienced shoe fitter whenever they buy a new pair of shoes.
New shoes should be comfortable at the time they\’re purchased and should not require a “break-in” period, though it\’s a good idea to wear them for short periods of time at first. Shoes should have leather or canvas uppers, fit both the length and width of the foot, leave room for toes to wiggle freely, and be cushioned and sturdy.
Be careful not to:
Go barefoot.
Not even in your own home. Barefoot walking outside is particularly dangerous because of the possibility of cuts, falls, and other foot injuries on unfamiliar terrain. When at home, wear slippers. Never go barefoot.
Wear high heels, sandals, and shoes with pointed toes.
These types of footwear can put undue pressure on parts of the foot and contribute to bone and joint disorders, as well as diabetic ulcers. In addition, open toed shoes and sandals with straps between the first two toes should also be avoided.
Drink in excess.
Alcohol can contribute to neuropathy (nerve damage) which is one of the consequences of diabetes. Drinking can speed up the damage associated with the disease, deaden more nerves, and increase the possibility of overlooking a seemingly minor cut or injury.
Wear anything that is too tight around the legs.
Panty hose, panty girdles, thigh-highs or knee-highs can constrict circulation to your legs and feet. So can men\’s dress socks if the elastic is too tight.
Never try to remove calluses, corns or warts by yourself.
Commercial, over-the-counter preparations that remove warts or corns should be avoided because they can burn the skin and cause irreplaceable damage to the foot of a diabetic sufferer. Never try to cut calluses with a razor blade or any other instrument because the risk of cutting yourself is too high, and such wounds can often lead to more serious ulcers and lacerations. See your podiatric physician for assistance in these cases.
Source: http://www.podiatrycare.com.au/conditions-we-treat/diabetes/