DIABETIC FOOT CARE
Diabetes might be one
of the most talked about diseases across the world and especially in India, but
awareness about the same can well be estimated by the fact more people with
type-2 diabetes.
The WHO also estimates that 80 per cent of
diabetes deaths occur in low and middle-income countries and projects that such
deaths will double between 2016 and 2030.
Diabetes
complications can include nerve damage and poor blood circulation. These
problems make the feet vulnerable to skin sores (ulcers) that can worsen
quickly.
The good news is that proper diabetes management and careful
foot care can help prevent foot ulcers. In fact, better diabetes care is
probably why the rates of lower limb amputations have gone down by more than 50
percent in the past 20 years.
When foot ulcers do develop, it's important to get prompt
care. More than 80 percent of amputations begin with foot ulcers. A nonhealing
ulcer that causes severe damage to tissues and bone may require surgical
removal (amputation) of a toe, foot or part of a leg.
How
Does Diabetes Affect My Foot?
Diabetes will affect your foot in three ways. How do care
your diabetes and manage your sugars will impact how early these changes occur
and the severity of the impact.
§ If
your sugar levels are always high, you may notice changes as soon as few years
from your diagnosis.
§ If
your sugar levels are kept under control, these changes will occur very slowly.
The main changes you
notice:
1. Due to diabetes your nerves in your feet fall
asleep. Nerves supply the very small muscles inside your feet. When the nerves
fall asleep, the foot muscles become weak. The nerves become weak and stop
working, which can make your feet numb and you will not be able to feel the
bottom of your feet. Your feet can change shape and develop curled or crooked
toes, bony bumps, flatter feet or wider feet, and calluses. Nerves also supply
the sweat glands to your feet. If the nerves fall asleep, your feet do not
sweat and you get dry feet.
2. Diabetes hamper Blood flow to your feet.
Diabetes decreases the amount of blood that flows to your feet. Blood brings
food and oxygen to the feet. It also brings medicines to your feet. If you are
taking medication for an infection, the full dose of the medicine may not reach
your feet. If your blood flow is weakened, your skin can become thinner. This
can cause you to get cuts or sores more readily. The decreased blood flow also
slows down the healing process, which can cause long-term infections.
3. Once it stat infecting, Infections are harder
to cure. Diabetes weakens your immune system and your ability to fight an
infection. A small cut, scratch or sore on your foot may lead to an infection.
Once you get infection it may lead to an amputation.
What you have to do to
care diabetes foot or what you should not
§ Regularly check your blood sugar.
§ Eat nutritious foods.
§ Examine your feet daily.
§ Regularly do exercises
§ If you get any type of doubt immediately
contact your doctor
DON’T
§
DON’T smoke!
§ DON’T drink excessive alcohol!
§ DON’T sit or lay with crossed legs or ankles!
§ DON’T wear sandals with thongs!
§ DON’T use adhesive tape!
§ DON’T soak your feet!
Other Guidelines
§ SELF Hygiene and Skin Care - Practice good hygiene habits by
cleansing and inspecting your feet and wearing clean socks each day.
§ Orthoses - Diabetic insoles and arch supports MUST be custom made and fully
contoured to the plantar surface of your foot.
§ Know Your Feet - Daily inspection is required. Look for blisters, sores, cracks,
cuts, calluses, corns, etc. Look at the top, bottom and sides with a mirror.
Report any changes to your physician or orthotist/pedorthist immediately.
§ Cleaning and Softening - Wash daily with mild soap and lukewarm water. Dry thoroughly.
Apply cream or lotion on tops and bottoms only, not between toes. Wear clean
socks each day.
§ Toenail Care - It is best to trim right after your shower or bath. If you have
a neuropathy, poor vision and/or extremely thick toenails—STOP—and visit to a
podiatrist
§ Over-the-Counter Remedies - DO NOT use corn or wart removers. DO NOT remove corn or calluses
with a razor blade. DO NOT warm up cold feet with a heating pad or hot water
bottle. ALWAYS check with your doctor first.
§ Footwear - NEVER
walk barefoot and ALWAYS wear shoes and socks. Examine shoes for signs of wear.
Wear the proper footwear—your long-term health and mobility is more important
than fashion.
How foot ware help to manage your ulcer or prevent ulcer
People with diabetes are
at high risk of developing both impaired circulation to the feet and nerve
damage in the feet. Impaired circulation causes wounds on the feet to heal more
slowly, raising their risk of becoming infected. Nerve damage can cause loss of
sensation in the feet, which means a person may not feel heat, cold, or pain in
his feet. He may not notice that his shoes are rubbing or pinching or even that
he is walking on small objects such as paperclips that have fallen into his
shoes.
The combination of
impaired circulation and nerve damage sets the stage for foot ulcers. When you
add ill-fitting shoes to the mix, the risk of developing an ulcer goes even
higher. But finding shoes that fit well is not impossible, and they don’t have
to be ugly, either.
If you have diabetes,
whether you work at home, in an office or at a construction site, you'll need a
pair of reliable diabetic shoes to get you through each day without risking
diabetic foot injury. Made from breathable leather and suede materials,
diabetic shoes are designed to cushion while providing superior ankle, arch,
and heel support, and evenly distributing body weight across the foot to avoid
painful pressure points. Diabetic shoes also provide the extra depth necessary
to accommodate custom-orthotics, which can mean the difference between end of
the day foot pain and lasting comfort.