- Intermittent claudication
- Pain at rest
- Numbness in the extremities
- Weakness of the calf muscle
- Coldness in the legs or feet
- Burning sensation
- Pressure on the skin and tissues
- Friction Burns
- Overstressed injuries
- Diabetes (Neuropathy)
- How to check
- Regular self examination of feet is recommended,
- Check for redness or visible tissue injury or scar.
Diabetic Feet treatment
Diabetic Foot care at home :
- The diabetics are more prone to get infections due to poor blood circulation and because of neuropathy you might not feel the pain.so 1-check your feet every night before going to bed.
- Keep a small mirror under you bed to keep a look at the sole of your feet and look for any cut, wound, blister, corn or any sign of infection especially between the toes.
- To avoid cracks in the skin ensure that the skin is always moisturised and soft, don’t moisturise between the toes.
- Never walk barefoot check inside shoes for any pebble sharp edge object.
- Never cut corns or dead skin yourself visit your doctor for any cut wound, corn or any other foot complication.
- Don’t warm feet with hot water bottle or heater. And don’t wear footwear with tie grip pattern.
We grow microbes and bacteria in glucose solutions.
Now in diabetes, the glucose uptake by cells decreases due to insulin resistance and this leads to accumulation of glucose in the tissues. The bacteria start growing and multiplying in the glucose rich tissue and produce various necrotic factors leading to the ulcer. The patient has neuropathy, that is he cannot feel pain. So these ulcers go unnoticed most of the time.
The ulcer heals all by itself if the glucose levels are maintained by appropriate treatment. The bright red granulation tissue at the base of the ulcer confirms that it is healing. The complications are -gangrene formation can occur. In this case, amputation of limb is the only way to prevent the gangrene from spreading.
So rather than losing a limb. It is better to take care of it right ?
In diabetes mellitus nephropathy and neuropathy occurs. These are late complications and seen in those patients whose blood glucose levels are not in control. Peripheral neuropathy is nerve damage caused by chronically high blood sugar and diabetes. It leads to numbness, loss of sensation, and sometimes pain in your feet, legs, or hands. It is the most common complication of diabetes.nIn surgery posting. I have seen many patients who had diabetic foot. In all cases they didn’t know how they got a prick in their heel while working on fields (most of them were farmers) since they had loss of sensation. If it is on hand people can at least see that they have got a prick or some sort of injury inspite of loss of sensation. Due to this reason I think that diabetic foot are more common in lower limb.nnReference : https://bit.ly/2UlCVYZ
85% of diabetic foot ulcers are preventable by using right foot insoles and with proper footwear. Shapecrunch’s Custom Insoles provide proper cushioning to avoid high pressure areas on foot and combination of PORON and Plastazote prevents sheer stress as well.n
In case of existing ulcers offloading is provided.nnn
There are several important factors to keep an ulcer from becoming infected:n1. Keep blood glucose levels under tight control.n2. If there’s an ulcer keep it clean and bandaged.n3. Cleanse the wound daily, using a wound dressing or bandage.n4. Do not walk barefootn5. Off-Loading of the footbed to be done at ulcer area
Diabetes doesn’t cause ulcers; it prevents ulcers from healing. In that sense, any ulcer can become a “diabetic foot ulcer.” If you have a sore that isn’t healing, contact your doctor ASAP to get it taken care of before it leads to serious complications.
You are at high risk if you:n1. Have neuropathyn2. Have poor circulationn3. Have a foot deformity (i.e. bunion, hammer toe)n4. Wear inappropriate shoesn5. Have uncontrolled blood sugarnReducing additional risk factors, such as smoking, drinking alcohol, high cholesterol, and elevated blood glucose are important in the prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks.