- 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
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.
Reference : https://bit.ly/2UlCVYZ
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.
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.
In case of existing ulcers offloading is provided.
There are several important factors to keep an ulcer from becoming infected:
1. Keep blood glucose levels under tight control.
2. If there’s an ulcer keep it clean and bandaged.
3. Cleanse the wound daily, using a wound dressing or bandage.
4. Do not walk barefoot
5. Off-Loading of the footbed to be done at ulcer area
You are at high risk if you:
1. Have neuropathy
2. Have poor circulation
3. Have a foot deformity (i.e. bunion, hammer toe)
4. Wear inappropriate shoes
5. Have uncontrolled blood sugar
Reducing 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.
Yes! Certain types of shoes, socks, and custom orthotics are all created especially for those with diabetes. People with diabetes should never go barefoot and should make sure to keep feet protected to reduce the risk of cuts and scrapes on the feet, which can lead to complications.