What is a diabetic foot?
symptoms and signs in the feet of a patient with diabetes such as swelling, wounds and infections.
Is a problem?
– Diabetic foot problems are the most common causes of hospitalization among diabetics
– Every 30 seconds a leg is lost somewhere in the world due to diabetes
– 70% of amputations occur for people with diabetes.
– 80% of lower limb amputations related to diabetes caused by foot ulcers
– One in six people with diabetes will develop foot ulcers in their lifetime
The effect of diabetes on the blood vessels and nerves of the feet: When blood sugar rises in people with diabetes, blood vessels and nerves are affected over time, and the impact of nerves leads to loss of sensation in the feet, i.e. not feeling wounds and sores that affect the foot, leading to Inflammation, the impact of blood vessels may result in insufficient oxygen-laden blood being delivered to the feet, as well as difficult to heal wounds or change the shape of the foot.
Diabetic foot treatment: non-surgical treatment:
- Cleaning wounds and covering them with gauze.
- Use antibiotics when infected.
- Foot deformity can be treated using a splint or medical cast.
- Use medical shoes.
- Control of gangrene with appropriate medications.
- Severe infections may be treated by removing or amputating inflamed tissue.
- Treatment of foot deformity with a process to correct and beautify it.
- Partial amputation of the area affected by gangrene or complete amputation.
Prevention and foot care:
- Control of blood sugar level.
- Self-examination of the foot, by: search for traces of wounds, bruises, pressure areas, redness and nail problems, and the mirror can be used when examined.
- Feel each foot and how swollen it is (bloating).
- Check between the fingers.
- Check the sensation at every foot.
- Focus on the following six areas in the soles of each foot: thumb tip, tip of thumb (pinky), middle finger soles, heel, and front end of the foot.
- Avoid trying to treat anything without consulting a doctor.
- Foot care, by:
- Wash daily with warm soapy water, and check the water temperature before using it.
- Avoid soaking your feet in water.
- It is recommended to dry it with a towel and focus on drying between the fingers.
- Moisturize with moisturizing creams and avoid applying the cream between the fingers.
- Trim the nails straight and avoid cutting the corners of the nail to avoid wounds.
- Inform your doctor immediately of any nail problem.
- Avoid the use of sterile sterilizers, ointments, hot compresses and sharp feet
- Keep warm by wearing socks, and avoid exposing them to any heat source (e.g., heaters).
- Wear wide stockings when sleeping.
- Not exposed directly to snow and rain
- Avoid putting one foot over the other for a long time, because it prevents blood from flowing to the feet.
- Avoid smoking.
- When wearing socks and shoes:
- Avoid walking barefoot.
- Avoid wearing open shoes.
- Choose the shoe carefully and experience its size at the end of the day as the size of the foot increases.
- Make sure the shoe is comfortable before you buy it and check its size well.
- Avoid pointed-to-end shoes as well as high heels, and choose a wide-end shoe.
- Avoid repeating one shoe every day.
- Feel the inside by hand before wearing it.
- Tighten the shoelaces moderately.
- Wear clean and dry socks and change them every day, avoiding wearing pierced sock