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Tips for Diabetic Foot Care

Post by on Friday, August 20, 2021

First slide

        In our youth, we all are glued to the mirrors, combing the hair to perfection, correcting the flaws beneath our eyes, shaping our expressions and what not.

       But it has to change after the forties. Especially in the middle age, when one enters a pre-diabetic or diabetic phase; wherein we need to shift the priorities equally toward our support pillars - Our feet.
 
         In diabetes nerves are slowly damaged and you can't feel your feet much. So you won't be able to notice minor cuts, sores, or pain. And if you can’t feel these irritations and wounds, they may lead to infection, which may lead to gangrene and amputation.
 
       We call it Neuropathy !  That sets in limbs and feet causing skin changes, dryness, cracking of skin, frequent infections, deformities in the pressure areas.
 
      Vasculopathy in Diabetes in addition causes the blood vessels to shrink and harden, which can make it hard for your feet to fight infection.
 
        In totality, Diabetes can be dangerous to your feet—even a small cut can produce serious consequences.
 
         Hence taking care of the feet is a must in Diabetes to avoid all disastrous complications.
 
 Barefoot Beware
          Don’t walk barefoot. Wearing socks and slippers inside your house puts feet at lower risk for cuts, injuries and pricks which go unnoticed due to nerve dysfunction.
 
Dampness Damages
         Keep feet dry. Drying your feet especially after bath and wudhu should be a must routine. Take care of inter-digital spaces. Skin gets moist and breaks down, leading to infection.
 
Look in the Spaces
           Interdigital spaces are tricky points which need everyday inspection. Make efforts to keep these spaces dry at any cost. Don’t apply wet creams there.
 
Shoe Shopping
          Look for comfortable soft shoes. No tight fits please. Check more depth in the toe box, good coverage of both top and bottom & no seams inside the shoe that can rub on your foot.
 
Socks shouldn't Suck
           Buy socks without seams, preferably socks that are padded and made from cotton or another material that controls moisture. Change socks daily. Use antiperspirants if possible.  If your feet get cold at night, wear socks.
 
Getting rid of Irritants
           Any feet deformity or callus , corn, bunion actually increases the risk of infection. Get them treated early before they are infected.
 
No Kangri or bottles under feet
           We have a habit of keeping Kangri and warm water bottles under feet. Avoid that in diabetes. Feet have less sensation in diabetes and you won't feel burns if they happen.
 
Pain Swelling/ Redness
            Any pain swelling or redness in any areas of feet should be looked into and addressed early to stop the spread of infection.
 
Meet your feet Daily
           Check for cuts, blisters, redness, swelling or nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call your doctor if you notice anything.
 
Nail cutter training
            Cut nails carefully straight across and file the edges. Don’t cut nails too short or too deep, as this could lead to ingrown toenails.
 
No bathroom surgery
            If you have corns/calluses please avoid mishandling them yourself
 
Shake your shoes
           Remember, your feet may not be able to feel a pebble or other foreign object, so always inspect your shoes before putting them on.
 
Smoking kills feet too
          Smoking restricts blood flow in feet and leads to early damage of foot nerves and vessels.
 
Foot specialists
      Podiatrists are experts in looking after feet and lower limbs. They are highly trained health professionals who deal with the prevention, diagnosis and management of foot problems. You don’t need a referral to seek advice or treatment from a podiatrist, however, a referral from your doctor under a team care arrangement can assist in covering the fee for this service.
 
 
Nerve Signals
     Nerves are the ‘wiring’ of the body. They carry messages (feelings) to your brain from the rest of your body. The nerves to your feet are the most likely to be affected by diabetes. Damaged nerves (neuropathy) can cause painful, numb or insensitive feet. Minor cuts, blisters or burns may not be felt and ulcers can develop, which you may not be aware of. Some people with neuropathy experience uncomfortable sensations such as burning, tingling and pain. This is often worse at night.
 
     It is important to remember that many people with nerve damage have no symptoms and are unaware of the problem. Nevertheless, they are still at risk of developing ulcers.
 
 
Simple Suggestions for foot care include:
 
1. Never go barefoot.
2. Wear appropriate shoes to protect your feet.
3. Avoid injury by wearing well-fitting, protective shoes – do not wear open-toed shoes.
4. Keep toenails trimmed. Cut toenails along the shape of the toe and file rough edges.
5. Have corn or calluses treated by a podiatrist.
6. Check the temperature of your bath water with your elbow before stepping into the bath.
7. Be careful not to put your feet too close to radiant heaters.
8. Every six months, check for signs and symptoms that may indicate you have a problem. These may include reduced circulation or sensations, abnormal foot structure or poor hygiene.
 
Remember
Feet are a new face for a diabetic
Don’t make your health ugly by neglecting your feet. Meet them daily and treat them on priority.
 
U won't get another Pair.
So Take care !
 
 
 
 
 
 
 
QUOTES
 
 
 
Diabetes nerves are slowly damaged and you can't feel your feet much. So you won't be able to notice minor cuts, sores, or pain. And if you can’t feel these irritations and wounds, they may lead to infection, which may lead to gangrene and amputation.
 
 
Nerves are the ‘wiring’ of the body. They carry messages (feelings) to your brain from the rest of your body. The nerves to your feet are the most likely to be affected by diabetes. Damaged nerves (neuropathy) can cause painful, numb or insensitive feet. Minor cuts, blisters or burns may not be felt and ulcers can develop, which you may not be aware of. Some people with neuropathy experience uncomfortable sensations such as burning, tingling and pain.
 
 
 
Podiatrists are experts in looking after feet and lower limbs. They are highly trained health professionals who deal with the prevention, diagnosis and management of foot  problems.

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