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Foot care for patients with diabetic foot

If you're managing diabetes, you may encounter problems with your feet and legs, two common complications of the disease. But you can take several steps to help keep your feet in good shape, including wearing specialized footwear, having regular foot exams, and performing low-impact exercise.

Why does this complication occur in the first place?

Diabetes Foot Care

After all, if you can't feel your feet, you won't be able to notice cuts, sores, or pain. Neuropathy is the cause of the dry skin experienced by many of those with diabetes: Nerve damage can also cause changes to the shape of your feet, which can make previously comfortable shoes hard to walk in.

  1. In contrast, soaking your feet when you have diabetes isn't a good idea.
  2. Daily foot care for some diabetic patients, especially patients with limited vision due to diabetes and other chronic diseases are difficult because they could not be able to evaluate their feet. Psychological aspects of diabetic neuropathy and its late sequelae.
  3. International Working Group on the diabetic foot. Assessment of documented foot examinations for patients with diabetes in inner-city primary care clinics.
  4. Ample time should be allowed for the patient to ask questions. If you have neuropathy, you might not notice these dangerous damages until they become infected.
  5. J Gen Intern Med.

That friction creates calluses and bunions that can wear down and expose skin to germs. In addition, diabetes also causes the blood vessels to shrink and harden, which can make it hard for your feet to fight infection. In contrast, soaking your feet when you have diabetes isn't a good idea. This approach can make already-vulnerable skin even more fragile and susceptible to infection, either through making your skin too dry or too soft.

There are a number of other solutions for the aching, sensitive feet you may encounter on your journey with diabetes.

Foot care education in patients with diabetes at low risk of complications: a consensus statement

Read on for 11 tips that will help you stride on with strength and confidence while managing the disease. Stepping into a bath before checking the temperature can cause serious damage to your feet, since burns and blisters are open doors to infection.

  1. Whatever the situation, it is widely acknowledged that adequate foot self-care is not undertaken by the majority of patients with diabetes [ 10 , 12 — 14 ].
  2. Maintaining these improvements in the long-term is dependent on reinforcing messages and providing opportunities for questions during each visit.
  3. The association between foot-care self efficacy beliefs and actual foot-care behaviour in people with peripheral neuropathy.

Use your elbow to check the water temperature before getting into the tub or shower. Tillett advises looking for shoes with more depth in the toe box, good coverage of both top and bottom, and without seams inside the shoe that can rub on your foot. Likewise, seek socks without seams, preferably socks that are padded and made from cotton or another material that controls moisture.

If you have neuropathy, you might not notice these dangerous damages until they become infected. As mentioned previously, you can still use moisturizer to prevent dry, cracked skin — just avoid putting it between your toes. When building your diabetes healthcare teamconsider including a podiatrist, a doctor who specializes in foot care, instead of heading to the pharmacy for an over-the-counter product for feet — some products are irritating to your skin and can actually increase the risk of infection even while they treat the bunion, callus, or corn on your foot.

Shoes made especially for people with diabetes are available at specialty stores and online, or you can visit your podiatrist for advice. Your doctor may recommend these shoes to you if you have an ulcer or sore that is not healing.

While exercise for diabetes certainly isn't one-size-fits all, be mindful that many fitness foot care for patients with diabetic foot and aerobics programs include bouncing, jumping, and leaping, which may not be good for your feet.

This is especially true if you have neuropathy. Just make sure you have the right shoe for whatever activity you choose. The chemicals in cigarette smoke damage and constrict your blood vessels, which means that if you smoke, you're depriving your feet of the nutrient- and oxygen-rich blood that fights infection and keeps them healthy. Out-of-control blood sugar leads to neuropathy, and the better you are at controlling your blood sugarthe healthier your feet will be over the long term.

  • Prevention and public approach to diabetic foot;
  • Evaluation of a multidisciplinary consultation of diabetic foot;
  • Ultimately this can impair trust and affect the way that patients interact with healthcare professionals.

Remember, if you already have an infection, high blood sugar levels can make it hard for your body to fight it.