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Foot Health

Treatments

Diabetic Foot Health

Diabetics are often more susceptible to infections that don’t heal in general. Poor circulation known as peripheral vascular disease and numbness in the feet, known as peripheral neuropathy. High blood sugar makes the skin a perfect breeding ground for bacteria, a dangerous situation if you can’t feel injuries to your feet. Infection that doesn’t heal can lead to serious complications it is essential that the diabetic patient prevents infections with careful foot care.

Diabetic feet require special care and attention. The following recommendations are all important and necessary. They have been designed to help you establish a daily routine to care for your feet and to avoid, rather than invite trouble that can lead to more serious problems including ulcers, infections, gangrene, loss of toe or toes, and in some cases, loss of life.

Important Guidelines

Wash your feet daily in warm, but not hot water. Test the temperature of the water with the elbow or a thermometer not the hand, which may also be affected. Use soap, not detergent or an emulsion prescribed by your GP if the skin is excessively dry. Dry the feet thoroughly with a soft towel, patting rather than rubbing the skin. Ensure that you have dried thoroughly between your toes. Use an emollient based foot cream to massage your feet morning and night to keep the skin soft and smooth.

Examine your feet thoroughly on a daily basis. Inspect all surfaces of the foot, check between the toes for cracks, corns, blisters etc. Use a mirror on the floor to see underneath the foot if this helps. If you cannot see well enough to do this for yourself, ask the assistance of someone who can. Always have your Foot Health Practitioner or Podiatrist/Chiropodist trim your nails because an ingrown nail or even the slightest nick in the skin from nail scissors or an abrasion to the skin can lead to a serious infection. See your Foot Health Practitioner at least once every month to 6 weeks at very longest. These visits depend on you and the severity of your diabetes.

Change your socks or hosiery daily for fresh, clean items, which should be free of darns, holes or prominent seams to avoid revealing the skin. Be sure your socks fit properly and comfortably and do not cramp the toes. Wear soft leather shoes that have sufficient room within and beware of discontinuities such as stitching and decorative features that might cause rubbing of the foot. Before putting your shoes on, check them inside to ensure they are free from stones or sharp edges that may cause injury. Your shoes should fit properly and comfortably with no points of irritation. It is also best to avoid high boots as these are likely to constrict the lower leg circulation. Change shoes you wear to allow them to dry out after you have worn them. It can take 24 hours for your shoe to completely dry out from either perspiration or wet weather so do not wear the same pair every day. Fungus can thrive in the damp, dark and warm crevices inside the shoe. Protect your legs and feet from the sun to avoid burning, and protect them against the cold and chilblains.

You should not trim your own nails and never try to treat the simplest foot problem on your own, even a corn or callus, as this could lead to an infection. Neither should you, cut down the sides of the nail or poke anything under or down the sides of the nail. If you have difficulty in cutting your nails you should seek the help of a Foot Health Practitioner or Podiatrist/Chiropodist. It is not advisable to let neither your partner nor a friend or even a helpful neighbour. This is too great a risk to trust any but a trained professional to assist you in this matter.

Never use creams between the toes as this can make the area moist which can then lead to fungal infections or corns. You should not use any over the counter medications on your feet, for example, corn or callus medications or antiseptics, unless they are prescribed for you. Some corn and callus remedies contain salicylic acid which can burn the skin and this can lead to serious complications such as ulceration.

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Foot Health

Treatments

“Prevention is better than cure”

Desiderius Erasmus

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