Diabetic foot in diabetes
Diabetes mellitus - a serious disease that affectsthe entire body. There are two types of diabetes, the most common type 2 that occurs in adults and associated with insufficient production of the hormone insulin in the pancreas. Reduced insulin leads to the fact that glucose is required to supply all body cells, does not flow into them, and dissolved in blood. That is why the analysis of blood glucose (sugar) is increased. Change glucose degrade the performance of all organs, and in particular, nerves and blood vessels.
Violation of nerves called neuropathy. Often, such a breach is manifested by numbness of the foot, or not at all worried, because it leads to a decrease in skin sensitivity. If you touch the soles or toes of the foot with a pencil, the feeling will be barely noticeable and fuzzy. Therefore, any inconvenience shoes or small foreign object caught under the foot, may remain unnoticed and lead to considerable wear.
Violation of the blood circulation in the small vessels of the legsIt reduces the oxygen supply to the muscles, skin, bones. This is manifested by pain or cramps in the calves, swelling in the legs and feet, dry skin. But the most dangerous is bad zazhivlyaemost any abrasions, scratches or abrasions of the skin, which can result in long form does not heal the wound, called trophic ulcer.
Long duration of diabetes leads to disturbancebone structure, and then the joints of the foot, which are beginning to wrinkle, the foot becomes flat, there are deformations, which are called "Charcot foot".
Useful advice for patients with diabetes
Daily should inspect the legs to timefind blisters, cuts, scratches and other damage through which infection can penetrate. We must not forget to examine the gaps between the fingers. Sole of the foot can be easily explore with the help of a mirror.
Daily washing of the feet and careful wipingtowel without rubbing is the prevention of the development of fungal diseases. Do not forget to wash and thoroughly dry the interdigital spaces.
Before you lower the leg in a basin of water, be sure to check its temperature. Since the sensitivity of the legs is broken, you can not feel that the water in the basin was too hot.
Trying to remove calluses, in any case can not beuse a razor, sharp scissors and generally anything sharp. Excess horny layer and calluses are allowed to rub a pumice stone structurally unstable. Do not try to clean off all the rough skin immediately. Daily and gradually removing hyperkeratosis, you can safely achieve great results.
It is very important to change socks or stockings daily. Wearing permitted only suitable in size stockings or socks. Do not wear darned socks or socks with tight elastic band. If feet are cold at night, before going to sleep better not to put on warm socks.
It is strictly forbidden to wear shoes with bare feet, wearing sandals or sandals with a strap that goes between the toes, and walk barefoot, especially on a hot surface.
Do not use therapeutic or prophylactic insoles are not intended for patients with diabetes. Their profile can not meet the foot and lead to the formation of pressure ulcers.
At the feet dry skin is necessary to lubricate them (butnot interdigital spaces) low-fat cream. In case of accident - iodine, "potassium permanganate", alcohol and "brilliant green" are contraindicated because of the tanning action. Abrasions, cuts, etc. it is best to treat the hydrogen peroxide (3% solution) or by special means (dioxidine, furatsilin) and apply a sterile dressing. Then as soon as possible to see a specialist.