Wednesday, December 9, 2009

Do you have the risk of diabetic foot?

Patients with diabetes mellitus complicated with lower limb and foot symptoms, such as foot pain, numbness, intermittent claudication, skin temperature changes, edema, and necrosis of the foot and other symptoms, can be regarded as a "diabetic foot" areas. Sugar faithful, do you have a high risk of diabetic foot then?

At high risk of diabetic foot

Diabetic foot high-risk groups (such as smoking, hypertension, there are neurological or vascular disease, there is the corpus callosum, edema, and foot deformities) is characterized as follows: There ulcers, penetrating history of foot ulcers and amputations persons; intermittent claudication who ; foot deformities, including pressure points, gelatinous layer of thick, claw-like toes, flatfoot; temperature to identify, pain and (or) vibration sensation disappeared (at least two); have evidence of peripheral vascular disease.

The principle of self-management of high-risk groups

① daily foot inspection (could be invited to family assistance) if it is found damaged or suspected of any change in skin color should be timely treatment. ② prohibit barefoot walking (especially on the beach). ③ Do not handle their own corns and blisters. ④ daily for socks, carefully choose the right shoes, at least two times a week to replace shoes, avoid wearing high heels and long wearing new shoes. ⑤ foot should avoid exposure to high temperature or low office in order to avoid burns or frostbite. ⑥ taboo drug topical treatment of corns or corrosive chemicals.

Non-high-risk groups (non-nerve and blood vessel disease or other risk factors) and the principle of self-management

① regular foot checks. ② using FILE nail repair. ③ stop smoking. ④ blood glucose control in the best condition. ⑤ Select the appropriate foot wear. ⑥ checked daily feet, legs, whether the cracks, redness, rubrum infection, and timely processing. ⑦ careful washing feet, dry, toes should not be crushed. Regular inspection, once problems are detected and timely treatment.

Plantar pressure anomaly is found in the formation of the common risk factors for foot ulcers, reducing stress is to prevent and deal with plantar foot ulcers key. The following method can achieve the purpose of reducing stress: the insole plantar pressure can be dispersed; can avoid pressure on the foot-ischemic edge of the loose parts of shoes; help ischemic parts of removable braces; removable inflatable sex braces ; to reduce the pressure foot and ankle brace; crutches, wheelchairs, etc.; heel protection, bed rest.