The main reason for occurrence of diabetic foot from the three areas, namely, peripheral neuropathy, vascular disease and infection. Peripheral neuropathy to
make sense of diminished or disappeared in patients with foot, foot muscle atrophy, leading to foot deformity occurs susceptible to injury, sensory impaired
will make the foot a number of factors, not suited to a reduced ability to feel, such as socks and shoes too tight or too small, foot - Water too hot and so
on.
In particular, smokers with diabetes are prone to foot lesions. Incomplete combustion of tobacco will produce toxic and hazardous substances, mainly
nicotine, carbon monoxide, tar, etc., these substances on human health greatly. There is also a natural ingredient in tobacco - to A nicotine, cause
vasoconstriction, spasm, reducing blood supply, ischemia, hypoxia. Foot ulcer healing requires adequate oxygen and nutrients, tobacco in these components
would make bad blood circulation, leaving a lesion of the foot, "worse", and will also increase cardiovascular disease, neurological diseases.
Smoking can lead to dyslipidemia. High-density lipoprotein cholesterol, expansion of blood vessels, inhibit platelet aggregation, protection of blood
vessels, blood vessels have a protective effect against the "good cholesterol." The smoking will reduce the high-density lipoprotein cholesterol; smoking
also make low-density lipoprotein cholesterol, but also make it susceptible to oxidation, oxidized low-density lipoprotein is the major material damage blood
vessels. Long-term smokers easy to make on vascular damage caused by "bad cholesterol" rise, such as blood cholesterol, triglycerides, low-density
lipoprotein cholesterol, and diabetes itself is likely to have lower high-density lipoprotein cholesterol, smoking will increase the This anomaly, so that
the blood vessels, wall thickening, stenosis, slow blood flow, blood circulation not good enough to make it disease, "worse."
Smoking produces carbon monoxide combines with hemoglobin, forming carboxyhemoglobin would affect the oxygen carrying capacity of red blood cells, resulting
in tissue ischemia, hypoxia, while the blood viscosity increase; smoking may also be induced by elevated levels of plasma fibrinogen, easy for the blood
coagulation and thrombosis.
The right stop smoking, harm reduction
Smoking addiction, especially diabetes, should recognize the health hazards of smoking on health. Quitting smoking can not only reduce the lung cancer,
pancreatic cancer and other malignant tumors occurred, but also help to reduce cardiovascular morbidity and mortality.
However, quitting smoking will make people have a hunger, appetite increased, if left unchecked, can lead to weight gain. Some patients have quit smoking
when the cravings attack like eating candy, melon seeds and other snacks, a long time will lead to increased body fat reserves to increase the metabolic
burden of making up sicker. After quitting the body balance was broken, because it may cause other diseases. As smoking has become a habit and addiction, so
patients have to start would be unwise to completely quit smoking, and, as a strong physiological reactions and psychological dependence would make the
anxiety, abnormal pain, once the smoke overcame the desire to quit smoking determination will not be successful.
Never in the psychological preparation is not sufficient to quit the case. Determined to quit smoking, we must be careful consideration, select the
appropriate target, fully estimated the difficulties of quitting and do the appropriate preparatory work, in conjunction with acupuncture, drugs, and
tempered his own willpower to stop smoking become a reality.
