Mental factors on the impact of diabetes mellitus

With the development of psychosomatic medicine and pathophysiology of diabetes, genetic and treatment aspects of the accumulation of a large number of observations, there is growing emphasis on psychological factors and

social factors on the impact of diabetes.
Mental factors on the impact of diabetes mellitus

With the development of psychosomatic medicine and pathophysiology of diabetes, genetic and treatment aspects of the accumulation of a large number of observations, there is growing emphasis on psychological factors and

social factors on the impact of diabetes. Our clinical findings, diabetes is often due to mental stress, anxiety, worry, anger, fear, loneliness, despair, depression, frustration or emotion to make sicker, or even ketoacidosis, which is

due to emotional stress of adrenaline and adrenal cortex hormone secretion increases sympathetic excitement increased, and accelerated lipolysis, producing a large number of ketone bodies, and thus causing ketosis. On the

contrary, when the emotional stress to eliminate or to feel safe and satisfied with diabetes, the diabetes reduced insulin requirements are reduced, so patients with diabetes to keep thinking positive, emotional stability, and

diabetes control is beneficial.

Due to a toe, almost mourning the life

Diabetic foot is a common complication of diabetes, treatment difficult, maiming and killing the high rate of health care is expensive, which will reduce mortality rates of diabetic foot disability, the key is early, the scientific

treatment. For risk factors of diabetic foot disease in patients with diabetic foot disease to enhance preventive education is also crucial.

My father was suffering from diabetes ten years, in May last year, one day, suddenly found that his left foot at the feet toe in black, which frightened us, and immediately sent his father to the hospital for treatment, diagnosis

of diabetes, gangrene, doctors at that time his father on the proposed black toes amputated.

Cut-off toe, which his father is far too difficult to accept, why treatment should do the toes amputated? "I Jiubu Xin, my feet cure!" As the fear of doing cut-off toe surgery, his father out of the hospital.

After returning home, his father heard that their feet or effect of Chinese herbal medicine quite good, but a three-month consecutive bubbles are ineffective. By August, due to hot weather, his father left foot developed

gangrene from a toe or two, three, four toes, and toes inflammation, redness, pain, and sometimes so painful that I could not sleep at night. Thus, we turn the father admitted to the hospital, although doctors and we are

strongly persuaded his father did not dare to do cut-off toe surgery, plus see the roommate of fellow patients for three years due to amputation, the wound is not healed, and a taxi ran back in fear of their own home after

home to their feet.

But not long before his father the entire foot all the black, but also with the stench, desperation, had surgery a week later. Originally thought to do the surgery, the father will be able to overcome the difficulties, Shuiliao his

father after a high fever, body swelling, severe coma, after a final rescue to save his life, but his left leg below the knee has been truncated.

Expert Comments

People's Liberation Army 306 Hospital, vice president of the Zhang-Rong Xu, director of diabetes

In fact, this patient's amputation is completely avoidable. If the diagnosis of diabetes, gangrene after actively improve lower limb blood supply, based on the time left in the toe amputated, while a good infection control and

other factors, the patient may avoid the parts of the amputated above the ankle. This will impact the quality of life in patients with less.

The story, the patient saw the sufferers amputation wound is not healed after three years, increasing the fear of amputation. In fact, the wounds difficult to heal, not the inevitable result of amputation. Although the diabetic

wounds compared to normal more difficult to heal, but as long as the lower limb blood supply is good, good blood glucose control, bearing in mind control or to prevent local infection, healing will be no problem.

If the foot to protect well, early detection of ulceration, the patient could also avoid the initial toe gangrene. All patients with diabetes should be to strengthen the foot protection awareness, old age, longer duration,

complications are many and serious, long-term smoking, foot abnormalities in patients with partial and even more so, once the signs of foot ulcers, etc., should be immediately to the diabetes specialist treatment.

Diabetic foot is a common complication of diabetes, treatment difficult, maiming and killing the high rate of health care is expensive, which will reduce mortality rates of diabetic foot disability, the key is early, the scientific

treatment. For risk factors of diabetic foot disease in patients with diabetic foot disease to enhance preventive education is also crucial.

Grading diabetic gangrene

Diabetic gangrene is a common complication of diabetes, the following description of its classification.
Grading diabetic gangrene

0: No open lesions, clearly insufficient blood supply.

Ⅰ grades: superficial ulcer. Blisters or other damage can be caused by, or arise spontaneously.

Ⅱ Class: ulcer depth of tendons, ligaments, bones and joints.

Ⅲ Class: deep ulcers, infection and abscess with osteomyelitis and sinus formation.

Ⅳ Level: There are toe and and (or) of the foot gangrene.

Ⅴ Level: All foot gangrene, which normally takes amputation.

Diabetic foot was actually caused by distressed

Most patients with diabetes-induced peripheral neuropathy and other complications. If it is found in patients with diabetes, hands and feet numbness, hair cool, toe turned purple and black, should go to hospital.

Not long ago, Ms. Yang suddenly felt pain in the right ankle and foot pained, and she suspected he did not care sprain was not noticed until after the attack, thinking that after a period of time recuperating better on their

own. However, the two pain is increasing. As a result, she came to film city hospital of Chinese medicine orthopedic examination, the results are not sprain. In the doctor's advice, she went to medical examination, after a blood

glucose testing, Ms. Yang was diagnosed with diabetes, and soles of the feet and ankle pain is determined by its peripheral neuropathy caused by the merger.

This result gives Ms. Yang popular hit his only 40 years old, had no way other signs of diabetes. The doctors and nurses for their enlighten, counseling, diabetes prevention and treatment to explain to its knowledge, Ms. Yang

was calmed down. She handled hospitalized for treatment of diabetic subjects. Leng Ying Director to take the method of combining Chinese and Western medicine for Ms. Yang to adjust insulin therapy ketone acidosis. Pulse to

stimulate the body through the acupuncture points to treat the peripheral neuropathy. Treatment the next day, Ms. Yang feet symptoms improved after one week treatment, Ms. Yang has been discharged.

According to doctors, the summer high season is actually not diabetes, but the city of Chinese Medicine Hospital Diabetes Unit, 40 beds are filled, the majority of these patients the treatment of diabetes-induced peripheral

neuropathy and other complications. If it is found in patients with diabetes, hands and feet numbness, hair cool, toe turned purple and black, should go to hospital.

How do patients with diabetes foot care?

Diabetes is caused by a variety of reasons to chronic high blood sugar is characterized by metabolic disorders. Clinically, the majority of patients with hyperglycemia can polydipsia, food, polyuria and weight loss symptoms. If it is

not a long-term blood sugar control, can easily lead to a variety of complications in patients. Among them, diabetic foot is more common in patients with clinical diabetic complications. So, how do patients with diabetes foot care

work?

Diabetic patients with diabetic foot is the because of peripheral nerve damage, lower extremity arterial insufficiency, as well as foot infections by bacteria such as the emergence of foot pain, skin ulcers and gangrene in deep and

other symptoms. Early stage of diabetic foot can be produced on the skin of patients with foot ulcers. When the bacteria invade the wound ulcers, may result in local tissue necrosis, and thus the formation of gangrene. Once

gangrene formation, bacteria invade the blood in patients with the whole body will be various organizations, so that you can give patients the serious consequences caused by amputation, while the event of sepsis, may also

lead to death of patients. Therefore, patients with diabetes should not only adopt comprehensive and effective measures to control blood sugar, also must pay attention to foot care, to prevent diabetic foot. So, how do

patients with diabetes foot care work?

First, do a good job foot self-examination

1. Patients to carefully check the foot before going to sleep every night to see whether the foot swelling, wounds or secretions. Patients with poor vision may request the check on behalf of family members.

2. Patients need to do before going to sleep every night foot palpation. Note that if there foot drop in temperature place. At the same time to check whether there is tenderness point of foot to prevent foot ulcers bone

protruding parts.

Second, do a good job of foot skin maintenance

1. Every night before going to sleep to use the feet soaked in warm water about 10 minutes. The water temperature should not be overheated. After the foot washing the feet should be dried and coated with skin care oils,

such as glycerol and other non-alcoholic components of skin care products.

2. To properly trim nails regularly. Cut toenails straight line when you make the cut, do not cut the nail too deeply, so as to avoid nail embedded in a trough, causing localized infections.

3. Foot if thick calluses or corns should be to the hospital for treatment, not to themselves.

3, adjusting the shoes and socks

1. Diabetic patients is best to wear white, cotton socks. This will not only conserve the foot skin, but also easier to make if the foot was found in patients with bleeding or exudate.

2. Patients should check their shoes before wearing shoes whether there is foreign matter. Do not wear a pair of shoes for too long.

3. Patients in both indoors or outdoors did not want it barefoot, nor the long-term standing, walking or running.

4. Do not wear Japanese-style slippers and high heels. Wear Japanese-style slippers, people tend to form in the interdigital ulcers. While wearing high heels who are likely to form at the bottom of the previous foot ulcers.

5. To select the appropriate shoes.

① patients with the best pair of shoes in the evening, because at this time the volume of the largest foot. If the left foot sample sizes should be subject to a larger one foot.

② In selecting the size of shoe size, the longest toe to make the front foot with the shoe in front there is a certain gap, the size of the gap should be based on the width of patients with suitable hand thumb nail.

Screte: How Maintenance of diabetic foot in winter?

Diabetic patients with diabetic foot is a unique clinical manifestations of a serious vascular complications of diabetes, one of more than a long course of the disease occur in older patients with poor control of the disease. Diabetic

patients led to disability, death of the important reasons.

Winter, cold weather, dry climate and because of diabetes complicated by vascular and nerve lesions, so that artery stenosis, lower limb insufficiency, can easily induce foot dry skin, cracking and bacterial infections, and

sometimes even a minor injury, may also cause infection can cause severe lower limb inflammation, ulceration and even gangrene and amputation, medically known as diabetic foot. Diabetes, diabetic foot is a disability, death of

important reasons.

Typical manifestation of diabetic foot as follows: painful cramps at night, walking was intermittent claudication, dorsum pulse weak, neural edema and multiple chronic ulcers.


Therefore, the conservation of diabetic foot in winter of great importance, specific practices are:

1, no smoking, smoking makes small blood vessels spasm, increased lower extremity ischemia, hypoxia and increased symptoms of diabetic foot.

2, winter nights can be cold enough to keep warm multi-layer socks in order to improve local blood circulation, maintain a good supply of blood and nutrients. Hanged electric blanket, hot water bottle, etc. Wu feet! Because

diabetes often accompanied by peripheral neuropathy, pain in fingers and toes feel warm obstacles, insensitive to temperature change in the perception and pain before the hot legs, often have severe burns.

3, should be carefully handle small wounds with disinfectant (avoid using iodine and gentian violet) thoroughly clean the wound, and then sterile gauze covered by a few days unhealed timely medical treatment, to prevent "a

thousand miles of the dike break down in the ant hole."

4, per night with 40 ℃ warm their feet and often massage my limbs, to promote blood circulation and lower limbs and improve the local symptoms. In view of diabetic peripheral neuropathy and the pain often feel warm

obstacles, so wash their feet before, it is best to use the wrist, elbow or by family members first to feel the temperature, to prevent the water temperature is too high.

5, shoes should be soft, breathable, good, moderate size, toes large, should not go far way.

6, the sun is the best infrared therapy can promote blood circulation, help control blood sugar, reduce peripheral neuritis and the occurrence of foot lesions.

7, "action" is to accelerate blood circulation, "static" is slow blood flow deposition. Therefore, diabetes, sedentary bogey, bogey to sit cross-legged in order to avoid oppression of blood vessels and nerves, when sitting as I can

raise the foot to reduce foot pressure on local venous blood return. Winter may be appropriate in the indoor activities, such as taijiquan, pacing, etc., and often massage my limbs, to promote blood circulation.

Treatment of diabetic foot should be "five rings" closely!

Diabetic foot, commonly known as the "old bad feet," is one of the serious complications of diabetes. For diabetic neuropathy, lower extremity macrovascular disease and infection, the modern scholars put forward the diabetic
patients with diabetic foot "rings therapy."
1st Ring: Control of sugar
Strict control of blood glucose in patients with diabetic foot is very important. Even if type 2 diabetes, insulin therapy had better use. Such as poor blood glucose control can switch to intensive insulin therapy. Commonly used
subcutaneous insulin 4 times a day program (early, middle and short-acting insulin injected before dinner, bedtime injections in effect), if necessary, intravenous infusion of insulin or continuous insulin infusion pump, while closely
monitoring blood glucose, blood glucose control in fasting 7 mmol / l below postprandial 8 mmol / l or so.
The second link: Huoxue
1. Intravenous vasodilator drugs: anisodamine (654-2) 20 ~ 40 mg dissolved in 250 ml of normal saline intravenously once daily for 10 consecutive days or two weeks for a course of treatment, or oral tablets 20 ~ 654-2 30 mg a
day three times to lift the capillary spasm, the activation Vasomotion, reduce leakage, reduce blood viscosity, but there are dry mouth, skin flushing, palpitation, abdominal distention, blurred vision and other side effects.
Prostaglandin E (PGE1): Kay clock by adding 20 micrograms in 100 ml of a slow intravenous infusion of saline or normal saline 20 ml intravenous injection, 10 ~ 14 days for a course of treatment, there are other similar drugs PGI2,
insurance and so on up to the new. Oral medicine have Peter Kam blood circulation (cilostazol): 50 ~ 100 mg / day; pentoxifylline (Pantone): 400 ~ 800 mg / day; 100 ~ 300 mg of aspirin a day 1; 50 ~ 100 mg of dipyridamole,
on the 1st three second-class.
2. Microcirculation of Chinese medicine: 250 ~ 500 ml of normal saline added the TMP 80 ~ 400 mg once a day, every 40 minutes following a slow intravenous drip infusion for 2 to 3 weeks for a course of treatment, changed
clothes after the sodium ferulate tablets; Salvia needle 20 ~ 30 ml or Danshen pin 8 ~ 16 milliliters in 250 ml normal saline intravenously once a day, two weeks a course of treatment; can also be used safflower needle 20 ~ 40
ml by adding 250 ml normal saline intravenous drip; ahylysantinfarctase 0.25 ~ 0.5 units by adding 250 ml normal saline intravenously two weeks, can reduce blood viscosity and reduce plasma fibrinogen, platelet adhesion and
aggregation and the blood circulation to play effect; Mailuoning needle 10 ~ 20 ml normal saline intravenous infusion of 2 weeks; Others include health network element, Xuesaitong so.
3. Ultraviolet irradiation of autologous blood.
4. Hyperbaric oxygen: In the 0. 15Mpa mask inhalation of pure oxygen under pressure from 1 to 2 hours a day, for 10 ~ 20 Tianyi course of treatment, can promote infection control and to accelerate wound healing.
3rd Ring: anti-inflammatory
Mild infection: common and effective antibiotics include: oral anti-inflammatory drugs such as amoxicillin / clavulanate potassium, dicloxacillin, cephalexin, etc.; intravenous infusion of anti-inflammatory drugs such as cefazolin,
ampicillin / sulbactam, chlorine Lin Lincomycin, etc.; often take medication 2 to 4 weeks.
Serious infections: Severe infection may lead to amputation, patients with life-threatening. Gan Ranzao early surgical treatment, removal of bad rot organization, cut with the soles of the feet compartment drainage. Secretion of
bacterial culture at the same time, it is best to use antibiotics according to culture results. However, pending the culture results, taking into account bad foot office Gram-positive cocci, negative bacilli and anaerobic bacteria and
other infections easily co-exist, use broad-spectrum antibiotics, supplemented by metronidazole resistant anaerobe. According to the recovery of ulcers and systemic conditions, application time should be up to 4 weeks.
Life-threatening infections: can be combined with ampicillin / sulbactam and aztreonam (Thailand can); piperacillin / tazobactam and vancomycin; vancomycin, ceftazidime, and metronidazole; imipenem and cilastatin;
fluoroquinolones, vancomycin and metronidazole and so on.
4th Ring: dressing
The principle of dressing can be summarized as follows:
A consumer: Anti-inflammatory and disinfectant. Topical application of tincture of iodine, alcohol disinfection, spraying antibiotics.
2 Less: reduce stress, try to wipe out local edema, drainage out of secretions, if necessary, surgical incision abscess drainage. Dressing the same time, do not pack too tightly, affecting blood supply.
3 Clear: Surgical debridement. As far as possible necrotic tissue, diaphragm, resection of sequestrum and so clean, clean up the local pus and other secretions out, exposing the fresh granulation tissue, can be used with the
biological activity of enzymes break down dressing to promote autolysis of necrotic tissue.
4 Extended resection and suturing: Treatment period of time, the bad foot skin temperature decreased, edema subsided, the wound dried, can be used in dressings with epidermal growth factor to medication, but also can be
partially sprayed 654-2, insulin, etc., while removal of dry scab and irregular bone protrusion, such as suturing the skin flap or graft.
The Fifth Ring: symptomatic and support
1. Fever, fever are available ice packs, alcohol, physical cooling sponge bath; necessary, applications antipyretic drugs (hormones or anti-inflammatory pain suppository, etc.).
2. Correcting ketosis, water, electrolyte disorders, timely potassium, rehydration, maintaining water and electrolyte balance.
3. Improve cardiac function, may be appropriate to apply the expansion of drugs and diuretics such as coronary artery.
4. Infection prevention and control of other organs, especially the lungs and urinary tract infections.
5. Nutritional supplements: such as nutrition nerve Methylcobalamin (Methycobal), neurotropin, vitamin B family such as intramuscular injection or oral, with anemia, hypoproteinemia, malnutrition can complement plasma, human
serum albumin.
More "rings" to focus on promoting blood circulation and anti-inflammatory, but interlocking, are indispensable.

Do you have suffered, "diabetic foot" and dangerous?

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.

How early detection 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. Early detection, early detection of diabetic foot can be, for the treatment and care have an important role.

Neuropathy examination: take off their shoes, carefully check the foot, including the pressure and protruding position (heel, metatarsal head), between the toes and feet and legs of the arterial pulse. The use of different

diameters of fine nylon filament to check the sense of touch, the lack of tactile foot ulcers in patients with a great possibility. Check whether the foreign body inside the shoe, from which we can see whether your foot pressure

abnormalities or other problems. Obviously abnormal X-ray examination should be carried out.

Ischemic lesion check: When you appear pale or purple foot, rest pain, sometimes accompanied by abnormal perception of acupuncture, the skin often hair cool, there are changes, such as malnutrition, lack of vellus hair and nail

atrophy, dorsalis pedis artery and even leg arterial pulse weakened or disappeared. At this point should be further for lower limb and foot Doppler ultrasound of the arteries, measured ankle-brachial index. If you suspect a serious

ischemic or non-traumatic examination revealed abnormal, angiography should be performed.

Diabetic foot ulcer with infection in check: local infection can have redness, swelling, pain and tenderness, but these may be obvious or even non-existent, especially those with neuropathic foot lesions. The more obvious

manifestations of infection as purulent effusion, crepitus, or deep sinus. Probe can be used to check and to take samples for bacterial culture, you can also shoot X-ray film.

Three measures you away from the "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. In life with diabetes should stick to do the following three points in order to effectively prevent the invasion of diabetic foot.

Changes in posture, appropriate exercise

Lower limbs often elevated to promote venous return, increased physical activity blood supply. Try to avoid prolonged sitting cross-legs, and avoid walking distance discreet. Should try to avoid standing for prolonged periods.

Bedridden with diabetes should pay special attention to protect the heel, heel pressure on the long-term contact with the bed, but also easily lead to blood circulation disorder and ulcers, should pay attention to changing the

foot position can also be added with a soft foot pads to protect. Appropriate exercise every day to improve lower limb blood circulation, but do not overwork, taking care to avoid injury.

Science footbath

After the application of feet clean, soft, absorbent towel, a good foot gently dry. If the quality of the hard rough towel, or forcefully too heavy, are easily lead to foot skin is not easy to detect trauma. Towels used to wipe

your feet the best white in order to be able to easily find out whether there are traces of blood or pus.

Adhere to diet therapy

According to patient's ideal body weight to calculate the daily total calories, diabetic foot infection in patients with necrosis of a large consumption and heat should be properly increased 10% to 20%, while according to patients

with eating habits, so that diverse recipes. To regularly quantitative meal insulin injections are even more so.

"New savior" of the Diabetic foot

Diabetic foot ulcers effects topical medicine developed. Recently, the U.S. succeeded in developing an effective treatment of diabetic foot ulcers caused by

a new external medicine.

According to reports, American doctors through clinical trials found that, compared with the iodine and some antibiotics, these drugs more effectively to

cure water diabetic foot ulcers, treatment to be reduced from more than 50 days to 43 days. The role of this principle of medicine is that it contains

elements able to "recognize" a variety of bacteria invade the organization foot (Clostridium, E. coli, salmonella, tuberculosis, etc.) and through the cell

wall of these organisms "burrow" will kill them quickly, but the body's normal cells will not be new drug molecule attacks. Because sterilization faster,

damaged foot cells can be quickly repaired, thereby promoting greater blood flow to the ulcer site, so that the wounds can heal faster.

British researchers say, from the preliminary test results, the new ideal of syrup efficacy.

Diabetes have some taboo to foot spy!

Patients with peripheral neuropathy, skin feeling often encountered a problem and should therefore avoid all kinds of undesirable external stimulation. Hot

feet or for the elderly, there is also a temperature grasp the problem. Most of the long-term diabetes have emerged neuropathy, peripheral nerve can not

normally perceive temperature, and that patients with this disease often I do not know. In this case, their feet will be all too easy to cause scalding.

Diabetes feet or when the water temperature should not be too high, to 37 ℃ is appropriate. Because the water temperature is too high, easy to damage the

surface of the foot skin sebum film, so that even chapped dry cuticle. Therefore, before their feet or try a good temperature, can be gentle fingers, and

then his feet into the water. In addition, cardiovascular and cerebrovascular diseases are not suitably hot water in their feet because the high temperatures

accelerate the blood flow, a short time increase of the heart, blood vessels of the burden and increase the risk of illness; cold feet when the hot bubble is

also undesirable, because At this point the skin, muscle stiffness in the state, with hot water hot legs, sudden temperature from cold to hot, huge

temperature difference is difficult to tolerate, thereby increasing the disease.

Inappropriate to their feet immediately after a meal, preferably after a meal 1 hour and then soak. Their feet time for the elderly should not be too long,

generally 15 to 30 minutes is appropriate, during which the water can be added, but to pay attention to maintaining the temperature does not exceed 37 ℃.

After the wash the feet with absorbent towels and thoroughly dry Qingrou keep feet warm and dry, can foot massage, but the movement must be gentle. For dry

skin, use vegetable oil evenly apply on the feet, and gently massage to make it fully absorbed, in order to soften the skin, eliminate scales and prevent

cracking. Toenail trimming should not be too short, so as to avoid damage caused by secondary infection of a ditch.

Disable the irritating syrup feet or their feet or if it is medicine, it is best to use tubs or enamel basins, in order to avoid the effect of drugs greatly

reduced; for ulcerated wounds do not have their feet or foot from the observation of skin color, temperature, and humidity changes start, check for broken

skin, athlete's foot, calluses, etc. and found that skin ulceration of the foot should be in time to the hospital for treatment.

Treatment of diabetic foot new way!

Diabetic foot is a serious complication of diabetes is one of the lower extremity vascular disease, neuropathy and infection together the results,

performance for the foot pain, foot ulcers and foot gangrene and other diseases, the most common are ulcers, 15% of diabetes occur throughout life in

patients with foot ulcers. Diabetic foot according to their performance in clinical practice is divided into six:

0: No open lesions, but after checking the performance of a clear lack of blood supply, such as the dorsalis pedis artery pulse significantly decreased;

Level 1: superficial ulcers, blisters or other damage may be caused by, or spontaneous generation;

2: ulcer formation, deep tendon, ligament, bone and joint;

Level 3: deep ulcer infection and abscess with osteomyelitis and sinus formation;

4: There is toe and / or part of the foot gangrene;

5: full-leg gangrene, the general need for amputation.

Diabetic patients with diabetic foot is the most common cause of admission, diabetes among hospitalized patients, 20% were due to foot disease caused 89% of

the depth of foot ulcer patients required hospitalization for more than a month. In all patients required amputation, diabetic foot is the first reason. In

the United States each year 6.5% of the needs of the patients with diabetic foot amputation, non-diabetic patients more than 10 times.

Traditional treatment of diabetic foot is to control blood sugar, anti-inflammation, improve blood circulation, local dressing and so on, symptomatic

treatment, ulcer healing slowly, and treatment is not ideal.

In fact, most patients with diabetic foot there was a significant hardening of the lower extremity arterial occlusive disease, for these people, intervention

can keep the limb. In addition, a wide range of diabetic foot vascular disease, bilateral lesions involving the number of multi-branch arteries, and were

phased distribution of surgical difficult to deal with a broader range of lesions, and interventional treatment can deal with.

Interventional treatment, there are two principal means: right lower limb vascular segmental stenosis, the use of balloon catheter for expansion of blood

vessels; right to use stent stenosis, the blood vessel smooth. Intervention before and after treatment, combined with control of blood sugar, anti-

infectives, anticoagulation, improve microcirculation and local dressing such as symptomatic supportive care, diabetic foot ulcers heal faster, can greatly

reduce the morbidity of patients, short-term effect is satisfactory.

Nursing foot care is not difficult to well

Diabetic foot disease is a peripheral neuropathy (including autonomic neuropathy), microvascular disease, macrovascular disease and poor health habits, and

many other complex interactions between factors caused. Once the disease because of its treatment of complex, difficult large, will face consequences such as

amputation. "When I first want to pay more attention will not be doing this again!" Uncle Zhang looked at his left foot still in septic seepage regret shook

his head. Zhang uncle is a three years of age patients with diabetes, he never imagined, just because a peddler in the street pick corns, has allowed him to

suffer from a serious foot complication of diabetes. To the hospital for Endocrinology, the entire left foot swelling, foot outside there is an apricot-like,

such as the size of ulcers, ulcer surface with purulent discharge. After active treatment hospital, an uncle and a half months out of post-tensioned the risk

of amputation, ulcer healing, also control blood sugar steady, Zhang Grandpa can walk, go out for a walk. Nearly two months of hospitalization time, not only

family members to set aside time for care, but also to pay high medical expenses.

Zhang uncle just in the hospital, doctors said with regret: "like a sheet of Grandpa that people with diabetes, as long as a good control of blood sugar,

usually play a good foot care, this situation is completely avoidable."

Diabetic foot disease is a peripheral neuropathy (including autonomic neuropathy), microvascular disease, macrovascular disease and poor health habits, and

many other complex interactions between factors caused. Once the disease because of its treatment of complex, difficult large, will face consequences such as

amputation. Foot problems can lead to diabetes were the most common cause of hospitalization. In every six people with diabetes who have to endure a lifetime

of foot ulcers caused by pain. Most of the cut-off enough to cause foot ulcers from the beginning, and throughout the world every 30 seconds a leg was

amputated because of diabetes. The vast majority of foot ulcers and the cut-off foot surgery is entirely preventable, of which nearly 85% of the cut-off foot

surgery can be avoided.

In order to reduce diabetic foot disease, diabetic patients in everyday life how to do foot care?

Through dietary adjustment, regular exercise, learning related to diabetes knowledge, if necessary, under the guidance of a doctor to use medication, so that

blood sugar control in the right range, the prevention of diabetic foot lesions prerequisites.

To do every day

1. Nightly feet with warm water once every 10 to 15 minutes, feet or hands or forearms when the Department first test the water temperature, so as not to

occur in patients with sensory disturbance due to burn their feet after going to the gap between the toes specifically at light rub dry.

2. Daily view the feet and toes whether or blisters, scratches or skin lesions, if necessary, can be a mirror view the foot.

3. Every day of their shoes worn by inspection, including the foreign body, nail debris, shoe lining of the formation conditions.

Can not do

1. Do not use chemicals to eliminate corns should consult an experienced doctor or a dermatologist adequate treatment, and describe their own diabetes.

2. If the visually impaired should be assisted by relatives checking feet and trim nails, do not personally operate.

3. Do not wear sandals or slippers entrained between the toes.

4. Do not cross legs, a long time in order to avoid oppression of blood vessels and nerves. If the foot blisters and pain, the need for timely treatment to

the relevant specialist.

To note

1. The skin is too dry can be painted a large oily skin care cream, 2 or 3 times a week.

2. In winter to keep warm, to promote wear cotton or wool socks, both the warmth, breathability and good enough to ease the cold night can wear socks, but

should not use hot water bottle or small water furnace warm feet.

3. The shoe worn by diabetic patients should be fit, it is best to wear flat shoes.

Diabetes: a thousand miles begins under the "foot"

Complications of diabetes is like an ambush in the body of the "terrorists" at any time the formation of a threat to the body. To this end, we have

especially invited Liu Bei, Zhuge Liang's father to set up "anti-terrorism team" determined to eradicate diabetes the body's "terrorists", to people with

diabetes to create a harmonious living environment for the survival. Liu Bei, Zhuge Liang after the baptism of the war, sighed and said: "Both are doing

things and they all can not do without the feet." So, enough in everyday life plays a vital position. However, some diabetic patients with diabetic foot

complications is deeply troubled, Jiang Aunt is one of them. Since suffering from diabetes, has failed to exercise proper control of diet, until one day, her

feet because of labor and bumps, and since then has been infected, the wound can not heal and, after medical treatment, are unscrupulous effect, doctors

recommended amputation surgery. Jiang Aunt life and death did not agree. Day help medicine, Chinese medicine clinic, considered the poisoning caused by damp

bet to give four Miao Pills drink flavors disinfection, treatment in January and more.

Comments: Diabetic foot is one of the main complications of diabetes is peripheral neuropathy, microvascular disease, macrovascular disease and poor health

habits, and many other complex interactions between factors caused. There are two cases: one foot has an open lesions (ulcers, infections, gangrene); Second,

although not an open foot lesion, but there are risk factors for disease to occur, such as neuropathy, vascular disease (commonly known as risk of foot).

Once the disease because of its treatment of complex, difficult large, will face consequences such as amputation. Therefore, diabetic foot disease is a

severe complication of diabetes, one of the most horrible.

Diabetic foot is deplorable, but the diabetic foot is preventable and treatable, and anti-emphasis on governance. The first is the prevention of diabetic

foot over the basic strategy, good control of blood sugar, so that fasting blood glucose and postprandial blood glucose were maintained at near normal

levels, including prevention and treatment of diabetic foot complications, including all the fundamental. For patients with diabetic neuropathy, peripheral

nerve lesions occur after the lost sense of external stimuli can be manifested as numbness, pain disappeared or was "dead meat"-like feel. Although people do

not feel pain or even pain, but pain and temperature sense of the body has a protective effect. The risk of diabetic foot is the ability to diminish self-

protection, namely, the decline or loss of sensory function. Thus, with diabetic peripheral neuropathy, or diabetic foot patients, to avoid skin and foot

injuries, including hot water burns, sports crush injuries, soft wear comfortable shoes, as well as giving vitamin B1 and vitamin B12 therapy. If the

diabetic lower extremity arteries, and abnormal microcirculation, easy to form the arterial wall is not smooth, luminal stenosis, when developed to a certain

extent or lumen occlusion, they can rise to the corresponding region of ischemia, necrosis caused by diabetic foot is required application of some

vasodilator, anti-platelet aggregation drugs, such as prostaglandin E, propylene glycol alginate sodium treatment, and with the blood circulation, expelling

wind pain, heat detoxification function of Chinese medicine, such as the earthworm, leech, silkworm, centipedes, Scorpio, honeysuckle, Treats, wild

chrysanthemum, Chinese violet, day ambrette, dandelion, etc. in order to prevent the formation of diabetic foot.

In addition, diabetic foot infections are caused by a major incentive, with high risk factors in patients with diabetic foot, in the event of foot infection

can easily lead to the formation of diabetic foot ulcers, so preventing diabetes foot trauma, foot Diabetic foot infections are cut off formed an important

part.

Who will save the diabetic friends "amputation" risk?

Peking University First Hospital by endovascular stent placement and artificial blood vessels and other minimally invasive bypass surgery, opened the

stenosis and occlusion of the iliac and femoral artery improved leg and foot perfusion pressure and flow, successfully saved the diabetic foot body, so that

most patients resume a normal life and work. According to experts, diabetes is the world's highest prevalence and mortality of the five diseases. The

incidence of diabetes is currently at an alarming rate. China has 30 million people with diabetes, diabetes can cause a major hazard is a variety of serious

complications, including diabetic foot high morbidity. Diabetic foot in China in 1992 accounted for 12.4% of the number of diabetes patient, amputation rate

was 7.3%.

Diabetic lower limb arterial ischemic disease is the main reason leading to diabetic foot. The traditional view is that the main reason is the peripheral

circulation of diabetic foot obstacle, while ignoring the iliac and femoral artery stenosis. Once the severe ischemic disease, most patients have to accept

lower limb amputation, especially in high amputation and multiple amputation pain.

Interventional Vascular Surgery, Peking University First Hospital for the diabetic foot were combined iliac and femoral artery stenosis or occlusion of the

lesion, by endovascular stent placement and artificial blood vessels and other minimally invasive bypass surgery, such as stocks - femoral artery bypass,

lower extremity artery sequential bypass, Sequential lower extremity arterial bypass interchange and so on, opened the stenosis and occlusion of the iliac

and femoral artery improved leg and foot perfusion pressure and flow, the successful preservation of the patient's limbs. Toe gangrene have emerged in some

cases, hospitals use stents and bypass surgery are cured through debridement and successfully to preserve the patient's body, thereby increasing the

patient's quality of life.

Alert! Diabetic friends of a small injury prone stuffed calamity

In daily life, for the knock foot injuries, bumps the majority of people do not care, but patients with diabetes should not overlook such a "minor injury",

otherwise it will lead to disaster. Last year we collected a ward due to lower limb hypoesthesia was frayed right foot insole lead to foot ulceration in

patients with the skin. Some people ask, how close subjects such as diabetic patients? In fact, the patient is the rate of diabetes, because they do not know

that the "small injury," the stakes, not timely medical treatment, as well as the development of the quick-fix difficult to walk, toe skin black, skin ulcer.

If the patient continues further delay, I am afraid have to amputated. The patient is lucky, after a variety of combination therapy in Western medicine

conditioning, and finally saved the limb. Clinically, one of many examples, but not all patients are so lucky, as the patient. It was because it could not be

found and to take effective treatment, as well as adversely affected by illness and ultimately amputations.

In order to avoid such tragedies. Diabetic patients should be aware of some of the reasons leading to diabetic foot, usually the foot how to self-observation

and how knowledge of diabetic foot protection for early detection of signs of diabetic foot away from the diabetic foot caused by痛苦.

Vascular disease the main cause of diabetic foot

Diabetic patients is mainly due to physical disability diabetic lower limb vascular disease. According to statistics, the rate of non-diabetic patients with

lower limb amputation with diabetes 15 to 17 times. Was hospitalized because of diabetic foot gangrene accounted for 20% of all diabetes inpatients, of which

3% was amputated. Diabetic foot is because of local vascular lesions caused by ischemia, so that the organization losing its vitality. Owing to neuropathy

caused by sensory loss, so that patients can become aware of friction and trauma, eventually leading to foot ulcers, gangrene.

Prevention is to avoid the best measures of diabetic foot amputation

As the saying goes, "ice three feet thick, cold day," the occurrence of diabetic foot, development, deterioration is a long process. We must be good at

observation, the timely detection of ischemic parts of the various issues and their containment in the bud. Unfortunately, some patients do not understand

the knowledge of prevention of diabetic foot until the foot ulcer has formed deep hole, toes have black only come to the hospital. Tend to have lost the best

opportunity for treatment. In fact, patients with diabetes as long as the understanding of some of this knowledge, you can avoid amputation.

Take a look! Do you have signs of diabetic foot?

How can early detection of signs of diabetic foot then? Recommend that you always observe the ischemic area (mainly lower limb and foot) whether the

following changes: We have found signs of diabetic foot is the key to

① consciously legs, feet cold, or do not feel the hair starting cold, but the skin temperature decreases. ② abnormal skin color, foot elevation when the

pale. Droop when the purple. ③ with skin manifestations of malnutrition, such as dry skin, hyperkeratosis, brittle, often easy to rip, thinning and shiny,

elastic bad blisters and so on. ④ limb paresthesia, such as numbness, tingling, etc. limbs touch, pain, temperature sensation diminished or disappeared. ⑤

Local body hair, nails, muscle abnormalities, such as the affected area to reduce or body hair loss, nail thickening or Cuibo deformation, improper nail

trimming is easy to cause paronychia, some foot muscle, subcutaneous tissue atrophy, interdigital joints bend . form a claw-shaped toe, foot corns or

calluses, foot deformities and other changes. ⑥ touch instep and the posterior tibial artery pulse weakening or disappearance of venous filling longer. ⑦

limb vascular ultrasound and angiography and other objective examination of vascular lesions can be found in varying degrees of luminal plaques and narrow.

After the trigger the symptoms of lower limb ischemia

The above-mentioned problems are not treated in time, some patients with certain symptoms occur because of different degrees of ischemia can be manifested as

intermittent claudication (defined as patients with lower extremity after walking some distance away from weakness, numbness, pain, and even a limp to walk,

or simply can not walk, with a break to alleviate the symptoms can continue to walk). This is an early manifestation of lower extremity ischemia. Increase

the extent of lower limb ischemia presenting with rest pain (pain from the hip to the foot generally conducted at night, aggravated), this state. As the leg

and foot ischemia, experienced minor trauma led to skin ulcers and so on is easy. Condition further development, especially the feet and lower limb gangrene

can occur, unhealed wound a long time and even skin split open flesh, carrion erosion, toe gangrene.

Medicine according to the performance of the different parts of gangrene is divided into wet, dry and mixed gangrene of three. In severe cases, gangrene,

amputation would have to accept the treatment which led to permanent disability, serious impact on patient quality of life.

Diabetic friends: how to save my "foot"

Treatment measures should first be strict control of blood glucose at the same time with Huoxuetongmai drugs and vasodilators to increase blood flow and

promote the establishment of collateral circulation, improve microcirculation, reducing blood hypercoagulability, prevent thrombosis, systemic or local

application of discretion antibiotics to control infection, if necessary, with the application of Chinese medicine. Once the diagnosis of diabetic foot

establishment, they must be dealt with immediately so as to avoid illness to expand and develop. Cause disability and even death. Treatment measures should

first be strict control of blood glucose at the same time with Huoxuetongmai drugs and vasodilators to increase blood flow and promote the establishment of

collateral circulation, improve microcirculation, reducing blood hypercoagulability, prevent thrombosis, systemic or local application of discretion

antibiotics to control infection, when necessary, with the application of traditional Chinese medicine, such as Kiyotoshi hot and humid, blood circulation

and pain relief, Huayu Tong Luo and warming yang and spleen, such as convergence sore myogenic law, due to the different symptoms were due to different

treatment programs, foot for with some modern drugs and surgical dressings is also a common method of dealing with the injured area. Clear case of lower

extremity arterial stenosis may consider interventional therapy or bypass surgery of vascular surgery to improve circulation. If the lower limb gangrene, a

serious, conservative treatment fails should be OK amputation. In short. Doctors according to patient's different circumstances, select the best treatment.

Prevention of diabetic foot six big move

1, once the feet when the abnormalities described above, do not think that tolerance and forbearance will be a delay of the last illness, the consequences of

the final result in amputation.

2, and strictly control high blood sugar, hypertension, dyslipidemia and high blood viscosity. Appropriate use of vasoactive drugs and enteric-coated

aspirin, CSDP, etc. to improve the circulation, lower blood viscosity drugs.

3, pay attention to foot hygiene and protection. To keep feet clean and dry. Night with warm water (not more than 40 C)'s feet. With a soft towel, pay

attention to dry toes sutural, pay attention to trim nails, not too short and too bald, right foot corns and any minor injuries or infections under the

guidance of a doctor should be given active treatment, so as to avoid the formation of ulcers or gangrene.

4, pay attention to the feet warm. Insist on the right leg and foot movement in order to improve lower limb blood circulation, so that to reduce the extent

of ischemia.

5, select the appropriate footwear. Shoes to fit, wide toe to. To toe in the shoes can be fully extended, without squeezing. To be a little activity is

better: Choose breathable and good shoes, in order to reduce Jiaohan skin irritation and fungal infections or other pathogens; do not wear high heels in

order to reduce the pressure on the toe; daily check whether the sand and other foreign matter inside the shoes, whether flat, etc. (If the patient hands and

feet are have been insensitive to the families should be to check). To choose a good absorbent socks cotton socks, texture should be soft. Do not loose is

not tight. Socks mouth of the elastic to the right, not too tight to affect blood circulation, socks should be washed every day.

6, pay attention to smoking cessation, weight loss. Smoking can further contraction in blood vessels, is a major reason for causing diabetic foot, "to smoke

should not feet," is undesirable. Obese to reduce weight to reduce foot pressure. To ensure an adequate blood supply to lower limbs. In addition, the weight

loss will help to improve blood pressure and blood lipid disorders, to reduce the extent of atherosclerosis.

Diabetic foot ulcers, "biomechanics" theory

According to the American scholar reported that diabetic foot ulcers are usually associated with two kinds of structural abnormalities of foot (tight Achilles tendon and thumb activities restricted) closely related to correct the two kinds of exceptions can help reduce or even eliminate foot wounds and ulcers. St. Paul's Hospital, Dr. Troy Boffeli and colleagues noted that most patients with newly diagnosed diabetic ulcers are abnormal foot biomechanics. The researchers selected 26 patients (33 feet) thumb incipient ulcer patients studied. Ulcer was found in almost all patients are located in the joints between the toes toe midface, accompanied by gastrocnemius muscle movement and the limited outreach thumb.

The researchers believe that inspections should include the patient's biomechanical evaluation, treatment, including surgical or conservative ways to reduce abnormal pressure on the thumb. In addition, most due to ulcers in patients receiving the thumb amputation within a year had a second amputation, bio-mechanical anomalies are caused by the first time an important factor in ulcer, if not corrected, for the first time after an amputation can also cause ulcers.

The researchers noted that most patients with diabetes associated with the Charcot ankle nerve arthritis, joint instability and dislocation, so they use the foot pads of the 13 patients with Charcot ankle joints fixed, in order to avoid further bone and soft tissue degradation, The main method is the first line of the Achilles tendon lengthening the foot to ease tension, and then a stable joint with plantar pad.

Boffeli Dr. noted that the current treatment of patients occurred without a re-fracture, soft tissue injuries and ulcers. However, the effect of treatment still need to 5-year follow-up study to further confirm.

"Old Diabetic Foot" treatment all Gonglue

Diabetic gangrene is a difficult disease interdisciplinary, in the event, treatment more difficult. Foreign scholars believe that diabetic foot amputation is the end result of sexual development. In recent years, we are using Chinese and Western Medicine for the diabetic gangrene amputation rate reduced to 6.67%, showing significant advantages, compared with 38.1% ~ 75% of the domestic and abroad, 48% ~ 49% of the level of amputation rate. Therefore, combining Chinese and Western medicine combined treatment of diabetic foot is to improve the cure rate and reduce amputation rate of the key.
The specific treatment of diabetic foot many ways, we will be divided into three areas.

1, Western medicine treatment

Including the treatment of peripheral neuropathy and peripheral vascular disease treatment.

1. The treatment of peripheral neuropathy

Very good control of blood glucose can reduce and mitigate the occurrence of peripheral neuropathy and development. However, Pirart that has happened, there is no reversal of the role of peripheral neuropathy, should be early prevention and treatment of peripheral nerve lesions and the protection of its functions.

At present the clinical improvement of neurological function of the drug are mainly aldose reductase inhibitors, myo-inositol, neurotrophic agents and nerve growth factor.

2. Peripheral Vascular Disease Treatment

Mainly to improve limb blood circulation and blood hypercoagulability. The effective treatment of diabetic foot a lot of chemical drugs, the clinical effects of commonly used and better drugs include expansion of the blood vessels of drugs such as prostaglandins, anti-platelet drugs such as cilostazol, anticoagulant drugs such as low molecular weight heparin and warfarin, and so on, fiber snake venom protein, dissolved substances such as various kind of product.

3. Surgical treatment of

Including various types of vascular bypass surgery and transluminal angioplasty. Conditional upon the implementation of clinically proven surgical intervention in patients with surgical treatment of peripheral vascular disease is still the preferred method.

① endovascular interventional therapy: Because of its trauma, surgery and rapid recovery features, combined with all kinds of balloon, stent development and application of rapid development in recent years, the clinical application of a gradual increase in a way replaces the part of the bypass surgery. It is suitable for the more limited occlusion of segmental vessels or vascular stenosis cases.

② a variety of vascular bypass surgery: the use of autologous or artificial blood vessel stenosis or occlusion of blood vessels at both ends of the establishment of additional flow channels to ease the ischemic limb. This approach from the 20th century began to use since the early 50s, more than 50 years of history, has accumulated many successful experiences, is a relatively mature surgical method. However, in order to obtain the best treatment to guarantee the effective pursuit of the patency rate is our purpose.

Second, Chinese medicine treatment

A large number of case report showed that: The Chinese medical treatment can effectively alleviate the patient's clinical symptoms and reduce amputation rates and morbidity and improve the lives of patients with diabetic foot and quality of life. According to TCM laws, we will be divided into three kinds of diabetic foot syndrome types.

1. Humid Yun-toxin

Limb pain, day night light weight, local swelling, purple skin, dark, steeped spreading ulceration rotting, flesh-colored do not fresh; body heat, dry mouth, red tongue, yellow greasy moss, pulse a few strings. Expelling heat Lishi detoxification. Side with four Miao Yong An Tang addition and subtraction.

2. Hanning Blocking Collateral Type

Limb warmth stand the cold, numbness, Suanzhang pain, pain go intensified, taking a rest pain reduction, skin pale, cold touch of the hair, dorsalis pedis pulse moving the decline; tongue pale, moss Baini, pulse Shen fine. Expelling Onyang Tongluo, Fang Yang and soup with the addition and subtraction.

3. Qi and Yin Deficiency type

Duration of the course of time, the skin dry, Haomao off, toe (referring to) A thickening of deformation, muscle atrophy, necrotic tissue eventually becoming detached surface after the sores heal, granulation dull red or pale instead of fresh; burnout fatigue, emaciation, dry mouth want drink, mamillata, less moss, pulse weak breakdown. Expelling Prostisol. Side-step decoction with care.

Third, local treatment

Local diabetic foot wounds, ulcers and gangrene treatment of diabetic foot treatment is an important means, but also the key to the preservation of limbs. Advantages of local treatment has been reflected in traditional Chinese medicine outside the governance. Practice has proved that for thousands of years, Chinese medicine has a unique external drug efficacy, proper use and selection of drugs for external use traditional Chinese medicine has contributed to save the limb effect.

The partial treatment of diabetic foot can be divided into three stages:

1. Basic stages of treatment

This phase must run through the multi-drug therapy, such as controlling high blood sugar, anti-infection, and then clear the large blood vessels, improve microcirculation and correct other complications, and supportive therapy. However, localized not only to maintain drainage gangrene smooth things, it should not deal with.

2. To the decay phase of

Patients generally improved, glucose and infection under control, improved microcirculation, complications to be corrected, on this basis, focusing on to rot, increase the depth of drainage, surgical debridement, the gradual removal of necrotic tissue.

3. Myogenic stage

Marked improvement in patients with systemic, local secretions significantly reduced, the gradual removal of necrotic tissue, treatment focuses on the use of a variety of myogenic means to promote local granulation neonatal gangrene, so that wound healing.

Diabetic foot ulcers is a complex of refractory disease, the occurrence of disease development and the healing process, the true, stasis, wet, heat, phlegm, drugs and other pathological factors interact and are constantly changing, in the course of treatment should seize the main card, and timely adjusted according to local and systemic changes in governance of the governing law and medicine, and should be a reasonable application of nutritional support, traditional Chinese medicine TCM can only be levied in full effect.

Diabetic foot is no longer trouble!

The known cases of diabetes, and right foot department was formed after the hot water bottle burns ulcers, western conventional therapy unhealed sores surface. With a larger dose of Chinese medicine bubble washing, Fang Turkey Poria, Treats, Rhizoma Dioscoreae Hypoglaucae, Coix Seed, gardenia, Sophora flavescens, Kochia scoparia Shenshi heat; Bletilla myogenic convergence mouth; public and Britain, to D, Silver Flower, Forsythia Detoxification anti-inflammatory, compared with the various drugs until the disease which, specifically Lihong Gong, which received more desirable effect. Bi A, M, 67 years old, April 13, 2005 newly diagnosed. Known history of diabetes for 20 years, in December 2004 feet warm at night, with glass thermos flask on the quilt, the first two days awoke and found right foot back, foot scald, there are several sizes of small blisters, ulceration after The rub with a soul, potassium permanganate, saline, moist burn ointment, Beijing 10000 red topical has healed. Cha See dorsum there is 4cm � 3cm, there is 5cm � 4cm big foot ulcers. A depth of 2mm, there are yellow-white mucus leakage, sore face dark red.

Diagnosed as diabetic foot ulcers burns. Governance in order to heat dehumidification, myogenic convergence mouth. Prescription: earth Poria 30g, Treats 30g, Rhizoma Dioscoreae Hypoglaucae 30g, Gardenia 30g, Coix Seed 30g, Kochia scoparia 30g, Sophora flavescens 30g, Baiji 50g, the British public and 30g, in the small 30g, Silver Flower 30g, forsythia 30g, decoction amount of to be warm soak feet, 2 ~ 3 times a day, every 20 minutes, 3 1. Washed with calamine powder 10g, zinc oxide 10g, Baiji powder 10g, Vaseline 100g, mix thoroughly into a paste, high pressure sterilization, the night a second coating. The treatments share 35 days, all ulcers healed.

The known cases of diabetes, and right foot department was formed after the hot water bottle burns ulcers, western conventional therapy unhealed sores surface. With a larger dose of Chinese medicine bubble washing, Fang Turkey Poria, Treats, Rhizoma Dioscoreae Hypoglaucae, Coix Seed, gardenia, Sophora flavescens, Kochia scoparia Shenshi heat; Bletilla myogenic convergence mouth; public and Britain, to D, Silver Flower, Forsythia Detoxification anti-inflammatory, compared with the various drugs until the disease which, specifically Lihong Gong, which received more desirable effect.

Protection "Diabetic Foot" Eight Points

For a diabetic, the cure of foot ulcers, and treatment of other organs, like disease, combined treatment should be taken. Medical nutrition therapy is a comprehensive treatment of an important part of diabetic foot, but it is often patients, and even doctors ignored. In fact, the importance of nutrition therapy for patients with diabetes. Through nutrition therapy to achieve, maintain or improve the overall health status:

1, through the use of insulin (endogenous or exogenous insulin), oral hypoglycemic agents and sports to make a balance of food intake, so as to achieve and maintain blood sugar control target range.

2, so that to achieve the desired level of blood lipids.

3, through the ingestion of a suitable heat to maintain the ideal weight for adults to meet children, young people of normal growth and development, diabetes, pregnancy and breast-feeding women, metabolic needs, illness or wound a variety of nutrients needed for recovery.

4, to eliminate, prevent, delay or control of nutrition-related risk factors and complications (such as low blood sugar, short-term illness), sports-related problems, kidney disease, autonomic neuropathy, hypertension, cardiovascular and peripheral vascular disease and skin ulceration and so on.

If you are currently suffering from diabetic foot disease, we must bear in mind the nutritional treatment of wounds, some of the basic principles:

1, the wound site must have an appropriate micro-circulation.

2, the wound must be kept clean, can not have contamination

3, wound necrosis organizations must be removed or reduced to a minimum

4, the wound must not be infected with

5, where skin diseases must be controlled or cured

6, the friction of the wound, or direct compression must be controlled to a minimum

7, wounds of the external environment can not be too dry and wet

8, the patient's nutrition, metabolism and drug must remain stable

"Old diabetic foot" necrosis can cure?

The cases of diabetic toe necrosis persistent unhealed wound, using several kinds of antibiotics were still effective Eventually, the injured area was still

more mucopurulent secretions leakage, tickle Ju for, and distinguish the case of hot and humid Accumulation, chemical poisoning, Fa. Therefore, earth Poria,

Coix Seed, Phellodendron, Sophora, Rhizoma Dioscoreae Hypoglaucae, white fresh skin, Kochia scoparia heat Shenshi; public and Britain, to D, Silver Flower,

Andrographis paniculata detoxification anti-inflammatory; red sage root, red peony blood circulation swelling; Baiji, furnace Gan Stone myogenic convergence

mouth, so that the wound healed gradually. Medical Record Diabetes acral necrosis

Wu, male, 58 years old, June 17, 2006 newly diagnosed. Diabetes for 10 years, 3 months ago left big toe toe back showed dark brown lesions, touch the hair

hard, dorsal foot swelling, in a hospital diagnosed as diabetic foot necrosis, to be amputated, but after the operation had been spent several kinds of

antibiotics treatment, since the wound to heal. Cha still see the surface of the skin mucus and purulent secretions are more leakage, sores dull red surface,

a depth of 2mm, tickle Ju made. Diagnosed as diabetic toe necrosis wound unhealed. Governance in order to heat dehumidification, activating blood and

myogenic convergence mouth. Prescription: earth Poria 30g, Coix Seed 30g, Treats 30g, Sophora flavescens 30g, the British public and 30g, in the small 30g,

Silver Flower 30g, Rhizoma Dioscoreae Hypoglaucae 30g, Andrographis 30g, white fresh skin 30g, Kochia scoparia 30g, Baiji 30g, Salvia miltiorrhiza 30g,

Paeonia 30g, decoction sufficient amount of foam, each half-hour, daily 2 times, 3 1. After the granulation powder coated vesicle (white striata powder 50g,

calamine powder 50g), mixing high-pressure sterilization, the scatter in the affected area, Vaseline gauze covering. Share on drugs for 40 days, to be a

gradual healing of ulcers.

The cases of diabetic toe necrosis persistent unhealed wound, using several kinds of antibiotics were still effective Eventually, the injured area was still

more mucopurulent secretions leakage, tickle Ju for, and distinguish the case of hot and humid Accumulation, chemical poisoning, Fa. Therefore, earth Poria,

Coix Seed, Phellodendron, Sophora, Rhizoma Dioscoreae Hypoglaucae, white fresh skin, Kochia scoparia heat Shenshi; public and Britain, to D, Silver Flower,

Andrographis paniculata detoxification anti-inflammatory; red sage root, red peony blood circulation swelling; Baiji, furnace Gan Stone myogenic convergence

mouth, so that the wound healed gradually.