How to take care of your feet. When you have diabetes
People with diabetes Those with high blood sugar levels for a long time are at higher risk of damage to the nervous system and peripheral blood vessels. which results in the following symptoms:
1. The sensory nervous system is damaged. When an injury occurs, the foot is unable to feel, so it is easy to develop foot ulcers without realizing it.
2. The nervous system that controls the muscles in the feet is damaged. cause foot deformity When pressure points occur on the soles of the feet due to standing and walking and putting too much weight in certain positions. Causes hard calluses which can cause wounds
3. The autonomic nervous system is damaged. Makes the skin dry and easily wound.
If the blood vessels that supply the legs and feet have problems, it will delay the healing process of the body’s wounds. However, if there severe infection. The patient may have to have their feet or legs amputated. People with diabetes are 25 times more likely their legs amputated than people without diabetes. People with diabetes history of having wounds before. There is a 70% chance of recurrence of the wound in 5 years. It was โปรโมชั่น ufabet found that 85% of the loss can prevente by checking and taking care of it at an early stage. Therefore, early examination and care very important. Especially for foot health in people with diabetes.
Risk factors for foot ulcers in people with diabetes
The occurrence of foot ulcers in people with diabetes is associated with diabetic neuropathy and peripheral artery disease. And there are other factors, including:
Male
age
smoking
Have had diabetes for a long time and have high blood sugar levels
Have a history of toe or leg amputation
The feet are deformed, with hard calluses on the soles of the feet.
Have a history of previous foot ulcers or have recurrent ulcers in the past 2-5 year. Retina from diabetes.
Have kidney complications from diabetes
Evaluation of the foot condition of people with diabetes
1. Thorough foot examination by a medical professional
2. Evaluating the condition of nerve endings using Monofilament weighing 10 grams.
3. Evaluation of weight distribution on the soles of the feet using a Computerized foot scan machine.
4. Screening for arterial stenosis using the Ankle-Brachial Index (ABI) method.
Risk level of foot ulcers for people with diabetes
1. Low risk level includes people with diabetes who do not have foot ulcers at the time of evaluation. No history of foot wounds or leg/foot/toe amputations. Abnormal skin and foot shape. The results of the evaluation of self-protective sensations in the feet and normal pulse.
2. Moderate risk level includes people with diabetes who have abnormalities in their feet and/or Foot pulse is weaker or ABI is < 0.9. Consider appropriate insoles or shoes and schedule a thorough foot examination every 6 months.
3. High risk level includes people with diabetes who have a history of foot ulcers or leg/foot/toe amputations or are at medium risk with deformed feet. Special shoe tailoring should consider. And make an appointment for a thorough foot examination every 3 months.
How to care for the feet of people with diabetes
1. Examine your feet and clean them every day. If abnormalities found, you should immediately consult a doctor.
2. Apply lotion every day immediately after cleaning.
3. Nail care: Cutting toenails shoul done with care and properly.
4. If you have thick skin If it develops into a hard lump. Should trimmed and thin every 4-8 weeks by an expert.
5. Choose hygienic shoes that are the right size, not too tight or too loose.
6. Wear socks to retain moisture and reduce chafing.
7. In the case of a wound, you must see a doctor and get treatment quickly.