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Dr. Krutika Surana

DIABETIC FOOT



Diabetes foot disease (DFD) is one of the most devastating consequences of diabetes mellitus . It includes diabetes-related foot infection, ulceration, and osseous damage. It is frequently associated with peripheral arterial disease (PAD) and neuropathy, both of which play an important part in the condition. The impact might be serious in some circumstances. Infections in the foot can spread to other organs, causing damage and even death. Severe foot infections may necessitate amputation by a doctor. While the majority of diabetics do not experience significant foot issues, diabetes is still the biggest cause of amputations.


CAUSES

  1. Diabetes, when left uncontrolled, leads to the development of neuropathy and peripheral artery disease via complicated metabolic pathways.

  2. Foot ulcers can develop as a result of sensory loss caused by peripheral neuropathy, ischemia induced by peripheral artery disease, or a combination of the two.


SYMPTOMS


  • Numbness

  • Tingling blisters or other wounds that may not cause pain

  • Skin discolouring

  • Loss of hair in the area

  • Temperature fluctuations

  • Wounds with or without drainage

  • Uncomfortable tingling

  • Stains on socks

  • Constant swelling in foot


RISK FACTORS


Anyone with diabetes can develop nerve damage, but these factors increase your risk

  • Blood sugar levels that are difficult to control

  • Diabetes for a long period, especially if your blood sugar levels are frequently higher than your goal levels

  • Overweightness

  • Being above the age of 40

  • Blood pressure that is too high

  • Having a high cholesterol level

PREVENTION

  • Keep your blood sugar as close to normal as possible.

  • Every day, examine your feet for any changes. Remember to peek between your toes. If necessary, get assistance or use a mirror.

  • Keeping your toes filed and trimmed. To avoid ingrown toenails, cut them straight across.

  • Keep your feet up when sitting, for example, wriggle your toes frequently.

  • Using talcum powder to avoid moisture accumulation between the toes.

  • Smoothing any corns or calluses that have formed.

  • All day socks and shoes (or slippers). Check that your socks are not too tight and that your shoes are correctly fitted. 

  • Washing your feet every day in warm, not hot, water. After that, carefully dry them, particularly between the toes. Then, apply lotion to the tops and soles of your feet but not between your toes.

  • DONT smoke

  • Follow a healthy eating plan, including eating more fruits and vegetables and less sugar and salt.

  • Get physically active.

  • Ensure a qualified healthcare provider examines your feet regularly.

  • keeping the leg raised and rested on a pillow to reduce swelling

  • compression may be used to reduce swelling




TREATMENT


Physiotherapy

Walking

Foot care

Antibiotics (For ulcers)

Amputation

Surgery



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