Diabetic foot is one of the serious complications of diabetic (peripheral blood vessel and nerves lesion), and also an important reason for disability, death and loss of ability of Diabetes Mellitus (DM) patients who are mainly manifested as follows: numb and cold feet, swelling or purple color, loss of feelings, pain, ulcer, gangrene, loss of anti infection ability, slower wound healing and sometimes failed healing that results in amputation. Therefore, the treatment of diabetic foot should be focused on prevention, and the care for diabetic patients’ feet is very important. Diabetic patients usually should pay attention to foot care, and find the disease and receive treatment early.
Treatment methods of diabetic foot
Control DM strictly:
the control of hyperglycemia (high blood sugar), hypertension (high blood pressure), dyslipidemia (abnormal blood lipid level) and high blood viscosity is also included. Long-term use of vasoactive agents and enteric-coated aspirin, etc. can reduce blood viscosity.
Pay attention to foot hygiene:
Keep feet clean, warm and dry. Soak them warm water often, but pay attention to avoiding foot burns. Vegetable oil can be used for foot massage. Avoid wearing too tight and unfit shoes, and pay attention to removing the foreign bodies within shoes so as not to fray the skin. Wear soft and loose socks and shoes, and the face of shoes should be soft and breathable. Do not walk barefoot or wear shoes with bare feet. Note that nails should be trimmed, and the nails should not be too short or too bald. Do not apply adhesive tapes that cause skin allergies on your skin, and do not grasp your skin surface with force so as not to fray or injure your skin. The corns and any minimal foot injury or infection should be treated actively so as not to form ulcer or gangrene.
Improve the circulation of lower extremities:
Pay attention to foot warming and quitting smoking so as to ensure that there is an adequate blood supply to lower extremities. Here it is emphasized that smoking can further shrink blood vessels, and therefore, it is an important reason for lower extremity amputation. So quit smoking for the sake of your feet.
Treatment of diabetic foot:
Once the diagnosis of diabetic foot is established, treatment must be conducted immediately so as to avoid the expansion and the progression of the disease that results in disability or death. The treatment measures include enteric-coated aspirin, antibiotics for controlling infection, foot dressing and surgical treatment, etc. Vascular bypassing surgery can improve the circulation of lower extremities effectively. If the lower extremity gangrene is serious, diabetic patients in whom conservative treatment has proved inefficacious should undergo amputations.
Take a walk:
Take a brisk walking after dinner for 30 minutes everyday, which should be based on the situation in which you do not feel foot pain. You should do a certain amount of exercises regularly when possible according to your physical status, and stick to it. It is inappropriate for diabetic patients with such complications as hypertension (high blood pressure) and severe cardiopulmonary insufficiency to participate.
Do a massage from the tip of the toe to the knee gently to prevent skin abrasions. It should be done in the morning, at noon and in the evening of the day, with 10 minutes each time.
Step one foot on the brick while rising the other. Hold onto the chairs with your hands, shaking the risen feet back and forth for 10 times. After that, the toes should touch the ground, and turn the ankle clockwise and counterclockwise for 2 times each. Then the same motions should be performed using the other foot. The above motions should be repeated for 20 times at 3 time points a day.
Foot warming in winter:
Avoid feet exposure to the exceedingly cold places. The temperature of foot-bathing water should not exceed 35 degrees Celsius, and the time for foot bath should not exceed 20 minutes. The temperature of hot water bag should not exceed 50 degrees Celsius, and the power to the electric blanket should be turned off before going to bed.
Treat and prevent nail infection and tinea pedis actively:
Check your feet everyday, and visit doctors immediately if you find local swelling, red pain, skin temperature being too high and scars.
Five Types of Diabetic Patients Most Likely to Have Diabetic Foot
Shoes: Choose and wear shoes for the prevention of diabetic foot
Socks: Choose socks for the prevention of diabetic foot
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