How To Manage The Diabetic Foot

Recently, while looking for more information on diabetes, I came across an article " Long-term consequences of diabetes" by Chris D. Meletis (see Townsend Letter. May 2009 i310 p54(7)). The article estimated that 23.6 million people in the United States are diabetic. However, what is scary is that there are another 5.7 million people out there who are not diagnosed even though they are in the higher risk group of getting diabetes. This is only for the United States but what about other countries? What are the likely consequences that these people are likely to face when their conditions are left untreated? Diabetes can occur temporarily during pregnancy. Significant hormonal changes during pregnancy can lead to blood sugar elevation in genetically predisposed individuals. Blood sugar elevation during pregnancy is called gestational diabetes. Gestational diabetes usually resolves once the baby is born. However, 25-50% of women with gestational diabetes will eventually develop Type 2 diabetes later in life, especially in those who require insulin during pregnancy and those who remain overweight after their delivery. The major eye complication of diabetes is called diabetic retinopathy. Diabetic retinopathy occurs in patients who have had diabetes for at least five years. RCWs are believed to minimize forefoot plantar pressure as it helps keep the ankle at 90° and consequently limits propulsion. Four available RCW brands were compared and evaluated based on their ability to minimize dynamic foot pressure. Of these four, the Active Off-Loading Walker showed the lowest peak pressure. Pneumatic Walker came second, third was the Three D Dura-Stepper, and the highest pressure came from the CAM Walker. Also, no significant peak pressure was reported between the TCC and the Active Off-Loading Walker. If you can see, reach, and feel your feet, trim your toenails regularly. If you cannot, ask a foot doctor (podiatrist) to trim them for you. The last tip here is that to protect the feet, a diabetes sufferer should never walk barefooted. Always wear a pair of shoes that covers the toes as well as the whole feet. Make sure that the shoes are a comfortable fit and is not too small that it crimps your feet or too large that there is no grip. You will need to wear a pair of well-padded socks. Avoid wearing sandals, especially those with an open front, as it will expose your feet. You may inevitably kick something while walking about in a pair of sandals and might injure your toes or other parts of your feet. diabetic foot High blood pressure can lead to stroke, kidney disease, and other complications. Generally people with diabetes want to keep their blood pressure less than 130/80. Have your blood pressure checked at every doctor visit. If it is too high, talk with your doctor about how you can lower it. A few years ago I couldn't afford to buy gifts so I made many gifts instead. Some of them cost more than others but here's one of the really inexpensive ones that was a HUGE HIT! I kept getting requests for more for the whole next year. Another consequence of the jamming of the big toe joint is the development of bone spurs on the top of the joint. This bump on the top of the big toe joint can become painful as a result of shoe pressure. Pain within the joint is a common result of the limitation of movement of the big toe joint. With time, the big toe joint becomes stiff and painful to move. As the joint continues to degenerate more bone spurring occurs. If the condition is left untreated complete destruction of the joint can occur. Feet itching during nighttime has also been reported in patients suffering from diabetes. Skin complications are common in diabetes. Studies indicate that diabetic patients are prone to skin problems. They have higher risk of developing fungal or bacterial infections of the skin than those with healthy blood sugar levels. Itchiness in diabetes without any rash is confined to lower legs and is often related to disturbances in blood circulation. High blood glucose levels damage the nervous system. Due to neuropathy, there is numbness or tingling in the hands, legs or feet. The maincause of foot ulceration is neuropathy,small peripheral vascular disease andabnormal foot biomechanics.Neuropathy itself is the chronic complication ofuncontrolled diabetes which causes devastating neurological disorders.The poorglycemic control results in the involvement of sensory and motor systems aswell as autonomic nervous system.Sensory system involvement makes the patientunable to sense the injury on feet caused by objects together with decreased pain sensations. Blisters should be treated as early as possible. Use moleskin (or duct tape if you have nothing better), and cut a hole for the blister to rest in, to avoid pressure on it. If it must be popped, do so with a sterilized needle at the base of the blister. Serrapeptase was so valuable in its results, that in Germany, a prescription was required to get this enzyme. It has been used and researched in Europe and Asia for over 30 years. Serrapeptase was not introduced into the United States until 2002 and now we have it available here to improve our Health also. Diabetes mellitus is a life threatening diseases that according to WHO (World Health Organization) will cause almost 3 million worldwide deaths per year! These statistics cause alarm, but the responsibility is still in our hands to take action against this killer disease.