What is Diabetic Foot?

What is Diabetic Foot?

Diabetes has been one of the most important health problems of societies throughout history. New treatment approaches and levels of sugar in the blood can be kept under control, since nowadays we find less of the deadly consequences of diabetes. However, especially long-term complications is not to say that the situation is under control in terms of very good. Kidneys affected by nephropathy eyes retinopathy, diabetic foot and neuropathy in the hands and feet are among them.

 

What Is Diabetic Foot?

 

Diabetes has been one of the most important health problems of societies throughout history. New treatment approaches and levels of sugar in the blood can be kept under control, since nowadays we find less of the deadly consequences of diabetes. However, especially long-term complications is not to say that the situation is under control in terms of very good. Kidneys affected by nephropathy eyes retinopathy, diabetic foot and neuropathy in the hands and feet are among them.

Laboratory or clinical finding of diabetes emerged as the most important point to remember throughout a 12-15 year before it started to do that kind of damage in tissues.

The incidence of diabetes in our country as in other countries % 6-7%. The reason diabetic patients to the hospital, 20% of foot problems poses. Implemented in the general community foot cutting (amputation) operations it is revealed that about 50 to 70 percent in patients with diabetes.

With the finger in a diabetic, at risk of needing a second surgery in two years is 50%. In these patients, unfortunately, both quality of life and decreasing life expectancy is reduced.

There are two main disorders that lead to the formation of foot ulcer in diabetic patients:


1. Nerve damage (neuropathy)
2. Vascular injury (angiopathy)

 

Nerve Damage (Diabetic Neuropathy)

Because of diabetes the nerves of the foot are damaged or completely destroyed over time. As a result of this the pain sensation in the feet is reduced. Over time, the foot becomes completely insensitive. Diabetic injuries are not aware of. Sometimes standing in the aftermath of the injuries fractures and deformities will occur accordingly.

Diabetic neuropathy, may cause your blood sugar kept under good control even. However, the degree of nerve damage age, duration of diabetes and blood glucose control in parallel with the evil is increasing. Neuropathy of the feet because the skin is dry, and is easily torn, cracks in the skin, and I have every reason to occur. The patients feet are cold and cold, especially at night, your feet need Heating. This may occur even if, as a result of severe burns. 

 

Vascular Damage (Diabetic Angiopathy)

 

Formerly, the deterioration of capillary vessels in patients with diabetes, and is therefore wound in the foot has not healed the wounds and it was thought that the cuts developed and developing. However, recent studies in large diameter arteries that takes blood to the leg and foot (CT) is the narrowing or obstruction, it has been shown that, in the feet and decreases the blood flow to your feet so it is difficult to heal all wounds small and large.
The damaged nerves and blood vessels there are many trigger factors who started the wound in one foot. Inappropriate footwear is the most common among these, burns, gravel, nails, tacks, etc., such as pointed objects, nail disorders and skin cracks.

Higher than normal levels of blood sugar especially in diabetic patients compared to individuals with other skin, abscess formation or fungal infections occur more often. For this reason, it is extremely important to have information on foot care and protection. 

Some patients in their feet, diabetic foot in terms of development, unfortunately, are at a greater risk than others. These patients:

 

1. Previously, diabetic foot ulcers or a history of ulcer on the other foot,those who have
2. Nerve damage (neuropathy) and / or those of the complaint and the findings of vascular disease,
3. The deformity in the feet ones
4. Severely vision (retinopathy or cataracts) ones 
5. Sugar control the bad ones (despite those who do not want to use insulin requirements)
6. Foot care bad patients
7. Long-term complications (such as nephropathy), those
8. Those who have habit of alcohol and smoking
9. Elderly patients
10. Patients who do not comply with the recommendation in the post diabetes education or no education.

 

 

 

 

 

 


Accidents, except for the people who lost his leg more than half of diabetics. These losses could have been prevented with better care and their patients at least half we know that the right education. Cutting and amputation of feet of us at the same rate thus termed the loss will decrease.

Foot care with diabetic patients, our recommendations are as follows:

Wash your feet daily with soap and lukewarm water. Necessarily dry with a soft towel, especially between your fingers. Be sure to use a white towel to possible bleeding or infection.
Emollient to keep your skin dry and soft and moist to prevent cracking, use a moisturizing body lotion or foot cream. Since your between the fingers should stay dry, except between the fingers cream to your feet to wear.

Your toe nails with sharp nail scissors carefully cut straight and short to the condition that not be able. Torpuleyin after cutting, and then your other finger please. Good if you don't see or get help from your relatives or the right foot, in your care on a regular basis you will do the sterilization and hygiene, to find a clinic. Otherwise, and used non-sterile ingredients from hepatitis B, hepatitis C and the chance of catching AIDS is high. Pedicure your feet will take the risk and also made unconscious. Always preferably your own manicure and pedicure kit kullandirini.

Check your feet every day with the assistance of a mirror if necessary. Discoloration in your feet, redness,cuts,blisters. 

The outside of the Every day wear clean socks will be provided. Note that to bring down the foot of sock and cotton. 

Your shoes before you put them on, which you do not feel that there is a foreign body in it Check. 

Your choice of shoes comfortable,soft,rounded toe,rubber-soled shoes on the side of use. You should not wear shoes with no socks. Also high heels and open-ended or narrow shoes are not appropriate. Shows the differences between the brand and model of shoe. The ability to expand in terms of the shoes must be laced. In the second half of the day should get your shoes. Also used for a long time, and loses the comfort of worn shoes will cause problems. If there is deformity in your feet, this custom-made shoes you should choose.

Preferably the foot when you made your examination of your foot and the foot pressure test should be prepared special for you by taking your measurements your shoes. Until you get used to the new shoes you shouldn't wear for more than 2-3 hours per day.

Of calluses or rough stuff, don't cut yourself. Cut, nail shipwreck, a conditions such as yeast infections without the interference of a foot care specialist (Podiatrist) , foot care clinic or a specialized knowledge and experience that you have learned on this subject, refer to a specialist.

Do not walk barefoot at home or outside. You may not feel your feet sinking any object. 

Never do not attempt to warm up your feet with a hot water bottle. Stove for heating your feet, you are too close to electric heater and radiators. Loss of sensation in your feet, because you may not feel burns and possible injuries.

If a problem occurs after the diabetic foot, the treatment necessarily "diabetic foot team" should be made by. The essential contacts that need to be included in this team are as follows:

Expert physicians who are trained in diabetes<
A specialist in underwater and hyperbaric medicine (hyperbaric oxygen therapy planning
Diabetes Education Nurse
Podiatrist
Vascular Surgery Specialist
Surgeon / Plastic Surgeon
HIPEROX that a team like atmosphere. 

One of the critical points in the treatment of diabetic foot, a standing infection with the development of impaired blood sugar to normal limits in a careful manner quick and totally taken. For this, readjustment of the introduction of insulin or insulin type and dosage is extremely important.

As a result, blood sugar control are at a greater risk of the feet of the patient, which is bad, it should be noted that. The most important point in the treatment of diabetes, good for diabetic patients is Education.

General Information About Diabetes

Diabetes: Statistics

Inability to manufacture or properly use insulin, the disease is the result of corruption and the use of sugar impairs the ability to convert sugar into energy and nutrients. Long-term blood sugar (hyperglycemia) this is also the eyes, heart, kidneys, nerves and blood vessels.

Hyperglycaemia the symptoms of frequent urination, increase in thirst, increased appetite, weight loss paradox, feeling numbness in the hands and feet, blurred vision, weakness, delay in wound healing and Frequent infections. In this case the scan is performed, the patient is at serious risk, without awaiting the doctor must be a reference. 
Part of keeping your diabetes in Control is testing your blood sugar often. What should be blood sugar levels. With this method, control your blood sugar, prevent complications reverted to normal. 
The socioeconomic costs of diabetes are enormous. 3 death in our country in the rankings. in order to heart disease, cancer and stroke is so common. The World Health Organization calculates that in the next 25 years the number of diabetes will increase 2 times. Most of this increase in developing countries, unhealthy nutrition, of impending death, the average age has increased, and in the countries of obesity and sedentary life-style will be increased.

According to tentative figures as the only reason seems to be around in the year 0000 amputation diabetes 86.