I think; therefore I am.
DAVID G. ARMSTRONG, d.p.m , is assistant professor in the Department of Orthopaedics at the University of Texas Health Science Center at San Antonio, and co-director of the Diabetic Foot Research Group, also in San Antonio. Dr. Armstrong earned his podiatric medical degree at the California College of Podiatric Medicine, San Francisco. He received his surgical training at Kern Hospital for Special Surgery, Detroit, and completed a diabetic foot fellowship in the Department of Orthopaedics at the University of Texas Health Science Center at San Antonio. Keep pain levels managed by keeping glucose levels stable, suggests pain specialist Robert Gerwin MD, of Johns Hopkins University, to Diabetic Living. Step 8
If you have diabetes, it is imperative that you have a diabetic foot check at least annually. If you also have neuropathy or diabetic nerve damage, it is important to be seen more often. You must check your feet every day. You should also wear white diabetic socks so that you can detect any drainage in the event that you do get a sore on your feet, you cannot see. All of these minor interventions have shown to significantly reduce the rates of complications to the feet from diabetes. The study also revealed that only 67% of diabetes patients had been offered podiatry despite the fact that 83% had calluses.
On a daily basis, check your feet twice. Be sure to look at the tops of your toes and the skin that lines your entire toe. Check the sides and bottoms of your feet as well. If you notice a sore that you didn’t feel there before, be sure to cover it with a bandage and begin to monitor its progress healing. If you notice it taking longer than it should, get in to the doctor as soon as possible. Rub a thin coat of skin lotion or cream on the tops and bottoms of the feet. Do not put lotion between your toes, because this might cause infection.
A) Shoe Width and Length – Shoe width is just as important as its length for the diabetic walker. The correct shoe size is the one that fits the base of your toes which is the widest part of your foot There should also be a 1/2-inch (1.27 cm) to 3/8-inch (0.9525 cm) space between the end of the shoe and your longest toe. The problem of containing an infection in diabetics is huge. Doctors must remove shoes and socks of diabetics and examine their feet. Losing a foot has huge social and economic implications and should be prevented.
Even if the white blood cells to find bacteria, they still have a problem. The high blood sugar prevents them from eating the bacteria. The process where the white blood cells engulf the bacteria (called phagocytosis) is essentially disabled. So they bump up against they bacteria, but can’t do anything. Imagine a great white shark with his mouth wired shut trying to eat a smaller fish for dinner. Because of all of this, the immune system is ineffective, the bacteria continue to grow and the infection quickly gets out of hand.
There are basically two groups of patients when it comes to understanding of diabetic foot problems. One group are ready fully understands all of the risks to their feet related to diabetes, but this is very rare. The much larger group of people have no clue how all of this happens. With every one of these folks I feel that the one goal is to get them to understand that diabetic foot problems are optional. Shoe heels should be minimal, no more than 2 inches. Any type of shoe design that places feet in a bind or awkward position has the potential for causing foot problems for a diabetic.