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How to Avoid Diabetic Foot Problems: Tips for Patients
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- Wash feet daily with soap and dry them carefully, especially
between the toes. Make sure water temperature is not too hot by first testing the water with your elbow. Heat can cause a serious burn, especially if sensation is diminished or absent.
- Inspect feet daily for signs of broken skin, such as cuts,
blisters, or scratches. Use a mirror if you are unable to access your feet.
- Be sure your feet are properly measured for fit before
every new shoe purchase. It may be erroneous to assume that shoes fit well, especially if you have diminished sensation in the feet. Shoes should have a high, wide toebox and preferably be made of leather. If a traced outline of your foot needs to be folded or crushed to fit into your shoe, the shoe is too small.
- Wear white cotton socks. They facilitate early detection of
bleeding or drainage and absorb perspiration better than synthetics.
- Always wear shoes with socks, even around the house.
Keep the floors clean and check shoes for foreign objects before putting them on. Never go outdoors barefoot. Hot pavement can cause full-thickness burns on the bottoms of the feet, and sharp objects or rough surfaces can cause cuts, blisters, and other injuries.
- Do not use over-the-counter corn and callus removers;
they often contain chemicals that burn the skin. Have a foot specialist care for your toenails, corns, and calluses, unless directed otherwise by your physician.
- Keep blood glucose controlled according to current
guidelines.
- Do not smoke.
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How many toes do you count? This is not the first problem this person has had with his feet.
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Text and photo from the CONSULTANT, March 2005, p. 302, 306
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Queen of Hearts Note on picture: Yes, it's gross but I wanted to let people know what really happens if you don't take care of your feet or control your diabetes. In June of 2005 I got diagnosed with diabetes and I've read the literature. None of the literature really tells patients what can happen (like the picture above). There's a lot of other complications of uncontrolled diabetes, for example blindness, which defies photography. Try picturing this website in the dark and you've got a good approximation. I put an "electronic bandage" over the ulcer so those who are real sensitive don't pass out or don't read the article. Please take care of your diabetes and your feet. No matter how bad your feet may hurt, I'm sure you don't want them to get worse.
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