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Of
the sixteen million Americans with diabetes, 25%
will develop foot problems related to the
disease. Diabetic foot conditions develop from
a combination of causes including poor
circulation and neuropathy. Diabetic Neuropathy
can cause insensitivity or a loss of ability to
feel pain, heat, and cold.
Diabetics suffering from neuropathy can develop
minor cuts, scrapes, blisters, or pressure sores
that they may not be aware of due to the
insensitivity. If these minor injuries are left
untreated, complications may result and lead to
ulceration and possibly even amputation.
Neuropathy can also cause deformities such as
Bunions, Hammer Toes, and Charcot Feet.
It is very important for diabetics to take the
necessary precautions to prevent all foot
related injuries. Due to the consequences of
neuropathy, daily observation of the feet is
critical.
When a diabetic patient takes the necessary
preventative footcare measures, it greatly
reduces the risks of serious foot conditions.
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Do's |
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- Inspect your
feet daily for blisters, cuts, and
scratches. The use of a mirror can aid in
seeing the bottom of your feet. Always
check between your toes.
- Wash you
feet daily. Dry carefully, especially
between your toes.
- Avoid
extreme temperatures. Test water with your
hands or elbow before bathing.
- If your feet
feel cold at night, wear socks.
- Inspect the
insides of your shoes daily for foreign
objects, nail points, torn linings, and
rough areas.
- For dry
feet, use a very thin coat of lubricating
oil such as baby oil. Apply this after
bathing and drying your feet.
- Shoes should
be fitted by a footcare specialist and be
comfortable at the time of purchase. Shoes
should be made with leather.
- In the
winter months take special precautions.
Wear wool socks and protective foot gear,
such as fleece lined boots.
- Cut your
nails straight across.
- See your
physician regularly and be sure to have your
feet examined at each visit.
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Don'ts |
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- Do not smoke
- Do not apply
hot water bottles or heating pads. Do not
soak your feet in hot water.
- Do not walk
on hot surfaces such as sandy beaches or on
the cement around swimming pools.
- Do not walk
barefooted.
- Do not use
chemical agents for the removal of corns and
calluses. Do not use strong antiseptic
solutions on your feet.
- Do not use
adhesive tape on your feet.
- Do not soak
your feet.
- Do not wear
mended stockings and avoid stockings with
seams.
- Do not use
oil or cream between your toes.
- Do not wear
shoes without stockings.
- Do not wear
sandals with thongs between the toes.
- Do not cut
corns or calluses; see your physician.
- Do not cross
your legs. This can cause pressure on the
nerves and blood vessels.
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Diabetic Foot Care tips |
- Did you know
that Medicare covers extra depth footwear
for diabetic patients? Ask your doctor if
you qualify for special shoes covered by
Medicare.
- Wear socks
that fit you properly. Choose socks that
are made of cotton or wool. Be cautious not
to wear socks that are too tight that can
cut off circulation to the feet.
- Place
protective slippers or shoes right beside
your bed to wear as soon as you get out of
bed to avoid walking barefooted.
- The best
time to trim toenails is after bathing. The
nails are softer and easier to trim at that
time. Cut your toenails straight across and
not too short. Do not cut into the corners
of your nails. Consult a doctor if your
nails are too thick and difficult to cut.
- Wiggle your
toes and move your ankles up and down for 5
minutes, 2 or 3 times a day. This increases
the blood flow to your feet.
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