The former Transkei is a predominantly rural region of the Eastern Cape Province. Patient interviews and physical examinations were performed in 77 of these patients (36 Aboriginal, 41 non-Aboriginal), and followup evaluation was done in 39 patients at an average of 1 year later. The objective was to retrieve cost data for intensified treatment of diabetic foot ulcers and to estimate the long-term outcome. Before diabetic foot care reaches the level desired by specialists in the field, these many barriers must be recognized and overcome. Diabet Med. decreased foot bloodflow, 2. Foot complications included ulcers, gangrene, nontraumatic amputations, and claudicatio intermittens.
There were 21 patients in group 1 and 150 in group 2. Symptoms such as numbness, tingling, cold or blue feet, and swelling that will not go down, indicate poor circulation. Indepth phenomenological interviews were conducted with all 15 patients. Aboriginal patients cited financial cost, insufficient family support, and language barriers as reasons for inadequate foot care and footwear more frequently than non-Aboriginal subjects. An examination by a foot specialist will reveal any circulator deficiencies. This can cause insensitivity or a loss in the ability to feel pain, heat, and cold. prevalence of good foot practice of 20.4%.
These problems that I have written about are preventable and are not inevitable. Overall, 33% of the patients declared that they never checked their feet. These results support the contention that the establishment of a dedicated diabetic foot care clinic and regular patient review can reduce the morbidity associated with diabetic foot ulceration. The infection may go unnoticed and appropriate care may be delayed until it is too late. Unfortunately for some diabetic infections, by the time the trouble is discovered, amputation may be necessary to save the person’s life. Daily observation of the feet is necessary by the diabetic, a responsible family member, or medical personnel. These are build-up of skin that forms at points of pressure or over boney prominences.
Corns and calluses can develop into diabetic ulcers. 205 subjects completed the interview (response rate 82% ). People with diabetes should not attempt to remove corns and calluses themselves due to the risk of infection if it is not done properly. They are open sores that can be caused by lack of blood circulation to the foot, lack of soft tissue protection, excessive callus tissue, infection, or pressure points. A diabetic ulcer is a common occurrence with the diabetic foot and should be carefully treated and monitored by a foot specialist. Left unattended, such ulcers can quickly become infected and lead to more serious consequences. If the circulatory response is adequate, most diabetic ulcers can be healed if diagnosed and treated early.
A foot doctor knows how to help prevent and treat theses wounds to keep your feet healthy and strong. Skin changes in the foot can be caused by diabetes. Dehydration is common since the diabetic usually has less natural lubrication than the non-diabetic. Fissures and cracks in the skin develop and itching can become severe. Scratching can cause breaks in the skin that may become infected. Dryness can be improved by using a good moisturizer daily on every part of the foot except between the toes. A foot doctor can suggest over the counter moisturizer best for your feet or order a prescription strength moisturizer if need be.
See the Dry Skin page for more information. With the potential foot problems that are associated with diabetes, this means you need to take good care of them. Daily inspection of your feet and routine follow up with a foot specialist is important to maintain healthy feet. Wash your feet daily in warm (not hot) water. Use a mild soap. Dry well. Be sure to wash and dry between your toes too.
Use moisturizer each day, best to apply right after shower. This helps prevent dryness and scaling. Don’t put lotion between your toes. See the Dry Skin page for more information. Always wear shoes. Change your socks daily. Socks made out of synthetic materials such as acrylic are the best.
Avoid cotton socks. Don’t walk barefoot — indoors or outdoors. Avoid trimming your toe nails unless instructed by your doctor. For corns and calluses, you should not treat yourself. Call a foot specialist right away if you notice any of the following: Changes in skin colour — redness with streaks is often a sign of infection. Darkened skin may mean the tissue has died. Pale or blue skin may mean poor blood flow.
Drainage, bleeding or odour — white or yellow moisture, bleeding, or odor are signs of infection or dead tissue. Increase in swelling — a swollen foot may be a sign of infection or poor blood flow. Temperature changes — warm spots may mean the foot is infected. Cold feet can be a sign of poor blood flow. Changes in sensation — numbness, burning, tingling, or lack of feeling may mean nerves are damaged. Exercise helps keep blood flowing to your feet. It also helps keep your feet more flexible.
Walk often. Walking improves blood flow to your feet. It is also good for your general health. Spell out the alphabet in the air with each foot. Do this once a day to help keep your feet flexible. Wear shoes that cover your toes and heels. Choose shoes with a wide and deep toe box Choose synthetic socks.
Avoid cotton socks which can retain moisture. It also loses its shape and elasticity more easily, causing friction between your foot and the sock. Check your feet after wearing a new pair of shoes. Red spots or blisters are signs that shoes are rubbing or pressing on the foot. If you or a family member have diabetes or experiencing any of the signs and symptoms described above, it is important to have a foot specialist perform a foot check and suggest long term care to avoid complications. Contact our office for a consultation with Dr. Wang today!