تحميل 5 Tips 4 keys for preventing Diabetic foot ulcers

5 Tips 4 keys for preventing Diabetic foot ulcers

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What are The 5 tips ??

Quitting smoking is one of the many ways to reduce the risk of diabetic foot ulcers.

People who suffer from diabetes must take special care of their feet, as they are at a higher risk of infection and necrosis that can lead to amputation. In fact, the International Diabetes Federation reported that people with diabetes may be as much as 25 times more likely to require amputation than those without the metabolic condition. The increased prevalence of infection among diabetics is due to a lack of sensitivity in the lower extremities caused by reduced blood flow and nerve damage. This can make it difficult for diabetics to notice when they have a sore or an infection that needs special care.

Recognizing when you have a sore or infection is essential to knowing when you require specialized diabetic foot ulcer care. However, the best way to care for your feet is to prevent these wounds in the first place, such as with these protective measure:

1  Check your feet daily: Since people with diabetes may be less aware of pain in their feet due to decreased sensitivity, it’s important to inspect one’s feet on a regular basis. Keep an eye open for cuts, cracks, blisters and other signs of the beginning of a wound. Use a mirror if you’re having trouble seeing the bottoms of your feet, or ask for help from a friend or family member.

2  Keep your feet clean: Wash your feet everyday with mild soap and lukewarm water. Dry them gently with a towel, being sure to get between the toes. You may want to finish off with moisturizer on the tops and bottoms of feet (to reduce the risk of blistering) and talcum powder between the toes.

3  Choose the right shoes: Your footwear should be tight enough to keep the fabric from rubbing against the skin and causing diabetic foot ulcers, but loose enough to be comfortable and not crowd the toes. In the case that one foot is bigger than the other, you should purchase shoes in the larger size. You might also wear orthopedic shoes custom made to fit the size, shape and contours of your feet – you can request a prescription for these shoes from your clinician.

4  Don’t smoke: Smoking greatly reduces circulation, which can exacerbate your blood flow issues and sensation problems in your feet. Speak to your clinician if you need help quitting.

5  Get regular check-ups: People with diabetes should have a foot examination at least once per year, according to the Mayo Clinic. During these appointments, a podiatrist or other clinician can inspect your feet for circulation issues, early signs of nerve damage and other foot problems that could potentially lead to infection and amputation.

If you do experience a sore on your foot, consult with your clinician to determine the right wound care plan for you. He or she may determine that you require specialty footwear, dressings or other products to help aid in speedy recovery.

And now what are the 4 keys ?

Researchers have created a list of four keys to preventing diabetic foot ulcers.

The potential impact of a diabetic foot ulcer has been widely documented. Based on work that appeared in the European Journal of Vascular & Endovascular Surgery, researchers determined that 85 percent of all amputations performed on people with diabetes began with a foot ulcer. With that in mind, a four-pronged approach may be the key to preventing the ulcers and reducing the chances of complications.

The four keys to diabetic foot ulcer prevention were detailed by researchers in a studypublished on Consultant 360 and included:

  • Patient education.
  • Foot skin and toenail care.
  • Appropriate footwear selection.
  • Proactive surgical interventions.

Researchers said these points were crucial to not only preventing diabetic foot ulcers but lessening the chances of a recurring foot ulcer. Let’s look closer at the four keys to preventing diabetic foot ulcers.

1 Patient education

In educating patients on diabetic foot ulcers, researchers said the clinician plays a vital role as he or she supervises the management of medical services delivery. They can inform patients of the risk factors that precede a diabetic foot ulcer and may also advise them on weight management, monitoring blood glucose levels and maintenance such as keeping feet clean and moisturized, having calluses removed by professionals and wearing clean socks.

2   Foot skin and toenail care

Because diabetic patients can have nervous system dysfunctions, their skin can be particularly prone to dryness and suffer from a loss of elasticity and more likely to form calluses at the site of the healed wound. These and other factors (skin fragility, repetitive contact pressure, etc.) make diabetes patients more prone to foot ulcers. Toenails also are areas of concern as they may develop fungal infections or become dysmorphic or ingrown, creating a sore that can later become ulcerous. The Diabetic Foot Council recommends clinicians perform a comprehensive foot exam yearly.

3 Protective footwear

An American Diabetes Association report highlights the effectiveness of protective footwear. The risk factors present and any deformities in the foot will determine the extent of protective footwear that is needed or recommended for diabetic patients. In addition, the location of the wound (or of past wounds) and any peripheral artery disease should also be considered. The protective footwear may involve padded inserts, arch support and larger toe boxes and may either be commercial, non-prescription shoes available in retail outlets or special footwear that is custom molded.

4   Proactive surgeries

Finally, having surgery done before a diabetic foot ulcer develops can be a successful prevention measure, according to the researchers. They stated that an underlying bone deformity, insufficient blood flow and an unresolved infection deep in the foot can be the reason many diabetic foot ulcers fail to heal. All three can be managed by surgical techniques as recommended by a clinician and blood flow can be improved by hyperbaric oxygen treatments.

 

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تاريخ الاضافة: June 17, 2015
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