How to soak feet in winter for diabetic patients?

       Diabetic patients, foot soak should be particularly cautious, because diabetic patients with dull peripheral nerve sensation, insensitive to the temperature of the water, it is easy to be scalded. Coupled with the cold winter climate can lead to vasoconstriction, dry skin, blood sugar fluctuations, any external stimulation may cause ulcers and infections in the feet.  Check your feet regularly for early detection It is important to check your feet once a day for early detection of potential problems. Focus on the soles of the feet, toe joints and deformed parts of the feet. Check the feet daily for pressure redness, broken skin, blisters and cracks, skin temperature, color, toenails for abnormalities, and skin of the feet and lower legs for swelling, ulcers and infections. If the patient has poor eyesight or is old, family members should help check.  Wash feet regularly and soak feet carefully Wash feet daily with warm water below 37 degrees and non-irritating soap; do not soak feet in water warmer than 40 degrees Celsius and for no more than 15 minutes. Use a white towel or a light-colored towel (to facilitate the timely detection of any damage to the feet) to dry them. Pay special attention to keep dry between the toes, after drying should be applied such as Vaseline, silicone cream skin care products, easy to sweat feet patients can use non-irritating dry powder such as talcum powder.  Trim toenails diligently, professional pedicure After washing feet timely trim toenails, along the nail edge trimmed into a smooth arc, remove sharp parts, do not cut too deep or cut bleeding. Some patients have very thick toenails, you can ask a professional to trim them. When calluses or corns occur on the soles of the feet, be sure to ask a professional doctor for treatment, and never let the roadside pedicurist trim them.  Shoes should be comfortable, socks should be loose and soft The criteria for choosing shoes for diabetic patients should be thick soles and flat heels, spacious toes, good ventilation, flat inside the shoes, and easy to put on and take off. Have two or three pairs of shoes to change frequently to avoid dampness inside the shoes after sweating. Before wearing shoes, check if there are any foreign objects inside the shoes, don’t wear shoes barefoot, and don’t wear sandals with your toes caught.  Do not wear new shoes for more than half an hour on the first day, and not more than one hour on the second day, and then gradually extend the time to wear new shoes. The fabric of the socks should be natural and soft, such as cotton socks and wool socks. Do not wear socks with holes and patches, or nylon socks that do not absorb sweat. Socks should be changed daily and the socks should not be too tight to avoid affecting the blood circulation of the feet. Light colors are preferred to facilitate timely detection of exudate from broken skin.  Avoid injury, seek medical attention in time Avoid burns, do not use electric mattresses and hot water bags, do not take sauna baths, do not use warm home use physiotherapy apparatus; avoid frostbite, go out to exercise wearing warm shoes, if shoes are wet by snow and water should be replaced in time; avoid bad behavior, first of all, quit smoking, smoking can cause vasoconstriction, serious people are prone to peripheral vascular lesions.  Secondly, do not cross your legs for a long time, so as not to impede blood circulation in the lower limbs. Infection caused by some trauma, even a small break should be immediately cleaned with saline and wrapped with sterile gauze, and it is best to go to the hospital to be handled by a doctor. When seeking medical attention, remind the doctor to check the foot, ask for help when the toenail is embedded in the flesh, and seek medical attention immediately when nail fungus appears.  Exercise should be appropriate, skin care when careful Exercise items to soothe mainly, such as walking, jogging, swimming, tai chi, etc.. The exercise time should not be too long, 30 to 45 minutes a day, not more than an hour. The exercise should be measured, do not participate in strenuous and competitive projects. Winter sweat secretion less, the skin is prone to dry and cracked, after washing the feet available moisturizer evenly coated in the feet and calves. If you have severe heel cracking, you can go to the hospital to prescribe some special emollients.  Sugar control is the most critical To take medication regularly and quantitatively in accordance with medical advice, daily blood glucose testing, as far as possible to control blood glucose, blood pressure and blood lipids to normal range. Every six months, you should go to the hospital to do a screening of risk factors, early detection of problems, early treatment.