After the diagnosis of diabetes, diabetes should first be actively controlled, strict control of hyperglycemia (including reasonable distribution of diet and glucose-lowering drugs and insulin application), as well as control of high blood lipids and various factors leading to early atherosclerosis, should be a long-term task to prevent diabetic limb gangrene, so that the patient vascular, neuropathy development slower, lighter, less, and careful care and prevention of foot may occur lesions, therefore, to do the following.
1, first of all, we must pay sufficient attention to the idea of foot care as an integral part of life, prevention is better than cure.
2, to develop good foot hygiene habits
(1) daily wash your feet with warm water or soft soap to keep your feet clean.
(2) test the water temperature with your hands before washing your feet (water temperature is appropriate to put the water to the back of your hands skin tolerance), never use hot water to soak your feet and cause burns to avoid skin damage.
(3) after washing the foot, the application of dry towels gently dry, including between the toe seam, do not use a coarse cloth to rub hard and cause skin abrasions.
(4) in order to protect the skin soft, not cracked, you can apply skin care oils, creams, creams, but do not apply between the toe crevices.
(5) Foot sweat is not suitable for absorbing water with talcum powder to prevent pore blockage and infection, should not wear impermeable nylon polyester socks, should wear cotton socks or wool socks.
(6) every day to check the heel, sole, toe seam, whether there are ulcers, cracks, abrasions and blisters, etc., if found foot lesions should be promptly seek medical advice, proper treatment, do not wait for the time to miss the treatment.
(7) corns, calluses can not be cut by themselves, but also can not use chemical agents corrosion, should be handled by a doctor.
(8) Shoes and socks should be suitable and loose, and socks should be changed every day, and it is better to have two pairs of shoes changed so as to keep the shoes dry.
(9) Should not wear pointed shoes, high heels, exposed toe sandals, do not walk barefoot or wear slippers out.
(10) Do not use hot water bags, kettles or electric blankets to keep warm in winter to avoid foot burns.
(11) cracked feet are not taped, foot fungal infections should be treated in a timely manner.
(12) Avoid smoking and alcohol, beneficial to the prevention and control of vascular and neuropathy.
(13) Try to avoid foot injury, prevent frostbite, squeeze injury, and choose appropriate physical exercise programs to minimize the risk factors for injury.
Self-examination and care of the feet of diabetic patients
Check your feet
Foot problems are the number one cause of hospitalization for people with diabetes. Most foot problems usually start with a minor injury, and if you catch it in time, you can take steps to prevent it from getting worse. Look for blisters, cuts, redness, hardening, breaks, abrasions, localized heat, localized coldness, and any other changes that look bad, and always report problems like blisters, cuts, ingrown toenails, and changes in the shape or color of the foot to your doctor right away.
Treat your feet well
1. Wash your feet daily with warm (not hot!) water. Wash your feet every day.
2.After washing and drying your feet, carefully trim your toenails with scissors and smooth the edges. If you can’t do it yourself because your toenails are too thick or you can’t see them clearly, you can ask your podiatrist to trim them.
3, treat corns and calluses to be gentle, if the doctor said it does not bother, you can use a grinding stone to gently smooth, never use corns water, callus remover or corns cream, and do not use the blade to cut scraping.
4, long warts do not handle themselves, to see a doctor.
5.Even inside the house, you should wear shoes and socks, and prepare slippers by the bed so that you can wear them when you get up at night.
6, before putting on shoes, check if there are any pins, coins or small stones in the shoes that may hurt your feet.
7. Choose socks with padding, socks without seams or with smooth and flat seams, socks specially made for diabetics or for walking will be more suitable, and when necessary, replace new socks in time to ensure that the padding inside is suitable.
8.Throw away worn out or liner worn socks.
9.Do not use hot water bags or hot water bottles to warm your feet. If your feet are cold, you can put on socks or cover them with blankets.
10.Go buy shoes at night, because this is the time when your feet are the biggest. When you try on shoes, put on your thickest socks with padding so that you can be sure that the socks are suitable in the shoes, feel the inside of the shoes to be sure that there are no wrinkles or hard seams, and be sure not to hope that the shoes will be worn large, it should be suitable and comfortable to begin with.
11.For sports, choose sports shoes that are suitable and have good protection design, (you can ask a professional sales clerk to help you)
12.For daily use shoes, choose flat shoes, preferably round toe, lace up leather shoes, if work allows, walking shoes are a good choice.
13.Don’t buy shoes with high heels or pointed toes (which will concentrate pressure on the toes), or polyethylene or plastic shoes (because they are not breathable and don’t fit your feet).
14.Get used to the new shoes gradually, wear them for only one hour on the first day, and then check your feet carefully.
15.The special shoes or insoles designated by the doctor should be worn every day, and put in the shoe closet is not a way to protect and reduce the chance of foot infection:
16, do not use skin care water or cream between the toes.
17.Change and wear clean socks every day.
18.After bathing or showering, dry your feet immediately, including the part between the toes, to promote blood circulation in the feet:
19.Lift your feet up when sitting.
20.Don’t let your legs cross for too long.
21.Don’t smoke.
22.Do not wear suspenders or overly tight socks, and do not tie elastic bands around your legs.
23.Walk moderately if your doctor agrees.