General knowledge of diabetic foot care

  Diabetic foot lesions are the result of a complex interaction between many factors, including peripheral neuropathy (including autonomic neuropathy), microangiopathy, macroangiopathy, and poor hygiene. Once developed, they can face consequences such as amputation due to the complexity and difficulty of their treatment. In order to reduce diabetic foot lesions, diabetic patients must master some of the following basic knowledge of diabetic foot care.  1, choose the right shoes and socks: moccasin leather shoes, sports shoes are the most ideal shoes. Shoe type is appropriate to choose a square toe, to ensure that the shoe is slightly wider than the foot, breathable and has a certain role in resisting external forces. Do not wear high-heeled, pointed, hard leather and plastic shoes, but also frequently check and remove any foreign objects that may be present in the shoes. Socks should be made of cotton and wool, which are both sweat-absorbent and breathable. Don’t wear socks that are too big and don’t wear socks with elastic bands. Change them daily and don’t wear socks with patches or tears to prevent uneven pressure on the feet and affect blood circulation.  2, properly do foot washing and foot care: To maintain foot hygiene, it is recommended that diabetic patients wash their feet daily. But before washing feet, be sure to test the water temperature with your hand or thermometer, because most diabetic patients have varying degrees of foot neuropathy, so the ability to feel the temperature is reduced. Generally require warm water of about 40 degrees Celsius, you can soak your feet while adding warm water, and the time spent soaking your feet should not be too long. After washing the feet to dry the feet with a soft dry towel, and be sure to dry the water between the toe seam, if necessary, a small wind blowing dry with a hair dryer. Autumn and winter feet are prone to dry and cracked, available emollient cream evenly applied to the surface of the foot, sweaty feet can be sprinkled with some talcum powder. After washing your feet in winter, remember not to use hot water bags, electric heaters or direct fire for warmth, so as not to burn your feet.  3, adhere to the foot examination and timely treatment to the hospital: you can use their own foot mirror, or with the help of others to regularly check the foot, if the skin is dry and cracked, wet and cold, edema, darkening of skin color, lack of sensation, toenail deformation or local redness, pain and heat, etc., may indicate that there has been foot lesions. It is necessary to go to the hospital as soon as possible.  The treatment of foot lesions should be based on prevention, early detection, do not think that “no pain, no itch, nothing”, delay the disease, know that the main treatment methods of diabetic foot surgery is revascularization, amputation, autologous stem cell transplantation, etc.. Therefore prevention and control should be the best treatment: keep the skin of both feet clean and dry. Prevent the skin of both feet from injury and infection.  4. Regular foot exercise.  How to trim toenails: after washing feet, toenails are best trimmed when they are soft. When trimming, please cut flat, do not cut too short, too close to the skin. Do not trim the edges of the toenails round or at an angle, as this can easily damage the skin of the nail groove and cause infection.  Foot exercise: Adhere to 30-60 minutes of calf and foot exercise every day to improve blood circulation in the lower limbs and prevent the occurrence of foot lesions. Foot exercise methods are: walking exercise; lifting the heel – toe transport; bending knee – squatting exercise; leg shaking exercise.  Wound treatment: diabetic foot, even small wounds, healing time is quite long, must be extremely careful care of small wounds. If accompanied by nerve damage, you may not feel the irritation that caused the wound and the pain that occurred with the wound. Any injury to the skin is very susceptible to infection, resulting in serious consequences.  1.The injured area should be cleaned thoroughly with an antiseptic (such as alcohol) and then covered with sterile gauze.  2.Avoid using strong stimulating disinfectants such as iodine.  3.Do not use dark disinfectants such as purple potion, the color of the medicine will cover up the signs of wound infection.  4.Do not use hard creams, corrosive acidic medicines or corrosive acidic medicines to avoid skin ulcers.  5.If the wound does not heal in 2-3 days, you should seek medical attention as soon as possible. Do not treat the wound yourself without the guidance of medical personnel.