Zhou’s grandma is in her seventies and her children are all very successful, and her filial granddaughter brought her a pair of brand-name handmade leather shoes from Italy for the New Year. Although the shoes were very tight, Zhou Da Ma wore them around the community, not knowing how many admiring voices and envious eyes she attracted, her mood was like dipping in honey. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The family hurriedly sent Zhou to the hospital, and through careful examination, the doctors concluded that Zhou had a complication of diabetes: diabetic foot disease (neuropathy type). The company’s main business is to provide a wide range of products and services to its customers. The doctors pointed out the culprit and Zhou was stunned that it was a pair of handmade Italian leather shoes. Expert commentary (invited experts: Zhejiang Tongde Hospital, director of vascular surgery Cai Qianrong, chief physician): normal human tissue will have an automatic response mechanism to the pressure, the simplest example is that we sit for a long time will move the buttocks, changing the body pressure point to reduce the pressure. However, due to long-term abnormal blood sugar levels in the body, diabetic patients often have peripheral neuropathy, which can lead to abnormal skin sensation and slowing down of the normal response system. At this time, even if the body tissues are subjected to prolonged compression, the nervous system is unable to transmit feedback signals to the “command”, resulting in damage to the pressurized area, the most common part of this injury is the feet, so it is called “neuropathic diabetic foot disease”. This is why it is called “neuropathic diabetic foot disease”. Master Chen has diabetes, but is known far and wide as a “health expert”. He doesn’t drink, he doesn’t smoke, he has regular meals and exercises regularly, so he is a “model of health” among a group of elderly people. In his spare time, Mr. Chen often volunteer to give health talks to the elderly, often hanging on the mouth is a: smoking and drinking will lead to arteriosclerosis, quit it! But in the past few years, he felt that he could not walk far, often without a few steps on the calf pain, rest will be fine, but then walk a while again can not. To the hospital, the doctor gave a diagnosis: diabetic foot disease (atherosclerosis type). Master Chen was puzzled: I do not smoke and do not drink, but also pay attention to the structure of the diet, how can I still get atherosclerosis? Expert comment (invited expert: Dr. Cai Qianrong, Director of Vascular Surgery, Zhejiang Tongde Hospital): Many people may not know that diabetes itself can also lead to atherosclerosis. Due to the long-term hyperglycemic state of diabetic patients, blood viscosity increases, too much blood sugar leads to hardening, brittle, thickening of blood vessels, vascular elasticity decreases; on the other hand, increased blood viscosity also leads to the body’s resistance to vascular inflammation decreases, eventually leading to the blood vessel wall “garbage breeding”. As the foot is farthest from the heart, it is most susceptible to the effects of ischemia, which leads to local skin breakdown without healing and eventually becomes “atherosclerotic diabetic foot disease”. The attending physician of the Department of Vascular Surgery at Zhejiang Tongde Hospital, Wang Xiaodong, introduced that as the population ages, the gloom of diabetes is expanding. The danger of diabetes is that it can affect various organs throughout the body with complications, such as diabetic nephropathy, diabetic retinopathy, and respiratory infections. However, among these complications, the most easily overlooked is diabetic foot disease. Diabetic podiatry, as the name suggests, refers to a series of clinical syndromes such as abnormal sensation, skin ulcers and even gangrene of the feet caused by diabetes. Because diabetes can affect both nerves and blood vessels, and because early clinical manifestations are easily overlooked by the elderly, diabetic foot disease is often found in the middle and late stages of the disease process, with a poor prognosis. According to patient data in the United States, 15% of diabetic patients have foot ulcers; and among all amputations, diabetic foot disease accounts for a surprisingly high 84%. Dr. Wang Xiaodong, an attending physician, said that the treatment of diabetic foot disease focuses on early detection. If a diabetic patient has abnormal sensation in the foot (including pins and needles, burning sensation, numbness of the skin, foreign body sensation and fear of cold, etc.), intermittent claudication (the patient has soreness and pain in the hip and/or calf after walking a certain distance, forcing the patient to stop and rest, and then the pain is relieved after a few moments of rest and the patient can walk a certain distance again, and so on repeatedly) or even a change in the color of the skin of the foot, it is important to go to the vascular surgery department as soon as possible. . Health care tips 1, diabetic patients should try to avoid using too tight shoes and socks, avoid standing in the same position for a long time. 2.When washing feet with hot water, diabetic patients should test the water temperature with the skin of the elbow joint to avoid misjudging the temperature of hot water. 3.Diabetic patients should be as careful as possible when trimming toenails and caring for foot skin to avoid damaging the skin, and if there is skin breakdown, they should go to the hospital for professional help at the first time. 4, diabetic patients should go to the vascular surgery clinic for vascular physical examination every six months or so while controlling blood sugar.