At present, China has nearly 100 million diabetic patients, which is the largest number of incidence in the world. About 15% of diabetic patients will have foot ulcers during their lifetime, and their risk of lower limb amputation is 40 times higher than that of non-diabetic patients, of which about 85% of amputations are due to foot ulcers; medical costs for diabetic foot patients are huge, with an average hospitalization cost of 20-30,000 yuan and an average amputation cost of about 30,000 yuan. Therefore, prevention is particularly important for diabetic patient groups; Tian Hongtao, Department of Orthopedics, Wuhan Union Hospital Diabetic foot: is a lesion that causes destruction of the foot or lower limb tissue in diabetic patients due to diabetic vasculopathy and/or neuropathy as well as infection and other factors. Seizure triggers: diabetic disease duration of more than 10 years, long-term poor blood glucose control; history of foot ulcers or has occurred neuropathy (foot numbness, hypoesthesia, etc.); elderly people living alone, poor foot hygiene care; combined with other diseases such as arthritis, flat feet and other foot deformities, long-term walking too much and other conditions. Prevention: 1, the first task is to control blood sugar, quit smoking; 2, daily inspection of the feet, whether there is redness, blisters, hard knots, small breaks, etc., and whether there is maceration, erosion, etc., between the toes, especially for those who have been examined for small vessel occlusion; 3, adhere to the daily use of non-irritating soap and warm water to wash feet, ask family members to test the water temperature before washing feet, the temperature should preferably be lower than 37 ℃; try to avoid soaking feet 3, adhere to the daily use of non-irritating soap and warm water to wash the feet; dry after washing, especially between the toes; dry after wiping on the soles of the feet suitable for their skin care ointment (such as suet oil, petroleum jelly, etc.), avoid using between the toes; sweaty feet patients can use medical alcohol to wipe the toe seam when washing the feet, you can also add a small amount of vinegar in the foot wash water to reduce the possibility of fungal infection. 4, you can use pumice or sand board to remove calluses, do not use blades or toenail clippers sharp edges or chemical substances to remove keratinized tissue; 5, check your toenails every week, whether there is the possibility of anti-nails, horizontal toenail cutting, neither cut too deep, nor is the edge too sharp; you can use the special type of toenail clippers in the figure, the elderly who are a little less able to take care of themselves, it is best to ask family members or professionals to help; 6, select shoes and socks: choose the right elasticity, soft and comfortable shoes and socks (preferably white, to (to facilitate the detection of foot injuries); when sleeping and feeling cold feet, you can sleep with socks on and should change them every day; avoid walking barefoot or wearing shoes barefoot at all times; choose shoes with thick and soft soles, such as cloth shoes, cotton shoes, etc.; try to wear slippers or shoes that can show your toes (with socks on) when you are at home; for patients with foot deformities and ulcers that have occurred, it is more important to choose spacious and breathable shoes. Check whether there are foreign objects in the shoes before wearing them; 7. It is not advisable to use hot water bags, electric heaters and other items to keep the feet warm directly; 8. Increase blood circulation in the feet: try to sit with the feet elevated; toes can be twisted frequently; try to avoid crossing the legs for too long; when walking too much, you can take a break from time to time to rub the toes and knead the back of the feet; 9. Once there is a change in the color of the feet, hypoesthesia, swelling, foot infection, pain, Even without foot problems, it is best to visit a diabetic foot specialist every 2-3 months to screen for neuropathy and circulatory disorders under the guidance of a professional physician; Reference: “The Current Situation and Future Research Direction of Diabetic Foot Diagnosis and Treatment in China” Ran Xing Wu (image from the Internet) Author: Tian Hongtao, Wuhan Union Orthopaedic Hospital Title: Associate Professor, Deputy Chief physician Specialties: Artificial joint replacement Joint diseases: femoral head necrosis, knee osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, joint infections, bone and joint deformities; Clinic hours: 1, 3, 6 days a week; Contact: Tel: 13908622515 Welcome to my WeChat public number Bone handsome Tian Dad or Sina Weibo @Bone handsome Tian Dad