How can diabetics protect their hands and feet in autumn and winter?

  As the weather cools, the incidence of diabetic foot rises significantly. Shen Jie of the Third Affiliated Hospital of Southern Medical University introduced that diabetic foot is more likely to occur due to lower temperature in winter and poorer vasoconstriction in diabetic patients. Shen Jie reminded that sugar lovers should be wary of foot soak burns and blind use of physiotherapy apparatus burns and other conditions that trigger diabetic foot.  Chen Bo, 56, who has been suffering from diabetes for more than a decade, gradually felt cold and numb feet in recent years, his filial daughter bought back Chinese herbal water for Chen Bo to soak his feet, until they were red, Chen Bo felt that the effects of the medicine were absorbed. The next day when he woke up, Chen Bo found his feet covered with blisters and yellow water oozing out, and immediately went to the local hospital for treatment. The diabetic patient’s foot peripheral neuropathy, foot sensation numbness, sluggish, often can not perceive the real temperature of the water when soaking feet, so often burned, including some diabetic patients with physical therapy devices to do foot massage, also because they do not perceive the real temperature and frequency, resulting in burns on the feet. Although diabetic foot is not as quick to kill as cardiovascular disease, but it is easy to make people disabled, the quality of life quickly decline.  ”Can I soak my feet if I am a diabetic?  Is it true that diabetics can’t “soak their feet”? Shen Jie stressed that if the cold feet are caused by not paying attention to warmth, then hot water foot soak can really play a role in improving blood circulation in the feet. Diabetic patients with cold feet are often caused by lower limb vascular and neuropathy, hot water foot soak does not improve circulation, and it is very easy to burn.  If sugar lovers do want to soak their feet, in order to avoid burns and infections, it is recommended that the water temperature of the foot bath to the normal body surface temperature (about 37 ℃) is better, and the foot bath time can be controlled in 5 to 10 minutes. In addition, do not rub your feet vigorously with a towel, but carefully dry. Especially between the toes, to try to keep dry, to avoid breeding pathogenic bacteria. It is recommended to wipe your feet with a white towel in order to detect any blood or pus stains in time.  If some small burns are found on the foot, some people’s first thought is to disinfect to keep it dry, let the wound crust over and just deal with it themselves. Shen Jie reminded that diabetic foot wounds may seem simple, but if you are not careful, you can get into big trouble. It is recommended that once a wound appears, sugar lovers should immediately go to a diabetes specialist to find a wound therapist to deal with it.  What about dry feet and cracked skin?  Due to autonomic neuropathy and reduced sweating, diabetic patients have dry skin on their feet, especially on the heel, which is prone to skin cracking and can further form ulcers and secondary infections. Patients are advised to moisturize their feet daily with suet-based lubricant and massage the skin gently and adequately. In case of sweaty feet, excessive sweating is also likely to cause fungal infections. It is recommended to wipe the toe crevices with medical alcohol when washing the feet, and to add a small amount of vinegar to the foot wash water, because the acidic environment is not conducive to fungal growth.  If an ulcer is found on the foot, use saline to clean the wound; gently wipe it dry and do not apply dark drugs, such as gentian violet and red potion, because the color of the drug will cover the signs of wound infection; avoid using strong stimulating disinfectants such as iodine, and it is recommended to cover it with a medical dressing and change the dressing every day.  How to detect diabetic foot in time?  Most patients are unaware of the initial stage of pain and dullness of temperature sensation in their feet, and some patients even find blood and ooze in their socks and shoes before they know their feet are broken. How can we detect and prevent it as early as possible? Diabetic patients to see if they have the following conditions: 1, the lower extremities of both feet are cold and swollen, when the foot drops, the color will gradually become purple cold accompanied by numbness, pain or sensory retardation, or even disappear; 2, no obvious discomfort when not walking, but a walk will appear sore and swollen discomfort, and have to stop to rest, or even found to have muscle atrophy, foot deformity; such as the presence of one of the above symptoms, should promptly go to formal hospital consultation, and can take early preventive measures such as lying on the bed for simulated pedal exercise, and also ankle flexion and extension exercises.