Treatment & Complications
Diabetes can affect the feet and cause problems, which if ignored can lead to amputations.
Diabetes can affect the nerves in the feet (Neuropathy) and cause loss of sensation.
It can also affect the blood circulation due to blockage of arteries (Peripheral vascular disease).
Both of the above conditions would make the feet vulnerable to injury (without pain) and infections.
Proper care of feet is very essential.
Minor lesions in the foot are usually ignored due to lack of pain. Examine the feet daily for blisters, cracks, injuries or any change in colour.
Check the areas between the toes, nails and the skin around the nails.
The feet should be taken care of everyday.
Immerse the feet in luke warm water for 10-15 minutes. Add mild shampoo to the water. Do not add any antiseptic to the water.
Check the temperature of water with your elbow.
Use pumice stone to soften hard areas, especially over the sole and heel.
Dry the feet carefully especially between the toes and apply lubricating cream (Vaseline or white petroleum jelly). Do not apply cream in between the toes.
Avoid extremes of temperature. Avoid walking barefoot on hot surfaces (stone, sand) in temples or any such places. Use temple shocks in places where shoes cannot be worn.
Toe nails should be trimmed straight – do not cut deep or cut the corners. It is safer to file the nails every week.
Do not try to treat corns, callus or any other foot infections by yourself – Consult the doctor early.
Do not massage your foot.
Do not apply coconut oil to the foot, since it attracts ants.
Do not apply pain bams / gels on your feet.
Wear correct and comfortable foot wear.
Avoid tight or pointed foot wear and high heel shoes.
Avoid flip flops wear with toe rings irrespective of the material used.
Make sure there are no hard points or nails inside the sole.
Check the inside of the shoe with your hands before wearing them.
Soft insoles preferably made of MCR, MCP or PU foam are good.
Use 100% cotton socks.
Sandals or shoes with back strap are preferred to slippers.
Special foot wear for diabetes are available.
Protect your feet:
Control Blood Sugar.
Do Regular Walking.
Avoid bare foot walking even indoors.
Avoid pointed shoes, shoes with toe grip or Hawaii slippers.
Do not wear wet foot wear.
Avoid plasters, adhesive tapes and corn caps.
Do not apply creams/ ointments to the web space.
Do not use hot water bags, pain balms on your feet.
Do not smoke