Page 30 - Robeson Living Winter 2020
P. 30

FOOT CARE IN DIABETES



                               IT IS ALL ABOUT LOVING YOUR FEET










































                                                                 Of the various organs that poorly controlled diabetes can af-
                                                                 fect, nerves of the body is a common one.  Patients can often
                                                                 lose sensation in the feet, which along with poor blood circula-
                                                                 tion, makes them prone to wounds.  Feet are usually affected
                                                                 more commonly than hands, because we tend to see and care
                                                                 for our hands better.

                                                                 There have been instances where patients walking barefoot on
                                                                 the beach did not realize how warm the surface was when they
                                   By Dr. Komal Motwani          were walking and ended up burning their feet.  Similar epi-
                                                                 sodes have happened where patients were using heater close to
                                                                 their feet to keep themselves warm, failing to realize when the
      The New Year is a time for new resolutions. It is a time for   temperature rose too much.  Hence, it is highly recommended
      new hopes, promises and effort; a time to love yourself a little   not to walk barefoot even around the house.
      bit more, and hence an absolutely perfect time to begin loving
      your feet. After all, we need them very much to help us walk   Unfortunately,  once  nerves  get  affected,  patients  often  have
      tall in the year ahead of us.                              to live with it.  It is usually irreversible, and can continue to
                                                                 progress if the diabetes is not controlled.  Many medications
      Foot care is an integral part of diabetes management.  Diabetes   for treating painful neuropathy or nerve damage also relates
      is known to be the leading cause of non-traumatic lower leg   to many side effects, and often give only half the relief in the
      amputations.  All feet, especially diabetic feet deserve tender,   symptoms, which  can  include numbness, tingling,  burning,
      loving care.  This involves washing feet daily, wearing com-  sharp and shooting pains in the hands and feet.
      fortable footwear and clean dry sweat-soaking socks, examin-
      ing feet daily including between toes, bottom (using mirror if   Eventually, having good control of diabetes from the begin-
      needed) and top, trimming toenails and seeking immediate care   ning of diagnosis is the most effective way of preventing the
      in case of any cuts, wounds, ulcers, blisters or signs of infection   progression to nerves or any other organ damage.  The changes
      (warmth, pain, redness and swelling).                      that occur in the body can start long before Type 2 Diabetes is
      Page 30                                                                               Robeson Living ~ Winter 2020
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