If your diabetes level is quite high, you need to take special care of your feet during the summer months. For example, if you get drunk on the beach and walk barefoot blindly against the feel of the sand, you may get hurt and be in great danger.
Diabetes mellitus is terrifying because of its various complications. When blood sugar rises, complications are easy to occur and the quality of life decreases. Diabetic complications are most difficult to reverse or recover, and in severe cases, death. One of the most common complications of diabetes is diabetes.
◇Occurrence and risk of diabetic foot= A generic term for diabetic foot disease. It is caused by various causes, such as peripheral arterial disease, peripheral neuropathy, and infection.
It is estimated that the number of diabetic patients in Korea has exceeded 5 million. These patients are at high risk of damage to the nerves in the feet (foot, toe, ankle) due to poor blood circulation.
People with diabetes have a 10-fold greater risk of having their feet, toes, ankles and legs amputated for foot ulcers and infections than those without diabetes. One in four diabetic patients develops diabetic feet.
If you walk barefoot on the sandy beach at the seaside during summer vacation, you may injure your feet with pieces of glass or plastic, making it easy to get infected with various bacteria such as tetanus.
Medical experts cautioned, “Even diabetic patients without complications should not be vigilant.” Diabetic feet are like a ‘time bomb’ that can be caught at any time.
◇Diabetic foot cut every 30 seconds in the world= There are a lot of seriously ill patients in nursing homes or nursing homes who are unable to move after a foot amputation due to diabetic complications.
According to the Korean Diabetes Association, worldwide, every 30 seconds, one person undergoes amputation of the foot due to complications of diabetes. Diabetic feet are common because diabetic patients are more prone to peripheral vascular disease. If you get this disease, blood circulation in the legs will be impaired, and the cells in the legs will have a reduced ability to regenerate.
When the neuropathy overlaps, the pain cannot be felt properly. When a wound is formed, it does not heal well, and ulcers easily occur on the legs. Even if there are abnormalities in the autonomic nerves such as sweat glands, there is a high risk of getting foot ulcers.
◇Diabetic foot prevention and treatment= You have to be very careful not to injure your feet. You should wear shoes that fit your feet well. Don’t exercise too hard.
Be careful not to put excessive pressure on the calluses on the soles of the feet and on the feet. If the foot is deformed or you try not to get athlete’s foot, you should seek treatment immediately if there is a change. Smoking cessation is also a very important preventive measure.
If you have a simple wound on your foot, you can go to the hospital for treatment. However, if there is an ulcer on the foot or tissue death (necrosis) occurs, there is no choice but to be hospitalized and receive intensive treatment.
If you are concerned about diabetic feet, it is better to take a test that measures the ‘ankle-brachial index (ABI)’. If the foot ulcer does not heal, surgery should be considered.
If the diseased part is amputated and rehabilitation treatment is performed properly using an assistive device, there is a possibility of returning to daily life. Ulcers have a high risk of recurrence, so more attention should be paid to prevention.
◇ Diabetic foot safety guidelines from the American Association of Podiatric Surgery Physicians= Watch for foot injuries that could worsen into foot ulcers. Wash your feet with lukewarm water, not warm water. Keep your feet moist, but dry between your toes.
When removing dead skin cells or corns on your feet, do not remove them carelessly, as infection may occur. You should inspect the insoles of your shoes frequently (to make sure your feet aren’t doing anything wrong).
By Kim Young-seop, staff reporter firstname.lastname@example.org