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احمد حسن عودة الغانمي
19/04/2012 07:34:20
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Why Is Foot Care Important For Persons with Diabetes
People with diabetes often have altered sensation in their feet, which leads to decreased ability to feel pain, heat or cold. This can result in injury and a delay in getting care for an injury. An injury can lead to a foot ulcer that becomes infected. It often takes a long time for an ulcer to heal. People with diabetes are also more prone to changes in the blood vessel walls, which cause thickening and make the blood vessels stiff. This may lead to decreased circulation to the lower legs and feet. This is important because it reduces the body s ability to heal an injury or fight an infection. Complications of foot injuries can lead to amputation.It is important to control your blood sugar and blood pressure to maintain your health and prevent complications. Also, the key to maintaining healthy feet is to prevent injury by following a plan to check and care for your feet. The following are guidelines to assist you in preventing foot problems.
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Perform Daily Foot Care:
• Wash your feet every day using mild soap and warm water. Check the water temperature with your hand or elbow before placing your feet in the water.
• Dry your feet well. Make sure to dry between toes.
• Look at your feet. Check for any cracks, dry skin, cuts, redness, swelling, and change in temperature.
• Apply lotion to dry or cracked skin and to soles of feet. Do not put lotion between toes.
• Call your nurse or doctor right away if you have any sign of infection such as swelling, redness, drainage, fever, or chills.
• Keep toenails neatly trimmed. Cut the nails with the shape of your toes so they are even with the skin on the end of your toes. Avoid cutting down into the comers. Never cut skin on the end of your toes. Use good lighting when trimming nails. Trim toenails only after soaking feet, for example, after a bath or shower. If your toenails are thickened, you may have to have them trimmed by a doctor or nurse.
• Report signs of ingrown toenails: redness, drainage, and swelling.
• If you have trouble seeing, have someone help you trim your toenails.
• Do not try to cut off corns or calluses. If you have corns or calluses, tell your doctor during your clinic visit. Corns or calluses can be prevented by wearing soft socks and well-fitted shoe
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Foot Wear
Wear properly fitted shoes. Soft leather or canvas shoes are recommended for daily wear. It is best not to wear open toe or open heel shoes. Avoid going barefoot. Slippers with sturdy toes can be worn at home. Check the inside of the shoes before putting them on. Small objects, nail points, and tom linings create pressure points that could lead to irritation or infection.
Have feet measured each time you shop for shoes. Shop in the afternoon because feet are often bigger at the end of the day.
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Socks
Wear clean socks. Discard socks when they are worn. Do not wear mended socks. Avoid socks with tight elastic.
Preparation
A. M. D. Sahar Adham
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