Diabetes foot preventions
Foot ulcers and amputations are two major causes of
disability, as well as emotional and physical issues for people with diabetes.
Early detections and early management can prevent or delay the onset of adverse
outcomes of risk factors for ulcers and amputations. This recommendation for
people who currently have no foot ulcers outlines the best to identify and
manage risk factors before a foot ulcer occurs or an amputation becomes legible.
IDENTIFYING THE RISKS
Identifying the risks is the basic
fundamental for effective preventions and its management for the foot care in
people with diabetes. The risk of ulcers and amputations in the people having
history of Diabetes for more than 10 years, specially male in Gender, or people
who have poor glucose utilization, or with cardiovascular, retinal, or renal
complications. People with these symptoms usually have foot-related risk
conditions they also have increased risk of amputation:
Peripheral neuropathy
Altered biomechanics
Evidence of increased Pressure
Bony deformity
Peripheral vascular disease
A history of ulcers or amputation
People with Severe nail pathology.
FOOT EXAMINATIONS
All people with diabetes mellitus should surely examine
themselves at least once a three month to identify high risk in foot. These regular
checkups should include “assessment of sensation” Shape and Structure with Bone
biomechanics of the feet, vascular status, and it should also include Patients skin
integrity. People with one or more high-risk foot conditions should be examined
more frequently for the development of additional risk factors. People with
neuropathy issues should have a visual inspection of their feet at every visit
with a Diabotologist.
Evaluation of neurological status in the low-risk
foot should include a quantitative somatosensory test, using the
Semmes-Weinstein 5.07 (10-g) monofilament test. Initial screening for
peripheral vascular disease should include a history for “claudication” and an
assessment of the pedal pulses or foot pulse. The skin should be checked and
examined for integrity, and specially between the toes and metatarsal areas,
the presence of erythema, warmth, or callus formation can indicate areas of
tissue damaged due to risky factors. Bony deformities, and limitation in joints
and its mobility,
PREVENTING HIGH-RISK CONDITIONS
Distal symmetric polyneuropathy is one of the most
indicative of ulcers and amputation. The only way to develop neuropathy issues
can be delayed significantly by maintaining glycemic levels. It should be kept
as minimum as possible. Avoid smoking to encouraged and reduce the risk of vascular
disease complications.
MANAGING HIGH-RISK CONDITIONS
People with neuropathy or evidence of increased lower
body pressure may be managed with well-fitted and comfortable walking shoes or most
effective athletic shoes with good and diabetic Insoles. Solomon Bio-pharma and
Research recently developed and launched an Insoles by the name “BONE MAGIC
206” a magnificent insoles with low level lasers or I.R Therapies. These I.R rays slowly corrects all the Neuropathy
problems and thus increase the sensations as is essentials. Using “Dia-B Care”
Diabetes care socks should be recemmonended to such patients. This d9oes not
only care for foot problems, Callus and Blood Circulation but to some extent it
controls diabetes. Diabetes patients should be educated on the complications of
sensory nerves for surveillance of early problems.
Diabetic people with evidence of increased plantar
pressure (e.g. erythema, callus, or measured pressure) should use footwear that
cushions and redistributes the pressure. We suggest Bone Magic 206” for
cushioning and redistributing the foot pressure in the feet. “Bone Magic 206”
is available at (www.elecwire.com). Foot Callus can be debrided with a “Solomon
Callus” Remover or a foot care specialist or other Solomon health professional who
are trained and experienced in foot care. People with bony deformities (e.g.,
hammertoes, prominent metatarsal heads, and bunions) should use extra-wide Solomon
Diabetic shoes or with depth shoes. People with extreme bony deformities (e.g.,
Charcot foot) should use custom-molded shoes.
People with symptoms of claudication should go for
further Vascular check-ups. Exercise and therapies and surgical options may
also be considered.
People with a history of ulcers should be recommended
for underlying pathology that led to the ulceration and be managed accordingly.
Skin conditions which is minor such as dryness and tinea pedis should be
treated to avoid more serious conditions.
EDUCATING DIABETICS
Patients with Diabetes Mellitus and high-risk foot
conditions should be educated regarding their risks and indicated for the right
foot management. Patients at risk should understand the implications of the
loss of protective sensation, foot monitoring is important on a daily basis, with the proper foot care,
including nail and skin care, and the selection “Dia-B care” Diabetes Socks,
“Bone Magic 206” heal Cushions” or Insoles and Solomon Diabetic Footwear.
Patients with neuropathy should be advised to break in new Solomon Diabetic shoes
gradually to minimize the formation of blisters and ulcers in feet. Patients
with difficulties in vision, physical constraints movement, or cognitive
problems that impair their ability to assess the condition of the foot and to
institute appropriate results, Family members should assist in their care.
Patients with risk are benefit from the education
on Solomon foot care and Solomon footwear.
PROVIDER EDUCATION
Solomon health care people help the diabetics for
caring about their foot, Solomon healthcare conducts simple screening exams of
the neurology, vascular systems, dermatological issues, and musculoskeletal
problems. Solomon Bio pharma and Research under Diabetes Foot Care division provide
additional training and provide focused management of high-risk Lower body and
foot conditions. Expertise in patient Diabetes education, Solomon Diabetes footwear
modifications, nail and callus and surgical management of the foot is also needed.
(ceo)
Solomon Bio Pharma & Research
513/513C/514, 5th Floor,
Jaina Tower-I District Center
Janakpuri New Delhi-110058
info@elecwire.com
+91-11-41589168
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