Diabetic Foot Problems

Diabetes is a syndrome in which the basic defect is absence or lack of the pancreatic hormone insulin. Diabetes is usually generic although patterns can be illusive. This deficiency disrupts the vascular system, thus affecting eyes, kidneys, legs, and feet. Other contributing factors include diet, weight, lack of exercise and smoking.

Symptoms
Diabetic foot problems arise from a series of circumstances, however, two factors are predominate: peripheral vascular disease and peripheral neoropathy. Poor circulation directly affects hypo-sensitivity (lack of feeling), thus heightening awareness in ulcers, gangrene and amputation.
With neuropahty, charcot joints, multiple fractures and deformities occur. With such possible debilitating complications, proper foot care and footwear take on a heightened importance.

Footwear
Clinical studies have shown that footwear and doctor prescribed orthotics plan an important part in diabetic foot care, limiting potential ulcer complications and diminishing the chance of amputation. Shoes designed with an enlarged toe box, a wide shank/lasting board area -to accommodate swelling- and long medial counter for rear foot stability provide extra support and balance provide the necessities in normal maintenance for foot health.
Doctors often prescribe orthotics to reduce and redistribute pressure and pressure points. These specially designed inserts work exceptionally well with shoes designed with removable inserts and extra inside capacity (extra depth) to accommodate custom orthotics.

Maintenance
1. Check feet daily for abrasions, blisters, cuts and scratches. Don’t forget to inspect between the toes.
2. Cold feet? Wear socks to prevent diminished circulation.
3. Do not walk barefoot.
4. No chemical agents applied to feet for corns and/or calluses. No strong chemical agents on the feet i.e. alcohol.
5. No adhesive tape.
6. For dry feet use baby oil. No creams, especially between the toes.
7. Wear full fitting socks/stockings. No binding socks/stockings, as this constricts blood flow.
8. Daily inspect your feet. You want proper circulation and temperature.