Posts Tagged ‘Diabetic’
Foot Care When you are Diabetic
Foot care ulcers and lesions on the feet of patients with diabetes are among the most serious complications of this disease, are also causing the highest percentage of non-traumatic amputations that are performed. Being diabetic does not mean that a patient is a carrier of a diabetic foot, as this term refers to a patient with this disease suffer with a previous injury to a trauma trigger that is added to an infection.
These lesions occur in diabetes type I and type II, due to three factors:
* Infections
* Vascular changes
* The nervous system effects.
Diabetic neuropathy and vascular ischemia predispose to diabetic foot infection. The nervous disorders or diabetic neuropathy contribute to diabetic foot infection because it causes injuries that are the gateway for their development. And ischemic vascular disorders because they do not allow antibiotics to reach the site of infection.
Vascular changes or peripheral vascular disease resulting in arteriosclerosis in which the veins fat, calcium deposits occur and the main symptom is intermittent claudication, or muscle pain.
The nervous disorders or diabetic neuropathy affects the peripheral nerves that are found outside the brain and spinal cord. Peripheral nerves are of three types: sensory, motors and the vegetative system. 50% of diabetic patients over fifteen years of evolution has a condition called sensory motor polyneuropathy.
Preventing diabetic foot ulcers
It is recommended to prevent ulcers:
* Use sunscreen on your feet
* Do not walk barefoot
* Do not use Callica
* Correct hyperglycemia and risk factors
* Examine your feet thoroughly every day
* Dry them carefully
* Avoid excessive humidity mostly between the toes
* Prevent dryness with moisturizers
* Cut nails straight across, not rushing to cut nails and file them choose
Diabetic Foot Wounds
Care to injuries depend on the severity of them.
Faced with a flesh wound gentle cleaning is recommended with soap and warm water and using an antiseptic. Faced with deep ulceration and absolute rest is recommended antibiotic treatment. Ulcers with abscess, gangrene of one or more fingers and gangrene of the foot require immediate hospitalization.
Diabetic Foot and Nerve Disorders
Diabetic foot symptoms and Diabetic neuropathy is a disorder that affects the body’s peripheral nerves, peripheral nerves outside the brain and spinal cord, are those who are called sensory, motor and vegetative system. Sensory peripheral nerves are those that allow us to feel the shapes, heat and pain. Peripheral motor nerves are those that allow us to make precise movements with the arms, legs and fingers.
The vegetative system is one that can not be controlled voluntarily and regulate sweating, erections in men and smooth muscles like the heart and others.
In diabetes the most common form of neuropathy is called peripheral neuropathy, motor, symmetrical and distal. This affects several nerves at once (sensory and motor), bilaterally and in general to the feet and legs. This manifests itself in the middle of diabetic patients who have more than fifteen years of evolution.
Symptoms of diabetic foot
Because of this, patients lose protective sensation that provide the pain, pressure and temperature. Patients may not realize they are burning with too hot water to wash his feet, carrying foreign bodies inside the shoe or not realize that they have a foot injury without necessarily represent the large-scale trauma.
In areas where the pressure is high is prone to forming blisters, calluses and ultimately ulceration.
Motor neuropathy known as muscle atrophy and causes deformations facilitate trauma. The most serious and extreme is called Charcot foot, which is recognized by the shortening of the rear axle, the occurrence of ulcers in the area of friction for the sinking of the arch of the foot.
Autonomic neuropathy causes loss of normal foot sweating, resulting in extremely dry and cracked skin, causing a marked tendency to hyperkeratosis. Hyperkeratosis with fissures and cracks can form that may be the gates of an infection.
Treatment for diabetic foot
Medical treatments offered for diabetic neuropathy are intended to prevent the disease from getting worse and relieve symptoms. The most common drugs for treatment include antidepressants such as amitriptyline, anticonvulsants medications, drugs blocking the bladder contractions and pain.
Beware if You are Diabetic Aspirin
Aspirin is one of the anti-inflammatory, antipyretic and analgesic known, it will be used for a long time and some people even have the habit of taking one every day. However, as with all medications, there are some precautions that must be always present.
Usually this medicine is recommended for those at risk of heart attack, within this group are people with diabetes, however, recent studies is important that they carefully take this type of medication.
Aspirin is recommended in these cases because it helps clear the blood cells grouped, avoiding the formation of dangerous blood clots, which sometimes are the cause of heart attacks. People with diabetes are more likely than others to this type of situation. Although the American Diabetes with the American Heart Association did a test in women under 60 and men under 50 with diabetes.
These people use this drug to occasionally suffering from irritation, pain, vomiting and even stomach bleeding. It is for this reason that we must be careful with it. Others who also should be careful with those allergic to aspirin, as it is an ingredient in aspirin. Also those with liver disease and persons prone to gastrointestinal bleeding and / or who have already suffered.
These were some of the advice we had to give you, take them into account will help you take care of your health, hope will be very useful!