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DIABETES AFFECTING FEET
Because our feet are so far away from the rest of us, there is a tendency to forget about them. But if you have diabetes you must look after your feet as carefully as you do your face.
Mavis closed the front door and staggered into the sitting room with her shopping. She collapsed onto the sofa and pulled off her new shoes. “My feet are killing me,” she gasped as she put them up and reached for a cigarette.
Two weeks later, her feet were killing her. The blisters from her new shoes had become infected, the infection had spread up her legs and she had developed septicemia (blood poisoning). Fortunately, good control of her diabetes and large doses of antibiotics saved her life. An operation to bypass her blocked atherosclerotic leg arteries and restore her circulation saved her legs. Her husband threw away her cigarettes and her new shoes.
Diabetes causes circulatory problems and the arteries which supply the feet can become furred up (atherosclerotic). Diabetic nerve damage often affects the feet causing numbness. This means that you may not realize that you have injured or rubbed your foot, or that your shoes do not fit. If you have joint problems in the feet or other reasons for your foot to rub on your shoe or abnormal pressure areas to develop, ulcers can occur at the pressure sites. If your blood glucose is high your body cannot fight infection as well as it should. All these factors combine to cause ulcers, gangrene and infections. In the most severe cases the only solution may be amputation of the foot or leg.
Foot care is a part of basic diabetes self-care. Keep your feet clean and wear socks/tights which cannot rub inside shoes which fit comfortably from the start. Trim the nails straight across, smoothing the corners so that they cannot dig in. Check your feet every night and seek help immediately if you notice anything wrong. Most problems are minor and can be treated rapidly. Neglected minor problems are what cause major problems. Be especially vigilant on holiday.
*39/102/5*