The question as to why some people develop diabetes is still being debated, but once you are diagnosed with diabetes, it remains with you for life. Podiatrists play an important role in the diabetic treatment team.The key to amputation prevention in diabetic patients is timely detection via annual foot screenings.
Diabetic patients are usually more prone to foot ulcerations that should be treated properly by a podiatrist to reduce the risk of amputation. Our doctors are trained on healing diabetic wounds and to keep one’s feet healthy and strong.
Type A (insulin-dependent diabetes mellitus or juvenile-onset diabetes)
Makes up about 5-10% of diabetic patients
Commonly observed in children and adolescents
Caused as a result of the inability to produce insulin, which is vital for healthy life
Type B (non-insulin-dependent diabetes mellitus or adult-onset diabetes)
Makes up the remaining 90-95% of diabetic patients
Are prescribed oral medication and injections for treatment
Majority of the population, about 80% or above, are obese, and obesity actively leads to insulin resistance
Risk Factors of Type B
Diabetic family history
Obesity
Gestational diabetic history
Age of 40 years or above
Having membership at either of these ethnic groups:
Wash your feet nightly with mild soap and lukewarm water
Gently dry your toes and apply talcum powder to remove any excess moisture
Use an effective moisturizing cream regularly, but do not apply it in between your toes
2. Clean feet routinely
Examine your feet on a daily basis to detect any cuts, bruises, sores or changes in the toenails, like staining. If age or any injury hinders the performance of this task, use a mirror to help you
3. Wear thick and soft socks
4. Cut toenails straight across
5. Exercise
6. Get your foot sized measured accurately before buying new shoes
7. Avoid being barefoot
8. Avoid wearing shoes with pointed toes
9. Avoid excessive drinking
10. Avoid wearing overly tight leg-wear
Avoid wearing socks with seams which can encourage the formation of blisters and sores
11. Stop smoking
Avoid cutting down the corners as it could result in the inward growth of toenails
Use a nail file to remove any sharp corners
Our doctors can help if your nails are too hard to be trimmed
Reduces excessive fat and improves circulation
Walking can provide effective conditioning for the feet
Adhere to the use of appropriate exercise shoes
Foot size and shape may change over time. Feet should be measuredeach time you buy shoes
You should buy shoes that don’t require a break-in period. Instead, they should be comfortable from the start.
Shoes should perfectly fit the length and width of the feet, and should have a roomy toe box.
Particularly while walking outside
Always wear slippers at home
This can result in excessive pressure on the foot and can lead to bone and joint disorders
Shoes with straps in between the toes should also be avoided
Alcohol plays a major role in occurrence of neuropathy (nerve damage)
Overly tight panty hose, panty girdles, thigh-highs or knee-highs can hinder blood circulation to legs and feet
Men should avoid dress socks with extremely tight elastic
12. Avoid removing calluses, corns or warts on your own
Commercial application forremoval of warts and corns should be avoided as they can burn the skin
Do not cut calluses with a razor blade
Our doctors can help you remove any callouses, corns or warts. Please call our office for an appointment.
