Diabetes Lecture

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Diabetes Lecture

  1. 1. Keeping Your Feet Healthy How poorly controlled diabetes mellitus can affect the lower extremities: The good, the bad and the ugly
  2. 2. Keeping Your Feet Healthy Neurologic and Vascular Compromise Predisposes Diabetics to Foot Ulcers Changes are caused by poor blood glucose control aldose reductase sorbitol (sugar alcohol) NAD NADPH (oxidative stress on tissue) Result is a change in tissue quality and small vessel disease
  3. 3. Keeping Your Feet Healthy • 4 changes seen: • Importance: – neuropathy – if you can’t feel your feet, you can’t feel if they’re injured – angiopathy – if you injure your feet, it will – immunopathy take less force to cause ulcers – dermopathy – if you ulcerate the skin, it will be harder to heal • 3 types of neuropathy: – if the ulceration reaches bone, – autonomic it may mean amputation – motor – the amputation level may be proximal to injury to heal site – sensory – it is unusual to have one amputation not lead to others
  4. 4. Keeping Your Feet Healthy • Never ignore a red mark, a bruise or blister • Never ignore an ingrown nail or local trauma • Never let color changes to the feet or legs go untreated. A ‘little’ thing can become a big thing--with unfortunate results--
  5. 5. Keeping Your Feet Healthy arterial Don’t ignore changes or injuries blister to the foot or legs cellulitis high pressure points
  6. 6. Keeping Your Feet Healthy Feet should be checked daily Shoes should be worn at all times Shake out shoes before wearing Wear proper fitting shoes Never use hot water to bathe Check glucose levels and keep a log Visit primary care doctor on a regular basis--bring log with you Visit foot care specialist at least once a year--sooner if there is a problem Attend diabetic classes and learn about what you can do to stay controlled and well Avoid complications by living right, eating right, exercising and staying under control

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