Keep Your Feet!
How the Changes Happen
• Poor glucose control
• Glycation of tissues causing change in
  cells, with basement membrane
  t...
Changes         Consequences
                   Cells that perform healing functions are
•   Immunopathy    neutralized
  ...
Little Things Become Big Things
 • Never ignore a red mark, a
          bruise or blister



 • Never ignore an ingrown na...
Things to Look For


                        All these injures led to
                        amputations and could
      ...
Final Points………
                                     • Check feet daily
                                     • Wear shoes ...
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Keep Your Feet

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Keep Your Feet

  1. 1. Keep Your Feet!
  2. 2. How the Changes Happen • Poor glucose control • Glycation of tissues causing change in cells, with basement membrane thickening and small vessel disease • Neurologic, immunologic and vascular compromise results
  3. 3. Changes Consequences Cells that perform healing functions are • Immunopathy neutralized Blood flow becomes poor or non-existent at skin • Vasculopathy and other structures • Dermopathy Non-pliable skin, which is easily injured Thick, yellow skin which is dry and cracked • Neuropathy Atrophy of muscles with contractures of digits – Autonomic Loss of sensation and balance Injured skin is unrecognized – Motor Wound extending to bone means – Sensory amputation One amputation usually leads to another
  4. 4. Little Things Become Big Things • 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. Things to Look For All these injures led to amputations and could have been prevented Arterial Compromise Blisters High Pressure Points Bites or scrapes
  6. 6. Final Points……… • Check feet daily • Wear shoes at all times • Shake out shoes before wearing • Wear proper fitting shoes Look for hot spots and trouble • Don’t use hot water on your feet • Check glucose levels every day • Visit primary care doctor regularly • Visit foot care specialist regularly • Attend diabetic classes Good shoes Not good shoes • Avoid complications by living right, eating right, exercising and staying under control

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