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LIVING WITH DIABETES
Take care of the pair
Cameron Kippen
Podiatrist
DIABETES AND COMPLICATIONS
 The Circulation  The Nerve Supply
Symptoms
Cramps
Pain
Cold
Symptoms
Numbness
Pins & needles
Burning
POOR CIRCULATION
 Symptoms of diabetes
 Delayed healing
 Prone to all kinds of
infection
 Cholesterol plaques
 Narrowing arteries
 Increased blood
pressure
DAMAGE TO NERVE SUPPLY
Peripheral Neuropathy
 numbness or
insensitivity to pain or
temperature
 a tingling, burning, or
prickling sensation
 sharp pains or cramps
 extreme sensitivity to
touch, even light touch
 loss of balance and
coordination
Autonomic neuropathy
 Lack of sweat
 Dry skin
FOOT HYGIENE
Daily inspection
Between the toes
Back of the heels
Nails
Under the ball of the foot
 Washing the feet
 Hand hot water (46
degrees C)
 Saline Footbath
 Ten minute wash
 Apply hand cream
FOOT MORPHOLOGY & LOCOMOTION
 Symmetry
 Pivot points and high
pressure areas
 Ulcers and amputation
 Muscle wastage
 Abnormal walking
patterns
ROGUES GALLERY
 Good foot  Bad foot
ROGUES GALLERY
 Dry skin  Callus
ROGUES GALLERY
 Corns  Corns and callus
ROGUES GALLERY
 Moist Skin
ROGUES GALLERY
 Ingrown Nails  Damaged Nails
ROGUES GALLERY
 Ulcers  First Aid
 Saline Foot Bath
 Dry carefully
 Betadine solution
 Clean dressing
 Review
A QUICK WORD ABOUT SHOES
 Some tips
 Accommodate both feet
 Check length and
breadth
 Heel grip prevents
unwanted movement
 Avoid seems
 Match shoe to activity
CHRONIC DISEASE MANAGEMENT (EPC)
Blood Flow
Nerve Testing
Pressure
Vibration
Reflexes
FOOTNOTE
CARE
Control Blood Glucose
Levels
Annual Foot Inspection
Report change immediately
Engage in simple daily
footcare
7 HEALTHY HABITS
 Monitor BGLs
 Stay on the level (A1c)
 Live the lifestyle
 Keep your finger on the
pulse
 Eyeball your
optomotrist
 Hot foot it to the
podiatrist
 Don’t kid(ney) around

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Diabetes wa