Foot Care

Abstract

Lower extremity complications are a major cause of morbidity and mortality in people with diabetes. • The treatment of foot ulcers in people who have diabetes requires an interprofessional approach that addresses glycemic control, infection, offloading of high-pressure areas, lower-extremity vascular status and local wound care. • Antibiotic therapy is not required for uninfected neuropathic foot ulcers. • Proprietary adjunctive wound dressings and technologies, including antimicrobial dressings, lack sufficient evidence to support routine use in the treatment of neuropathic ulcers. KEY MESSAGES FOR PEOPLE WITH DIABETES • Diabetes can cause nerve damage (also known as "diabetic peripheral neuropathy") and poor blood flow or circulation to the legs and feet (also known as "peripheral arterial disease"). • As a result, people with diabetes are less likely to feel a foot injury, such as a blister or cut. Diabetes can make these injuries more difficult to heal. Unnoticed and untreated, even small foot injuries can quickly become infected, potentially leading to serious complications. • A good daily foot care routine may help keep your feet healthy: • Examine your feet and legs daily • Care for your nails regularly • Apply moisturizing lotion if your feet are dry (but not between the toes) • Wear properly fitting footwear • Test your bath water with your hand before you step in, to make sure the water is not too hot • If you have any corns (thick or hard skin on toes), calluses (thick skin on bottom of feet), ingrown toenails, warts, splinters or other wounds, have them treated by your doctor or other foot care specialist (such as a foot care nurse, podiatrist or chiropodist). Do not try to treat them yourself. • If you have any swelling, warmth, redness or pain in your legs or feet, see your health-care provider or foot specialist right away. Conflict of interest statements can be found on page S225. Can J Diabetes 42 (2018) S222-S227 Contents lists available at ScienceDirect Canadian Journal of Diabetes j o u r n a l h o m e p a g e : w w w. c a n a d i a n j o u r n a l o f d i a b e t e s. c o m

A Population-Based Analysis of Diabetes-Related Care Measures, Foot Complications, and Amputation During the COVID-19 Pandemic in Ontario, Canada

“…Fortunately, limb loss may be prevented through guideline-aligned care including patient education, periodic foot screening, glycemia and cardiovascular risk factor management, and timely interdisciplinary treatment of acute foot complications. 1 , 2 , 3 , 4…”

Reaching out to diabetic soles: Outreach foot care pilot project

“…According to the diabetic standards of care, clients should have their first foot assessment upon diagnosis and then at least annually unless otherwise indicated. 15 Fortington et al 19 explained that health promotion and prevention are critical to maintaining health in the person living with diabetes. Elements critical to well-being of people living with diabetes include feet inspected and assessed regularly, appropriate foot wear, and treatment of foot ulcers by a specialized diabetic foot team.…”

“…9 Diabetes requires daily monitoring and medication decisions. 4,15 Health promotion in the form of foot care is critical to maintaining health and preventing costly and unnecessary hospital admissions for seniors living with diabetes. 15 Managing chronic illness in this age group by empowering and promoting self-management remains key.…”

“…14 Diabetes mellitus is one of the most commonly cared for chronic conditions in healthcare and is becoming a major challenge for health systems, health professionals, and people living with disease due to the high rates of diabetes and associated complications that contribute to rising rates of disability, morbidity, and mortality. 3,[14][15][16][17] Managing this chronic condition is best accomplished with appropriate knowledge and self-management of the illness process. [2][3][4]16,18 The importance of good and regular foot care as a key element of any self-management plan cannot be understated, especially in the senior population.…”

Foot Self-Care Pada Penyandang Diabetes Mellitus (Dm): Pilot Study Di Semarang

“…Selain itu, air yang direkomendasikan adalah air biasa. Hal ini dikarenakan penyandang DM sangat beresiko mengalami neuropati yang akan menurunkan sensasi pada kaki (Embil et al, 2018). Keteraturan penyandang DM dalam melakukan mencuci kaki menunjukkan hasil yang baik.…”