One of the scholars once said, “Every 30 seconds in the world a diabetic patient loses their limbs.” “This is not an exaggeration! It is the second heart of the human body, with two feet representing less than 2 per cent of the surface area of the body, but contains 26 bones, 29 joints, 42 muscles and 25 muscular muscles, with the burden of supporting the body.
Diabetes is one of the most severe and costly chronic complications. Diabetes is now showing an increase in the cure rate and a marked decrease in amputation rates, but the incidence rate is increasing year by year and is increasingly one of the most serious public health problems. Therefore, early prevention and treatment of foot problems among diabetes patients will be important, that is, we need to be “satisfied” first.
Diabetes is a disease in the foot vascular neurosis of a diabetic person below his ankle, leading to a partial blood supply, an abnormal feeling and ulceration, symptoms of infection, and the severe can affect muscles and bones, causing tissue death and even amputation.
This means that diabetes has three elements: first, it occurs in patients with diabetes; second, there is an ulcer, noma, infection in the foot; and third, there is a combination of neurological and vascular disease to varying degrees. Diabetes is described as a set of syndromes that occur in the feet of patients with diabetes, rather than as a single symptom, because it is caused by a variety of factors and manifestations. If not, it cannot be called diabetes.
To that end, we need to be aware of the obvious symptoms of diabetes at an early stage.
A foot feels retarded and has a cotton feeling.
The neurological changes in the lower limbs can cause the skin of the lower limbs to dry without sweat, and the limbs can be accompanied by stings, burns, numbness, or even a feeling of retardation or loss, which is characterized by changes in the stockings or by a feeling of foot-stepping on the cotton.
2 lower limbs dry, colored, muscle atrophy.
As a result of malnutrition, muscles shrink, the skin becomes dry, elastic and skin temperatures decrease, and the skin color darkens.
Three intermittent cripples and silent pains.
The hiatus occur when the patient walks at a distance and suddenly feels the acidity of one or both sides.
Silent pain is the result of the further development of lower limb vascular disease. It is in an unmoveable state of quiet rest, with pain in the lower limbs due to lack of blood.
There’s an ulcer on four limbs, noma.
The good hair of the ulcer is at the base of the front foot and can generally be divided into neuro-ulcer, ischaemic ulcer and mixed ulcer.
Neural ulcer: This type of foot is generally warm and dry, pains are not obvious, and there are more circulants in the area.
Anesthetic ulcer: sole ulcer, drying, blackening of skin, non-discretion, no edema.
Mixed ulcer: both the neuropathic and the vascular pathologies of the surroundings, which include symptoms of both.
If that is the case, how should we visit? Some hospitals have established multidisciplinary and coordinated diabetes referral centres to which they can go. If this is not the case, it is possible to consult the endocrinology unit first, and then the endocrinologist recommends it to the clinic.
So what do we do for diabetes? Perceptual assessment
2. Surrounding vascular assessment.
3. Double foot morphology and functional assessment
Check for foot deformities and functional impairments.
Thus, it is particularly important to improve the quality of life on the basis of early detection, early diagnosis and early treatment.
In our lifetime, our two-legged path is about five to six laps around the planet. The ancient cloud: “The journey of thousands begins at the foot.” Protect your feet, stay away from your disease.
