Diabetes is a serious and potentially serious complication of diabetes. It not only inflicts great suffering on patients but also poses a serious threat to their health and quality of life.
Diabetes is defined as foot infections, ulcer and/or deep tissue damage caused by neurological and vascular conditions in the lower limbs. Diabetes patients are chronically in a state of high blood sugar, which can damage their nerves and blood vessels, reduce their feet and lead to poor blood circulation. This can easily lead to an undetectable foot injury, which is difficult to heal, leading to serious infections and ulcer.
If diabetes is not treated in a timely and effective manner, there may be serious consequences, such as amputation. According to statistics, every 20 seconds there is a case of diabetes that is amputated by diabetes. This entails not only physical disability but also a heavy psychological and financial burden on patients and their families.
Diabetes is caused by neuroses and vascular and infections.
High blood sugar can damage the neurological surroundings, leading to loss or erosion of the foot. Patients may be unable to feel pain, temperature change and stress, which makes the foot vulnerable. For example, a patient may walk accidentally on a sharp object without knowing it, or wear inappropriate shoes resulting in pressure on his feet and injuries.
Diabetes can affect lower limb vessels at the same time, leading to a narrow and constricted vein, causing poor blood circulation. As a result, the foot tissue was not provided with sufficient oxygen and nutrients to heal the wounds. At the same time, poor blood circulation can reduce the immunity of the organism and increase the risk of infection.
Once a foot injury occurs, bacteria can easily enter and reproduce, thereby causing infection. Due to the relatively low immunity of diabetes patients, infection is generally difficult to control and easily spread. Common infectious pathogens are yellow grapes, streptococcus, etc.
Early diabetes can be manifested in an abnormal feeling of foot, such as numbing, stinging, burning, etc. Patients may feel that their feet are dry, lacerated, or that there are changes in foot colours such as pale, purple, etc. In addition, patients may suffer from foot muscle atrophy, weakness, etc. And with the development of the condition, even ulcer occurs in the foot. The ulcer can be shallow, it can be deep, it can even exhaust bones. Symptoms such as pain, red and red, seepage are usually associated with ulcer. If the infection is not controlled, it can spread to the entire foot, and it is more likely that the infection will spread to the whole body and develop into noma. Once noma occurs, it often requires amputation to control the condition.
Prevention of diabetes mellitus control of blood sugar is key. Patients should strictly follow the doctor ‘ s advice to control diets, exercise and medication, so as to keep blood sugar within normal limits. Co-workers regularly monitor blood sugar and adjust the treatment programme to changes in blood sugar.
It’s also for foot care.
(1) Daily examination of the foot: examination of the foot for abnormalities such as wounds, water bubbles, red and red.
(2) Keep your feet clean: water washes your feet every day, and water is not too hot to avoid burns. Wash and dry with clean towels.
(3) Choose the right shoe: The shoe should be of the right size and avoid squeezing.
(4) Correctly trim fingernails: Regularly trim nails and be careful to avoid skin cuts.
Diabetes patients should undergo regular foot examinations, including for foot feelings, blood circulation, etc. In the event of an anomaly, medical attention should be provided in a timely manner. In addition, patients should undergo a full physical examination on time to detect and deal with other complications of diabetes in a timely manner.
Diabetes is treated with basic, partial and surgical treatment. Basic treatment includes the control of blood sugar, anti-infection treatment and improvement of blood circulation; partial treatment includes the treatment of wounds and decompressive treatment; for severe diabetes-poll patients, such as noma, infections that are difficult to control may require surgical treatment, such as amputation.
Diabetes is a serious complication of diabetes that needs to be given high priority by patients. The incidence of diabetes can be effectively prevented through measures such as controlling blood sugar, strengthening foot care and regular screening. In case of symptoms of diabetes, treatment should be provided in a timely manner and regulated to avoid deterioration.
References:
[1] Guide to the Prevention and Control of Diabetes Diabetes (2019 edition). China Medical Society Diabetes Chapter, China Medical Society Infectious Diseases Chapter, China Medical Society Organization of Rehabilitation and Regeneration Branch.
