Feet and Diabetes
Living with Diabetes
Take care of the pair
Cameron Kippen Podiatrist
Diabetes and Complications The CirculationThe Nerve Supply
Symptoms Cramps Pain Cold
SymptomsNumbness 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 SupplyPeripheral Neuropathynumbness or insensitivity to pain or temperaturea tingling, burning, or prickling sensationsharp pains or crampsextreme sensitivity to touch, even light touchloss 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 footWashing the feet
Hand hot water (46 degrees C)
Saline Footbath
Ten minute wash
Apply hand cream
5
Foot morphology & locomotion
Symmetry
Pivot points and high pressure areas
Ulcers and amputation
Muscle wastage
Abnormal walking patterns
Rogues GalleryGood footBad foot
Rogues GalleryDry skinCallus
Rogues GalleryCornsCorns and callus
Rogues Gallery Moist Skin
Rogues GalleryIngrown Nails Damaged Nails
Rogues GalleryUlcersFirst 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 FlowNerve Testing PressureVibrationReflexes
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
Dont kid(ney) around