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