Foot care for diabetics
American Diabetes Association. Standards of medical care in diabetes -- 201. Diabetes Care . 201;34:S11-S61.
Inzuchhi SE and Sherwin RS. Type 1 diabetes mellitus. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 247.
Inzuchhi SE and Sherwin RS. Type 2 diabetes mellitus. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 248.
Since Joseph had a family history of diabetes, he knew the importance of checking his feet regularly for diabetic foot ulcers. But despite giving careful attention to his health, he still needed to have one of his toes amputated.
Limb salvage expert Dr. Jeffrey Niezgoda of the Center for Comprehensive Wound Care in Wisconsin was able to save the rest of his foot by using a new treatment called Graftjacket . This treatment helps our body to repair the wound quickly by providing immediate coverage to the wound and a way to rebuild the area of missing tissue. The graft incorporates itself into the wound until it gradually converts into the patient's own tissue.
If we have poor circulation and decreased sensation to pain, we sometimes overlook small cuts, blisters, or ingrown toenails. But when they become infected, they can turn into an open wound that's called a diabetic foot ulcer.
One in four people with diabetes who get a foot ulcer will require a lower limb amputati...
Alternative Names Tinea pedis; Fungal infection - feet; Tinea of the foot; Infection - fungal - feet; Ringworm - foot Treatment Over-the-counter antifungal powders or creams can help control the infection. These generally contain miconazole, clotrimazole, or tolnaftate. Continue using the medicine for 1 - 2 weeks after the infection has cleared from your feet to prevent the infection from returning. In addition: Keep your feet clean and dry, especially between your toes. Wash your feet thoroughly with soap and water and dry the area very carefully and completely. Try to do this at least twice a day. Wear clean, cotton socks and change your socks and shoes as often as necessary to keep your feet dry. Athlete's foot almost always responds well to self-care, although it may come back. To prevent future infections, follow the steps listed in Prevention. Severe, ongoing infections that don't respond to 2- 4 weeks of self-care, and frequently recurring athlete's foot, may require further treatment b...
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