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DIABETES AND THE HEALTH OF THE FOOT
Diabetes is a hormone disorder affecting around “2million people in the UK today” reported Diabetes UK in March 2007,with the increasing incidence attributed by many experts to the growing obesity problem in children and adults.
Diabetes affects many body systems including the kidneys, eyes, heart / circulation and nerves. Foot problems are some of the more commonly seen causes for hospital admission in this group of people. It is, therefore, of paramount importance that the feet are looked after and greater awareness is placed on daily hygiene routines.
Observation of the skin, for example colour and texture is vital - use a good emollient such as aqueous cream or one recommended by your podiatrist. Skin integrity is important too, look out for cuts or abrasions - a hand mirror is useful to observe under the foot.
The shoes should be wide and deep at the toe box, preferably soft- topped with a lace-up or Velcro fastener and not higher than 1 to 1.5 inches. The shoe should be examined inside for loose stones, grit, and nails etc, which have the potential to harm the foot.Make sure linings are intact to prevent blistering.Hosiery is important too, so make sure there are no seams in socks and tights (or wear them inside out!) and that the fit is good and not tight.
The patient should visit a Chiropodist/Podiatrist who is a member of the Health Professions Council on a regular basis for nail care and the careful reduction of callus formation, along with circulatory and neurological testing and assessment. This will involve checking leg and pedal pulses for adequate blood flow for a healthy foot as well as perceived sensory testing in the toes, foot and lower limb (e.g blunt/sharp, vibration, soft touch etc).Any sensory loss will obscure the feeling of injury or trauma. Inappropriate footwear is the cause of many foot problems like corns, which can if left untreated, break down and ulcerate.Healing may be delayed because of impaired circulation. The long- term effect of this sort of problem can, in some cases, require surgery and even amputation!
Whether you are an insulin- dependent diabetic or you are being treated with tablets or by diet control, regular foot health checks are very important. Contact your GP for an NHS appointment or private podiatrist near to you and keep those feet walking!
For further information on foot healthcare, products and services go to www.pinkfeet.co.uk
Kate Millns BSc (Hons) DPodM MChS Chiropodist/Podiatrist
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