Ben Wang March 09 hearing, really terrible diabetes is its complications, such as diabetic foot, cardiovascular disease. According to statistics, 12.4% of the total hospitalized diabetics were hospitalized for diabetic foot, and 7.3% had to amputate. Therefore, almost every doctor will suffer from diabetes: "Be sure to protect your feet."
Diabetic people suffer more from "foot"
Diabetic foot is a disease of legs and feet caused by diabetes, which is generally divided into the following types:
Diabetic peripheral neuropathy: The peripheral nervous system divides the sensory and motor nerves. If the former is damaged, sensation of ant movement, acupuncture, etc., or feelings such as gloves and socks may be reduced, or sensation of sensation, pain or the like may occur. If the latter develops lesions, the corresponding innervated muscles will atrophy and become weak.
Diabetic peripheral vascular disease: The prevalence of the disease is 2-4 times higher than that of non-diabetic people. The disease involves the lower extremity arteries, resulting in pain in the lower extremities, or leg pain after exercise. In severe cases, it can lead to gangrene.
Diabetic foot: manifested as foot pain, ulcers, gangrene, etc., is often the result of a synergistic effect of ischemia, neuropathy, and infection.
Diabetic osteoarthropathy: This type of lesion has a high age of 50-59 years. The longer the course of the disease, the higher the risk of poor blood glucose control. The most easily affected joints are in the feet, and sometimes both feet develop. Due to complications often accompanied by neuropathy, the depth of the patient's perception of diminished or even lost, so often no obvious pain, can not be found early, delay the disease.
Daily care is important
Although the foot lesions of diabetics sound more serious, if they can be used for early prevention and treatment, more than 90% of the amputation caused by diabetic foot can be avoided.
Daily care: Wash your feet with warm water, neutral soap, try not to soak your feet, gently dry with a soft, absorbent towel and lubricate with a lubricating lotion. But be careful to wipe the skin between the toes. Trim nails not too short, do not cut nails with sharp weapons at both ends. Whether it is indoor or outdoor, do not wear bare feet to prevent foreign bodies from damaging the skin.
Always check: Get into the habit of checking your feet daily to see if the skin's color, temperature changes, corns, blisters, or chapped. If the skin is dark red, cold, dorsal and dorsal arterial pulse behind the weakened or disappeared, or the foot dry skin without sweat, hair all should be vigilant.
Choose the right footwear. The shoes should be wide at the front, feel no squeezing or friction, and the air permeability of the upper is good. Use soft leather or cloth shoes as far as possible, preferably flat shoes with flat heels. Socks should be absorbent, breathable, soft and warm, light-colored pure wool or cotton, socks waist should be loose, to avoid holes or patches, and should be changed every day.
Timely treatment. For small blisters and minor abrasions, they should be washed with neutral soap and then wrapped with sterile gauze to avoid the use of strong stimulants such as iodine. If the wound does not heal for two or three days, or there is congestion, swelling, or redness, Seek medical attention as soon as possible.
Steady control of blood sugar is fundamental
Of course, because the root cause of diabetic foot is fluctuating hyperglycemia, it is most important for people with diabetes to prevent serious foot problems from reaching a stable blood glucose level. Don't forget to use insulin intensive therapy in patients with type 1 diabetes; patients with type 2 diabetes should not forget to use TAILUO insulin sensitizers that can reduce insulin resistance and have a stable effect on blood glucose. To ensure stable blood sugar levels.
Xuanwu Ling, Department of Endocrinology, Xuanwu Hospital, Capital Medical University, pointed out that insulin sensitizers have a significant effect in improving insulin sensitivity, protecting pancreatic β-cells, and delaying the progression of disease. If these types of drugs can be reasonably used during the initial stage of type 2 diabetes, Not only can save the cost of treatment, a considerable part of the patient's condition can be reversed and healed.