The diabetic foot, causes and remedies of this side effect of hyperglycaemia

The diabetic foot, causes and remedies of this side effect of hyperglycaemia

Hyperglycaemia and feet

In the West, Mellit or diabetes is the leading cause of amputation of the legs of non-accidental origin

The feet of diabetic people must receive superior measures compared to the feet of normal-glycemic people, because they can be the starting point for serious problems and a significant reduction in the quality of life. Taking care of your feet on a daily basis is therefore important for a diabetic person, and this implies the choice of shoes and socks tested for them.

The feet, a primary target for diabetes

Chronic diabetes-related hyperglycemia has important implications for the body of those affected by it in the medium and long term: it damages the blood vessels (arteriopathy) and nerves (neuropathy) , in particular those of the lower limbs. All these complications can occur simultaneously in the feet and cause what specialists call the diabetic foot .

  • Arteriopathy : diabetic vascular disease, i.e. a cardiovascular complication that involves the narrowing of blood vessels which reduce the supply of oxygen and energy to different parts of the body. Blood circulation thus becomes less efficient, in particular at the extremities and the appearance of pain, swelling, redness, characteristic signs of poor circulation can be noted;
  • Diabetic neuropathy is a complication of diabetes which damages the nerves, usually those of the feet and hands. Causes tingling, unusual sensations, pain and progressive loss of sensation.

The latter in the feet is particularly dangerous because the patient does not notice injuries and infections , which can therefore progress without being noticed, and thus cause irreparable damage to the limb.

Hyperglycaemia and feet
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Diabetes and foot care: the right choice of shoes and socks

The smallest lesion from diabetic neuropathy can cause a serious infection in people with hyperglycemia, it is essential for them to pay particular attention to the well-being and protection of their feet. In addition to medical monitoring and annual consultations with the podiatrist, the diabetic patient can take daily care of his feet, to limit the risk of complications by wearing diabetic socks and the right footwear.

In particular, it is advisable to prefer cotton socks, avoid at all costs synthetic fiber socks, which can promote maceration and not take too tight ankle socks, finally change the socks every day, even several times a day when it is very hot.
Making sure that the socks do not compress the foot or calves so as not to obstruct blood circulation is essential. In diabetics who have venous problems that cannot be resolved with these measures, the doctor may prescribe compression stockings . Put already from the first awakening in the morning, they promote venous return and can prevent swelling of the lower limbs.

To reduce the risk of more serious damage, such as amputations , constant therapy is essential, to be carried out in conjunction with periodic blood glucose tests and all other tests prescribed by your doctor.

Keep diabetes under control by always starting from the diet

The diabetic foot is only one of the side effects of diabetes, therefore its cure inevitably starts from the cure of the pathology itself. Although there is no therapy capable of wiping out this often disabling disease, constant drug treatment allows the patient to lead a regular life by living with it without major limitations. But since diabetes is caused by a glycemic decompensation, or hyperglycaemia, the diet is essential to keep it at bay. For diabetic patients it must be limited in the consumption of sugars and saturated fats, try to be regular in meals, avoiding going from fasting to large binges, to keep the glycemic index always in the healthy range.

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ultimo aggiornamento: 13-02-2020

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