| |
|
|
|
|
It is essential to thoroughly evaluate and periodically manage the diabetic
patient. We know that diabetics can specifically have impaired circulation,
reduced sensation, and a greater tendency to develop infections, ulcerations
and other skin problems. Early detection, periodic monitoring, and judicious
care are essential in the prevention and management of diabetic
complications. The lower legs and feet are primary locations for these
problems to occur. Professional care and supervision can be highly effective
in minimizing the complication tendencies of patients with diabetes.
Periodic care for these
patients can range from a simple examination of one's feet to more involved
treatments of such problems as diabetic arthropathy (diabetic arthritis),
peripheral neuropathy (loss of feeling), vascular complications, and
ulcerations. The podiatrist will examine the feet to make sure that there is
adequate blood supply and sensation (feeling) to the feet. A decrease or
loss in one or both can lead to infection and potentially more serious
problems. In many cases, the podiatrist will involve by referral, other
medical specialists to participate in the total team approach to managing
the existing diabetic problems.
Many diabetics are seen
by their foot specialists on a periodic basis for general foot care. It is
important to keep the nails properly trimmed so that they do not become
ingrown and cause infection. This is important as many diabetics can not
fight infections as well as people without the disease. Also, the skin of
diabetic patients is thinner and more susceptible to injury than that of
non-diabetic persons. It is important to reduce the calluses to relieve
pressure over the bony prominences of the feet. If there is too much callus
build-up, the skin may break down and lead to an ulceration. An ulceration
can become infected and possibly lead to more serious consequences requiring
more involved care.
|
