Daily Medical Advices

In all the long-term complications that diabetes can cause, the effect on blood vessels (arteries) and peripheral nerves are the most common.

Involvement of the arteries causes the blood supply to certain organs evil arrives and extremities, causing undesirable effects, such as injuries to occur more easily, and delayed or poor healing of the same, if complicated by infection (also more common in diabetes), can reach the loss of fingers, the foot, and even the limb.

The nerve involvement results in decreased sensitivity, which in turn favors the occurrence of injuries with greater ease, not having the defense mechanism of pain, which will retire the end of the injurious element (eg. A source near heat).
They can also produce pain syndromes.

The factors that prevent these problems, there are two, the figures keep blood glucose (blood sugar) as normal as possible, since it is known that the damage occurs with persistent high blood glucose levels, and local care of the extremities , especially the feet, avoiding the local factors that contribute to the onset of injury or worsen them.

To maintain adequate levels of glucose, in addition to diet and treatment is essential practice of aerobic exercise (eg. Walking 60 minutes a day on level ground), which also help lower blood sugar levels by eating sugar , improves the circulation of the limbs, to help open up new blood vessels in the extremities. This is extremely important if there is already a prior circulatory deficit, since these collateral circulation can supply the obstructed vessel.

Must also avoid smoking because it causes injury on blood vessels added.

Regarding the local maintenance of the feet, follow a few steps carefully:

• Periodic review of the feet, looking for abrasions, calluses and wounds. If there are calluses, not trying to eliminate us, but go to a professional podiatrist.
• Trim nails regularly, avoiding rush much to prevent injury (use blunt scissors). To avoid injury from the tips of the corners, be adjusted by using a nail file.
• proper hygiene, wash daily with warm water (about 37 º C) and mild soap. Then dry with a soft towel or cotton cloth without rubbing, and best, dried with the dryer, to avoid any moisture between the toes, which favors abrasions and fungal superinfection. The dryer should be used to smooth temperature to avoid burns.
• You can use a soft, lanolin cream for the hardships of the heel, but never put it between your fingers (and humidity promotes fungal superinfection).
• Change socks daily, and are breathable (cotton or wool). They should not have bands to adjust, to avoid injury because of pressure from these bands. No riding without socks as the shoes can cause friction and minor injuries.
• The shoe should be comfortable, without causing scratches, but not too loose, and no high heels. They must be of quality leather (breathable best), never plastic, as recocerán feet and promote fungal colonization. It should have several pairs, to ensure an adequate replacement and maintenance of footwear. If you are new, use only a few minutes each day to get used to and that is going soft.
• Avoid being near sources of heat (heating) can inadvertently cause injury.
• It is also important to consider the environmental temperature before leaving the home, keeping your feet are cold or too hot to pass.
• In case of foot injuries occur, or simply reddening drawing attention to the occurrence of any injuries in the future, check with your doctor.

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