Caring for the feet of diabetic
The combination of dry skin, loss of sensitivity and poor circulation increases the risk of foot infections in diabetics. The main complication is what is known as diabetic foot. It is defined by the destruction of foot tissue1. Left untreated, this wound can become infected by micro-organisms, have difficulty healing and, in the case of gangrene, lead to amputation. It is estimated that 10% of diabetics are at risk of amputation.
It is also considered that the majority of these amputations could be avoided, mainly through better prevention and more appropriate daily care2.
Our main recommendations for preventing foot infections in diabetics
WASH
feet daily
Why?
To prevent the risk of infection
How?
Using a mild soap, dry them meticulously, insisting between the toes. Avoid soaking feet for more than 10 minutes, and avoid hot water.
MOISTURIZE
skin at least once a day
Why?
To prevent or reduce the formation of calluses and cracks, which can be a gateway to superinfection.
How?
with a suitable cream
FILE
nails regularly
Why?
To prevent the risk of infection
How?
Use a nail file rather than scissors or nail clippers to prevent any risk of injury. They should be no shorter than the tip of the toe, to protect against impact.
Application of Dexeryl emollient cream
1 to 2 times a day
1
Apply to clean, dry skin
2
Use a cleansing product that does not dry out the skin
3
For external use only. Do not apply to wounds, mucous membranes or eyes. Do not swallow.
How to prevent the risk of foot infections in diabetics?
The appearance of corns or calluses should be carefully monitored and gently treated. If in doubt, consult a pedicurist.
Wear cotton or soft socks to avoid maceration and rubbing. For circulatory problems, opt for compression socks or stockings.
Adapt your choice of shoes: they should be closed to protect forefoot as much as possible, wide at the toe and seamless in sensitive areas of the foot. There are specific shoe ranges for diabetics.
It's important to examine your feet every day, even if there are no symptoms. This ensures that there are no wounds (even the slightest), fungus, blisters, etc.
Finally, we recommend that diabetics have their feet examined by a doctor at least once a year. In addition to looking for sores, the doctor will assess the sensitivity of the feet and legs, reflexes and muscle strength.
In case of doubt, consult a doctor as soon as possible, so that any silent complications can be rapidly detected3.
Terms of use
1 - https://www.revmed.ch/revue-medicale-suisse/2015/revue-medicale-suisse-477/pied-diabetique-infecte-du-diagnostic-a-la-prise-en-charge
2 - Bristow I (2013) Emollients in the care of the diabetic foot. The Diabetic Foot Journal 16: 63-6
3 - https://www.ameli.fr/assure/sante/themes/diabete/diabete-symptomes-evolution/complications-pieds
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