– 50% – 75% of lower extremity amputation are performed on people with diabetes.
– 50% amputation as preventable
– Three diabetes complication contribute to the risk of foot infections:
– loss of pain and pressure sensation.
– increased dryness and fissuring of the skin.
– Peripheral vascular disease:
– Poor circulation of lower extremity contributes to poor wound healing and development of gangrene.
hyperglycemia impairs the ability to specialized leukocyte to destroy the bacteria.
– Foot assessment and foot care instruction are the most important when dealing with patient who are at high risk for developing foot infection .
– The monofilament test used to assess the sensation in pt with diabetes.
– Adapted with permission from Cameron.
– Monofilaments is gently applied to a bout five pressure points on the foot.
– Semmes-weinstein monofilament used by clinicials.
– Disposable monofilament used by the pt.
– Duration of the diabetes more than 10 years.
– Age more than 40 years.
– History of smoking.
– Decreased sensation
– Anatomic deformities or pressure areas.
– History of previous foot ulcer ot amputation
– Teach the patient proper foot care
– Provide foot bathing in warm not hot water. Drying after washing, and lubricant the feet.
– Feet must be inspected daily detecting any redness or injury or ulceration.
– Toenails should be terminated straight across and sharp corner.
– Wear shoes and socks all the time
– Never walk bare foot
– Wear comfortable shoes that fit and protected the foot.
¡Keep the blood floweing in to your foot :
– put the foot up when sitting.
-wiggle the toes and move the ankles up and down fof 5 min, 2 -3 times.
– don’t croos the legs for long time.
– do not smoking.
– Check with the doctor
The process of the blood glucose any problems.