Gangrene (Decay Of Body Tissues)

Many diabetics, more so the elderly, suffer from poor circulation and dulled sensation of the feet which could make their healing powers and resistance to infection very poor. This could make them unduly liable to gangrene, or serious complications from what might seem trivial causes. In general, cleanliness is most important. If skin is dry and scaly, rub in a recommended cream, if toes press and tend to rub each other, pad in between with cotton wool. Cut nails carefully straight across when soft after washing, and clean any dead skin away that might be present. If you have poor eye sight then someone else should cut your nails for you. This will help alleviate any fears you may have of cutting yourself.

Good Footwear

It is highly recommended that shoe’s are large enough to not pinch when a large thick sock is worn, but not loose enough to cause blisters or to rub. Boots laced tightly round the ankles impede circulation and are not recommended. Diabetics who also suffer with hammer toes and other problems of the feet require surgical advise from time to time, some may need special footwear. Never walk bare-footed, especially at night, for fear of grazing or stubbing your toes.

Heat… Cold…

Some other things to be aware of are heat and cold. When taking a bath always test the water with your elbow and not your foot. This is because the feet can be insensitive to heat or cold. It is not a good idea to sit with your feet in front of heaters to warm them up as this could prove dangerous. Cold from wet feet or frost may lead to gangrene. Sensible shoes should be worn in severe weather conditions.

Corns, calluses and ingrowing toe nails will cause problems for the diabetic and should never be treated by the sufferer themselves, or by their friends. Do not attempt to pick, cut, or use corn plasters etc. A qualified chiropodist should do this treatment for you and be informed that you are diabetic. Fungus infection between the toes should be treat by your doctor. Never neglect any pain, throbbing, discolouration, or swelling seek medical advise at once. Try not to put any weight on the foot, if this can not be avoided wear a soft slipper use well padded crutch’s to get around.