Foot skin care and maintenance is an important part of preventing diabetic feet. On the basis of strictly controlling blood sugar and correcting the poor metabolic state, paying attention to foot hygiene and avoiding foot trauma can effectively prevent the occurrence and development of diabetic foot.
Diabetes: Care and Maintenance of Foot Skin
1, Skin care:
Wash your feet with warm water (not more than 35 ° C) and neutral soap every night, and gently dry them with a soft absorbent towel, especially to avoid scratching between the toe seams to prevent minor skin damage. .
After drying, apply lubricating oil (lubricating cream or nutrition cream) and rub it thoroughly to maintain the softness of the skin, remove scales, prevent dry cracks, and no need to rub between the toes. If the skin is tender, rub it with 75% alcohol once a week.
When massaging your feet, start with your toes and work your way up, which is good for blood circulation.
If the toenails are crisp, use traditional Chinese medicine borax every night (one tablespoon per liter of water, about 15g), soak the foot for 30 minutes with lukewarm water, soften the toenails, and then massage the area around the toes with a soft cloth to keep the toenails dry and clean.
Learn to cut your toenails correctly. Do not cut your toenails too short. When cutting your toenails, you must cut them straight and horizontally. You can use a small file to file your nails to smooth the edges of your toenails.
To keep your feet warm in winter, you can wear soft and loose cotton socks. Do not use electric heaters or hot water bottles to dry your feet, so as not to burn your skin. Avoid walking with bare feet and socks.
Some topical drugs are too irritating and must be approved by a doctor before they can be applied to the feet.
2, The care of skin abrasions:
Check in time and find out if there are blisters, cracks and abrasions on the feet. Because foot ulcer infection and gangrene are caused by minor trauma, you should go to the hospital immediately if found.
Keep foot skin clean. When the epidermis on your feet is torn, do not use your nails to tear it. Instead, immediately disinfect it with soap, alcohol, etc., and then wrap it with a disinfected bandage. If you use insoles, you should choose a moderately sized insole to prevent skin abrasion and injury. Seek medical treatment immediately if you have any of the following conditions: congestion, swelling, redness, fever, etc.
It is forbidden to use irritating disinfectant such as iodine, etc. If necessary, gentian ultraviolet rays can be used.
Prevent foot fungal infections. After each foot wash or shower, sprinkle dust powder on your toes to keep them dry. If you have already suffered from athlete’s foot, clotrimazole ointment can be used. Patients with secondary infection of athlete’s foot should use 1: 8000 potassium permanganate solution to wash their feet, 1-2 times / d, and then wipe it with anti-inflammatory ointment and gauze. If necessary, antibiotics should be taken orally.
3, Choose the right shoes:
When buying shoes, first draw the size on the paper and cut out the shoes as the selection criteria. Because people with diabetes have peripheral neuropathy and feel dull, they can’t choose shoes just by feeling.
It is better to choose cloth shoes, because cloth shoes have better air circulation performance, can reduce foot sweating, and cause the risk of foot skin allergies or infections correspondingly reduced.
Avoid wearing high heels should wear flat shoes, because high heels can put extra pressure on the toes, which will affect blood circulation and even cause crush injuries or blisters.
The toe should not be too crowded, and a certain width and length should be reserved to avoid pinching and affecting the peripheral circulation.
When buying new shoes, put a little cotton on the easy-to-friction areas for the first few days. When you first wear them, you should try them on for half an hour to see if any part of the skin has been worn and swollen. If there is no problem, you can gradually increase your wear time.
Always check the inside of the shoes, pay attention to whether there are rough edges, cracks or gravel, which should be repaired and removed immediately.