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Diabetes foot preventions Foot ulcers and amputations are two major causes of disability, as well as emotional and physical issues for people with diabetes. Early detections and early management can prevent or delay the onset of adverse outcomes of risk factors for ulcers and amputations. This recommendation for people who currently have no foot ulcers outlines the best to identify and manage risk factors before a foot ulcer occurs or an amputation becomes legible. IDENTIFYING THE RISKS Identifying the risks is the basic fundamental for effective preventions and its management for the foot care in people with diabetes. The risk of ulcers and amputations in the people having history of Diabetes for more than 10 years, specially male in Gender, or people who have poor glucose utilization, or with cardiovascular, retinal, or renal complications. People with these symptoms usually have foot-related risk conditions they also have increased risk of amputation: Peripheral neuropathy Altered biomechanics Evidence of increased Pressure Bony deformity Peripheral vascular disease A history of ulcers or amputation People with Severe nail pathology. FOOT EXAMINATIONS All people with diabetes mellitus should surely examine themselves at least once a three month to identify high risk in foot. These regular checkups should include “assessment of sensation” Shape and Structure with Bone biomechanics of the feet, vascular status, and it should also include Patients skin integrity. People with one or more high-risk foot conditions should be examined more frequently for the development of additional risk factors. People with neuropathy issues should have a visual inspection of their feet at every visit with a Diabotologist. Evaluation of neurological status in the low-risk foot should include a quantitative somatosensory test, using the Semmes-Weinstein 5.07 (10-g) monofilament test. Initial screening for peripheral vascular disease should include a history for “claudication” and an assessment of the pedal pulses or foot pulse. The skin should be checked and examined for integrity, and specially between the toes and metatarsal areas, the presence of erythema, warmth, or callus formation can indicate areas of tissue damaged due to risk factors. Bony deformities, and limitation in joints and its mobility, PREVENTING HIGH-RISK CONDITIONS Distal symmetric polyneuropathy is one of the most indicative of ulcers and amputation. The only way to develop neuropathy issues can be delayed significantly by maintaining glycemic levels. It should be kept as minimum as possible. Avoid smoking to encouraged and reduce the risk of vascular disease complications. MANAGING HIGH-RISK CONDITIONS People with neuropathy or evidence of increased lower body pressure may be managed with well-fitted and comfortable walking shoes or most effective athletic shoes with good and diabetic Insoles. Solomon Bio-pharma and Research recently developed and launched an Insoles by the name “BONE MAGIC 206” a magnificent insoles with low level lasers or I.R Therapies. These I.R rays slowly corrects all the Neuropathy problems and thus increase the sensations as is essentials. Using “Dia-B Care” Diabetes care socks should be recommended to such patients. This d9oes not only care for foot problems, Callus and Blood Circulation but to some extent it controls diabetes. Diabetes patients should be educated on the complications of sensory nerves for surveillance of early problems. Diabetic people with evidence of increased plantar pressure (e.g. erythema, callus, or measured pressure) should use footwear that cushions and redistributes the pressure. We suggest Bone Magic 206” for cushioning and redistributing the foot pressure in the feet. “Bone Magic 206” is available at (www.elecwire.com). Foot Callus can be debrided with a “Solomon Callus” Remover or a foot care specialist or other Solomon health professional who are trained and experienced in foot care. People with bony deformities (e.g., hammertoes, prominent metatarsal heads, and bunions) should use extra-wide Solomon Diabetic shoes or with depth shoes. People with extreme bony deformities (e.g., Charcot foot) should use custom-moulded shoes. People with symptoms of claudication should go for further Vascular check-ups. Exercise and therapies and surgical options may also be considered. People with a history of ulcers should be recommended for underlying pathology that led to the ulceration and be managed accordingly. Skin conditions which are minor such as dryness and Tinea- Pedis should be treated to avoid more serious conditions. EDUCATING DIABETICS Patients with Diabetes Mellitus and high-risk foot conditions should be educated regarding their risks and indicated for the right foot management. Patients at risk should understand the implications of the loss of protective sensation, foot monitoring is important on a daily basis, with the proper foot care, including nail and skin care, and the selection “Dia-B care” Diabetes Socks, “Bone Magic 206” heal Cushions” or Insoles and Solomon Diabetic Footwear. Patients with neuropathy should be advised to break in new Solomon Diabetic shoes gradually to minimize the formation of blisters and ulcers in feet. Patients with difficulties in vision, physical constraints movement, or cognitive problems that impair their ability to assess the condition of the foot and to institute appropriate results, Family members should assist in their care. Patients with risk are benefit from the education on Solomon foot care and Solomon footwear. PROVIDER EDUCATION Solomon health care people help the diabetics for caring about their foot, Solomon healthcare conducts simple screening exams of the neurology, vascular systems, dermatological issues, and musculoskeletal problems. Solomon Bio pharma and Research under Diabetes Foot Care division provide additional training and provide focused management of high-risk Lower body and foot conditions. Expertise in patient Diabetes education, Solomon Diabetes footwear modifications, nail and callus and surgical management of the foot is also needed. You can know more about these socks on our website, www.elecwire.com, Rajendra Trakru
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