DIABETIC FOOT CAUSES SYMPTOMS,AND IT TREATMENT.

_A diabetic foot is any pathology that results directly from peripheral arterial disease (PAD) or sensory neuropathy affecting the feet in diabetes mellitus; it is a long-term or (“chronic”).
complication of diabetes mellitus includes Presence of several characteristic, diabetic foot pathologies such as infection, diabetic foot ulcer and neuropathic osteoarthropathy is called diabetic foot syndrome.

WHAT ARE THE CAUSES OF DIABETIC FOOT?
Diabetic foot ulcer result from the simultaneous action of multiple contributing cause.the major underlying causes are noted to be peripheral neuropathy and ischemia from peripheral vascular disease.the most commonly causes of diabetic foot are poor circulation ,high Blood sugar [hyperglycemia] nerve damage.irritated or wounded feet. People with diabetes are prone to foot problem that develop due to prolong period of high blood sugar level.diabetic neuropathy and peripheral vascular disease are the two main foot problems that occur and both can have serious complication.Therefore the guidelines includes

√By inspecting your feet daily.
√Bath feet In lukewarm, never got water.
√Be gentle when bathing your feet.
√Moisturize your feet but not between your toes
√Cut nails carefully
√Never treat corns and calluses yourself
√Wear clean ,dry socks.
√Consider socks made specifically for patients living with diabetes.

WHAT ARE THE SIGNS AND SYMPTOMS OF FOOT DIABETIC?
The sign and symptoms of diabetic foot include the following:
•change in skin color
•change in skin temperature
•swelling in the foot or ankle
•pain in the leg.
•open sore on the feet that slow to heal or are draining.
•ingrown toenails or toenail with fungus
•corns or calluses
•Dry crack in the skin, especially around the heel.

.RISK FACTOR OF DIABETES FOOT
Several risk factors increase a person with diabetes chances of developing foot problems and diabetic infections in the legs and feet.

Footwear: Poorly fitting shoes are a common cause of diabetic foot problems.
If the patient has red spots, sore spots, blisters, corns, calluses, or consistent pain associated with wearing shoes, new properly fitting footwear must be obtained as soon as possible.
If the patient has common foot abnormalities such as flat feet, bunions, or hammertoes, prescription shoes or shoe inserts may be necessary.
HOW DO THE MICROORGANISMS ENTER THE FOOT?
Microorganism is the things that can complicate the foot ulcer.it most commonly enter the foot through an open wound.Bacteria enter the foot through crack created by *tinea pedis* (in the webbed space between the toes) paronychia,or direct puncture.most diabetic foot ulcer is due to a combination of neuropathy {both sensory and motor}and vascular insufficiency.these ulcer are found in the area of the foot where repeated mechanical stress occurs.

HOW DOES DIABETIC FOOT FORM?
Diabetic foot usually form because of a combination of factors ,they can be form because of trauma,poor circulation,foot deformities,lack of sensation in the foot or irritation (such as pressure or friction ) it’s also dependent on the duration of diabetes as well.
HOW LONG DOES A DIABETIC FOOT TAKE TO HEAL?
A diabetic foot has a variety of causes,often including peripheral ischemia neuropathy or both.ulcer healing takes weeks or month and one-third of ulcer never heal with amputation as the consequences.

WHEN IS LIMP AMPUTATION INDICATED?
Limp amputation is not indicated in all cases of diabetic foot.as healing does not occur in the presence of necrotic tissue or poor vascularity,surgical consultation and intervention is out to restore the function of the foot.

HOW SHOULD A DIABETIC FOOT BE TREATED?
You should immediately seek the help of medical professionals at Adebayo living tower hospital after you spot an ulcer on your foot. Patient with diabetes should seek treatment for foot ulcers otherwise it can further complicate the disease and lead to unwanted consequences such an amputation or sever infection. A diabetic foot ulcer left on treated is very vulnerable to getting an infection when a foot ulcer is infected,it can develop into an abscess (a pocket of pus) or a spreading infection of the skin and cellulitis, or a bone infection or a gangrene [area of dead tissue cause by poor circulation]. treating a foot ulcer early can reduce health care cost improve quality of life and function of the body.

*CAN A PATIENT WITH DIABETIC FOOT INFECTION BE TREATED IN THE HOSPITAL* ?
YES: At Adebayo living tower hospital patient who have non-limb threatening infection can be treated in our hospital using an oral agent, patient who have mild superficial infection can also be treated in the outpatient setting. Most of the patient will not have a very complicated case of ulcer.

IS DIABETIC FOOT CURABLE?
Diabetic foot infection are frequent clinical problem, properly manage most can be cured,but many patients needlessly undergo amputation because of improper diagnostic therapeutic approach.

*WHEN SHOULD I SEE MY HEALTH CARE PROVIDER ABOUT MY FOOT PROBLEM* ?
Call or visit Adebayo living tower hospital right away if you have this following.
•A cut,blister or bruise on your foot that does not start to heal after a few days.
•Skin on your foot that becomes red,warm or painful sign of possible infection
•A callus with dried blood inside of it,which often can be the first sign of wound under the callus
•A foot infection that becomes black and smelly sign you might have  gangrene.

HOW DO I PREVENT A DIABETIC FOOT?
There are several ways of preventing a diabetic foot ulcer. The most obvious way is to maintain a healthy life,which involve reducing factors that increase the risk of developing an ulcer such as high blood glucose and high cholesterol.it is also means that one should quit smoking and/or drinking as it only make your body more vulnerable to disease and you also visit Adebayo living tower hospital on regular basis and consult with us to make sure that you are wearing appropriate type of shoes and socks,and also do a daily routine check for potential problem such as bruises, blister, redness e.t.c you should immediately report a problem to our medical professionals at _Adebayo living tower hospital_ no matter how trivial it may seem.
Our clinical trial are always look for new ways to prevent,detect,or treat disease and also looking at the other aspect of care,such as improving the quality of life for people with chronic illnesses.

OUR TEST AND DIAGNOSIS ON DIABETIC FOOT AT ADEBAYO LIVING TOWER HOSPITAL
People with diabetes must be fully aware of how to prevent foot problem before they occur to recognize problems early,and to seek the right treatment with us at Adebayo living tower hospital when problem occur.
Although treatment for diabetic foot problem has improved prevention including good control of blood sugar level which remain the best way to prevent diabetic complications.
People with diabetes should learn how to examine their own feet and how recognize the early sign and symptoms of diabetic foot problem.

I.C.T DEPARTMENT
ADEBAYO LIVING TOWER HOSPITAL
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