In Italy there are more than 5 million with diabetes who, every day, risking blindness, dialysis , amputation of one or both limbs, and sometimes even death . It is a silent epidemic that erodes from within, degenerating into a progressive way the different organs and tissues . The most common cutaneous complication , especially among the neuropathic and arteriopathy , is the diabetic foot . Through this guide, without encroaching on medical opinions, we will explain briefly what it is and how you can prevent it, or rather delay the appearance, with some simple precautions .

foot_s

The diabetic foot is a serious complication of glycerin, which requires a strong social impact, those affected to continuous hospitalization, the considerable costs. The risk more alarming is the amputation of the individual fingers or above the ankle. L ‘hyperglycemia, due to diabetes , cause morphological and functional alterations of the skin and blood vessels, degenerative type. At the level of the skin, in fact, the dermis that covers the plantar area becomes more rigid, compact and little elastic losing its natural sensitivity, giving origin to thickenings callused. The superficial part of the foot (which includes the fingers, for instance), however, undergoes a weakening of the fibers of anchorage, leading to a predisposition to the occurrence of easy abrasion , even after only a minimum rubbing .

A poor oxygenation of tissues is the cause that determines the difficulty in regeneration of healthy epithelium, where ulcers are present. This is because even the blood vessels undergo, in time, of the thickenings, obstructing the normal blood flow. When the abrasions give life to bubbles, these breaking, will infect becoming abscesses that, in addition to erupt on the surface, as well affecting tendons, joints and bones.

The prevention in diabetic subjects is crucial. It is therefore recommended as an everyday activity, inspection of the skin, especially between the spaces between the toes, looking for suspicious injuries. In this case, you must promptly contact your dermatologist for specialist examination. Do not care “do it yourself” to avoid worsening the clinical picture. It is useful to follow some precautions to slow the onset of the disease, starting with the shoes. They must be comfortable, soft, light and above all without internal seams. Shoes with high heels , pointed or rubber may encourage the process of maceration of the skin and accentuate overload at the expense of the sole of the foot, giving rise to calluses that may become infected .

The socks should be specific to diabetic and non-elastic. Made frequent foot baths and at temperatures no higher than 30-35 °, unlike the skin could be exposed to infection. The feet should be dried thoroughly, especially between the inter digital spaces. It would be equally useful massage them with creams or lotions in order to soften any hardening of the epithelium. In the case of hypermarkets, remove with special limes avoiding collision products, which could cause abrasions. Avoid to walk barefoot .