Diabetes and the Foot. Introduction Diabetes can cause foot problems. Some of these problems can...
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Transcript of Diabetes and the Foot. Introduction Diabetes can cause foot problems. Some of these problems can...
Diabetes and the Foot
Introduction
Diabetes can cause foot problems.
Some of these problems can occur
because the nerves and blood
vessels supplying your feet are
damaged.
Pins & Needles Numbess Tingling Burning sensation
Cold to touch Dry skin Thickened, crumbly nails Pale in colour Unable to walk long distances without
getting pain in the calf muscles
High arched foot Prominent balls of feet
• The feeling in your feet (peripheral neuropathy)
• The circulation in your feet (Ischaemia)
• Your foot posture and structure
• Neuropathy
• Circulation
• Foot Posture
Diabetic Foot Complications
LOW RISK
• Annual foot screening carried out by the
Practice Nurse
AT RISK
• Monitored by the Community Podiatry
Service
ACTIVE PROBLEM
• Referred to the Specialist Podiatrist in
Diabetes and care is shared with
community podiatry
What happens in Walsall...
NICE GuidelinesLOW RISK INCREASED RISK HIGH RISK ULCERATED
Pulses in the foot are palpable and the patient has sensation in both feet.
One or more pulse is not present or the patient can not feel parts of their foot.
One or more pulse is not present and the patient can not feel parts of their feet.
The same as high risk but the patient will have an active ulceration.
Annual review to include foot care education can be completed by the Practice Nurse
If the patient has corns or lots of hard skin, problematic toenails they will be referred to the Community Podiatry service
The patient will be referred to the Community Podiatry service for assessment and treatment as required.
The Specialist Podiatry in Diabetes will see these patients until their ulceration has healed and then care will be shared with Community Podiatry
Nice Guidelines (CG10) Type 2 Diabetes Foot Problems: Prevention and management of foot problems, January 2004)
Looking after your feet…
• Check your feet everyday• Wash your feet everyday• Moisturise your feet everyday• Toenails• Socks stockings and tights• Avoid walking barefoot• Check your shoes• Badly fitting shoes• Minor cuts and blisters• Over-the-counter corn remedies
Any questions?
Thank you for listening