Diabetes oftencause complications in the form of ulcers on the legs. If diabetic foot care is not done properly, this ulcer will get worse fast because poor blood circulation. Therefore, diabetics need to truly understand how mtake care of feet and ulcers on his feet.
Handling by a doctor needs to be done when ulcers appear or just wounds on the feet of diabetics. If left unchecked, ulcers can spread and cause tissue and bone damage, so the patient needs to undergo amputation.
Not only after ulcers arise, diabetic foot care also needs to be done even though there are no wounds on the feet. The goal is to prevent the appearance of wounds that are difficult to heal and have the potential to become ulcers.
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For diabetics, taking care of the feet is very important to prevent ulcers from forming. There are several foot care tips that diabetics need to know, namely:
1. Check condition feet every day
Diabetic feet need to be checked once a day for abnormalities, such as redness, blisters, cracked skin, or swelling. If it's hard to reach your feet, use a mirror to see the entire foot down to the sole. Place the mirror on the floor if it is too difficult to hold, or ask someone else for help.
2. Wash feet with warm water and use a moisturizing cream
Wash your feet with warm (not too hot) water once a day, then dry your feet, especially between your toes, with a soft towel or cloth. After that, use a moisturizing cream to keep the skin on your feet soft.
3. Don't treat woundswithout consulting a doctor
To avoid injury to the skin, do not use nail files, nail clippers, or medicated liquid to remove warts or calluses on the feet. To be safe, first consult with a doctor.
4. Do not go barefoot and pTrim your toenails carefully
To prevent injury to your feet, don't go barefoot, even when doing activities indoors. Also, don't cut your nails too deep or ask someone else for help if you can't cut your own nails.
5. Wear clean socks, dry, and absorb sweat
Wear socks with breathable materials, such as cotton. Do not use nylon socks and socks with rubber that are too tight, because they can reduce air circulation in the feet.
6. Wear shoes with the right size
Wear shoes that are comfortable and have cushioning for the heel and arch of the foot. Avoid wearing narrow shoes or high heels. If one foot is bigger than the other, don't force yourself to wear shoes that are the same size. Choose shoes that are the right size for each foot.
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If there are ulcers or just sores on the feet, diabetics need to immediately see a doctor. The doctor or surgeon will provide treatment for ulcers and wounds on the feet so they don't expand. Doctors can also perform follow-up examinations with X-rays or Doppler ultrasound to check for further complications of diabetes.
Treatment of ulcers or wounds on the feet due to diabetes is not only done by doctors, but also needs to be done independently by the sufferer. The doctor will teach you how to treat diabetic feet, so that sufferers can do their own treatment at home.
The following are some steps for treating ulcers on the feet that diabetics need to do:
- Wash hands properly with soap and running water, before treating diabetic foot ulcers.
- Gently remove the bandage. If the bandage sticks to the skin, give intravenous fluids containing a saline solution (0.9% NaCl) to moisten the bandage, making it easier to remove.
- Use disposable gloves when cleaning ulcers.
- Clean the ulcer with gauze that has been moistened with saline, from the center to the edge of the ulcer. Do not re-clean with the same gauze.
- Use a fresh dry gauze to dry cleaned ulcers.
- Cover the ulcer with a bandage recommended by the doctor.
Treatment of ulcers and wounds on the feet of diabetics needs to be handled properly, because if not, infection and tissue death can occur, and amputation is required.
You should be wary if the ulcer starts to blacken, smells, or oozes pus. If you experience this condition, immediately consult a doctor for proper treatment.
dr. Sonny Seputra, M.Ked.Klin, SpB(Surgeon)