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Diabetic Foot care
They say ‘A stitch in time saves nine’. May be. Timely & proper foot care for Diabetic patients means better quality of life, says Dr.Bhushan Hemade. Rajesh is a 45 years old successful banker living in Mumbai. He has been suffering from diabetes for the past five years and needs to take daily doses of insulin to keep diabetes in check. Recently Rajesh developed a small sore on his heel dur to shoebite, but he kept on ignoring it as he was feeling no pain on the wound and continued with his daily routine. One day he realized that the  sore had grown over time and looked much tender and raw than before. On  the insistence of his wife, Rajesh visited his doctor who informed him that he is suffering from Diabetic Foot.
What is Diabetic Foot?
Diabetes represents several diseases in which high blood sugar levels over time can damage the nerves, kidneys, eyes, and blood vessels. When diabetes is not well controlled, damage to the organs and impairment of the immune system is likely. Foot problems commonly develop in people with diabetes can quickly become serious. With damage to the nervous system, a person with diabetes may not be able to feel his or her feet properly. Normal sweat secretion and oil production that lubricates the skin of the foot is impaired. These factors together can lead to abnormal pressure on the skin bones, and joints, of the foot during walking and can lead to breakdown of the skin of the foot. Damage to blood vessels and impairment of the immune system from diabetes makes it difficult to heal these wounds. Bacterial infection of the skin, connective tissues, muscles and bones can then occur. These infections can develop into gangrene. Because of the poor blood flow, antibiotics cannot get to the site of the infection easily. Often, the only treatment for this is amputation of the foot or leg. If the infection spreads to the bloodstream, this process can be life- threatening.

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