How to reduce swelling in diabetic foot

Written by Li Hui Zhi
Endocrinology
Updated on September 17, 2024
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How to reduce swelling in diabetic foot depends on the condition of the swelling. If the swelling is due to a wound on the diabetic foot causing localized redness and swelling, this condition needs anti-infective treatment. It is recommended to culture the wound secretion and choose a sensitive antibiotic; if the swelling is diffuse in the foot, it is also recommended to perform an ultrasound of the lower limb vessels, including arteries and veins. If this indicates poor venous return in the lower limbs or venous thrombosis, treatment to prevent thrombosis and improve venous return should also be added.

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Key Points of Diabetic Foot Care

First, a daily foot examination is necessary, including the top, bottom, and toes. Carefully observe the skin's color, temperature, and moisture level, check for edema, skin lesions, and assess sensory and motor reflexes. Second, maintain a daily routine of soaking the feet in warm water. The water temperature should not exceed 40°C, with the soaking time ideally between 10 to 20 minutes. Third, regularly trim your toenails. Long toenails can easily break and damage the surrounding tissue, thus it is important for diabetic foot patients to regularly trim their nails. Fourth, the breathability of shoes and socks is important. It is advised not to wear sandals or slippers that expose the skin of the feet since exposed skin is more susceptible to injuries. Fifth, never walk barefoot. Sixth, avoid using electric blankets, hot water bottles, heating by the fire, and cupping therapy, to prevent burns on your feet. Seventh, maintain proper skin moisture. For patients with sweaty feet prone to excessive sweating, fungal infections may occur. It is recommended to wipe the spaces between toes with medical alcohol during foot baths, and to add a small amount of vinegar to the footbath water, as a bifunctional environment discourages fungal growth. Eighth, actively control blood sugar levels in diabetes. Ninth, maintain moderate exercise. Frequently elevate the affected limb to facilitate blood return and improve circulation in the lower limbs.

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Written by Li Zheng
Nutrition Science
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Can people with diabetes eat watermelon?

People with diabetes should avoid watermelon as it contains a high amount of sugar, which might exacerbate their condition and lead to complications, adversely affecting their health. Many cases of diabetes are associated with poor dietary habits, such as frequently consuming high-sugar and fried foods, which can lead to symptoms like excessive eating, drinking, urination, and weight loss. For those with mild symptoms, dietary therapy can help alleviate symptoms by adopting a low-salt and low-fat diet, coupled with aerobic exercises to aid recovery. If treatment results are not satisfactory, it may be necessary to take hypoglycemic drugs under a doctor's guidance. It is also important to develop a habit of regularly monitoring blood sugar levels to keep them within a normal range. During stable periods of the condition, choosing fruits with lower sugar content, such as figs, apples, or grapefruit, is advisable.

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Written by Li Hui Zhi
Endocrinology
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Causes of diabetic foot

The main causes of diabetic foot are as follows: The first one is poor blood sugar control in patients. Some patients have long neglected their blood sugar levels, leading to consistently high levels. The second cause is vascular disease in the lower limbs of the patient, including arteriosclerosis, with severe cases leading to occlusion and subsequent ulceration of the feet. The third reason is the presence of diabetic peripheral neuropathy in patients, which results in abnormal sensations or numbness in the feet. Many patients wearing new shoes or stepping on sharp objects inadvertently can lead to diabetic foot. The fourth cause is infection induced by patients who initially neglect minor foot injuries, or who improperly manage such injuries at home, leading to the development of diabetic foot. Therefore, we advise diabetics to maintain good control of their blood sugar and take timely measures to prevent diabetic foot.

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Does type 2 diabetes have a genetic component?

Diabetes has a high prevalence worldwide, especially type 2 diabetes, which accounts for over 90% of all cases. The pathogenesis of type 2 diabetes is very complex, including genetic susceptibility, as well as environmental factors, insulin resistance, and defects in the function of pancreatic beta cells. Thus, environmental factors are one of the influencing factors in the incidence of type 2 diabetes. There is evidence showing a familial clustering tendency among patients, but genetic factors are not the sole cause of type 2 diabetes; environmental factors also play a role. With changes in diet and lifestyle in recent years, the prevalence of type 2 diabetes has noticeably increased. Even with similar genetic backgrounds, the risk of developing type 2 diabetes varies among populations living in different areas. Therefore, diabetes can be considered a complex disease, where individuals with a genetic predisposition to diabetes, under the influence of adverse environmental conditions, can also develop elevated blood sugar levels and consequently diabetes.

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Where to massage for diabetic foot

For diabetic patients, we do not recommend foot therapy. Why is that? First, the foot therapy institutions outside are not very professional; many individuals start working without proper training. The massage might lack strength, and the hygiene standards are often not met, which can lead to local injuries and infections. Second, diabetic patients have a specific bodily constitution due to high blood sugar levels, making their tissues particularly susceptible to damage. Once damaged, these tissues do not heal easily. If the hygiene is substandard, the feet of diabetic patients are especially prone to infection. Diabetic foot patients, because of poor blood supply, are also more susceptible to fungal infections. Therefore, given these factors, it is advised that diabetic patients avoid foot therapy.