Where to massage for diabetic foot

Written by Luo Han Ying

Endocrinology

Updated on February 23, 2025

00:00

00:00

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.

Other Voices

home-news-image

Written by Lin Xiang Dong

Endocrinology

37sec

home-news-image

Care of diabetic foot

The care of diabetic foot is very important. In our daily life, we need to do the following aspects. First, regularly wash and check both feet. During washing, the water temperature should not be too high. Also, keep the skin moist to prevent it from drying and cracking. Second, choose suitable shoes and socks, preferably loose-fitting to avoid tightness. Third, be careful when trimming toenails, making sure not to damage the skin of the feet. If there are any sores, go to the hospital immediately for treatment. Fourth, avoid using corrosive chemicals on the feet.

home-news-image

Written by Yang Li

Endocrinology

1min 12sec

home-news-image

Care for diabetic foot

The first fundamental step is monitoring blood glucose; good control of blood glucose levels is essential for the effective management of diabetic foot problems. Secondly, attention must be paid to the protection of the wound. It's crucial to keep the wound clean, perform regular cleaning and disinfection, and when necessary, debride necrotic tissue thoroughly. For instance, if there is a sinus tract or deep ulceration, it is essential to open the wound and ensure drainage, removing all necrotic tissue inside. Thirdly, footwear choice is critical for patients with diabetic foot; it is important to wear shoes that are loose fitting, moderately soft yet firm, and capable of evenly distributing pressure across the footbed. There are shoes specially designed for those with diabetic foot, and these can be custom-made. Other considerations include maintaining good blood pressure control and ensuring adequate nutrition to support wound healing, including sufficient protein intake, which plays a vital role in promoting wound repair.

home-news-image

Written by Zhao Dan

Orthopedics

2min 5sec

home-news-image

Gestational diabetes standards

Before addressing this question, let's first clarify another concept: if diabetes is diagnosed before pregnancy, this is referred to as pre-existing diabetes in pregnancy, which is different from gestational diabetes. Gestational diabetes refers to cases where there is no pre-existing diabetes diagnosis before pregnancy, but abnormal blood glucose levels are detected after becoming pregnant. Generally, a glucose screening test is conducted between the 24th and 28th weeks of pregnancy. Currently in China, there are two approaches: the one-step and the two-step methods. The one-step method involves a direct 75-gram oral glucose tolerance test. However, most of China uses the two-step method, which starts with a 50-gram glucose challenge test. If the blood glucose level one hour after eating is greater than or equal to 7.8 mmol/L, a 75-gram oral glucose tolerance test is recommended. For the 75-gram glucose test, the fasting blood glucose level should generally be less than or equal to 5.6 mmol/L, one hour post-glucose intake should be 10.3 mmol/L, two hours post-glucose should be 8.6 mmol/L, and three hours post-glucose should be 6.7 mmol/L. If two or more of these values exceed the diagnostic criteria, gestational diabetes can be diagnosed. If only one value is abnormal, impaired glucose tolerance can be diagnosed. It is recommended that anyone who experiences abnormal blood glucose levels during pregnancy undergo another 75-gram oral glucose tolerance test six months post-pregnancy to determine if blood glucose levels are still abnormal and whether treatment should continue.

home-news-image

Written by Lin Xiang Dong

Endocrinology

45sec

home-news-image

Gestational diabetes symptoms

Gestational diabetes shows several symptoms, the most typical being the "three more one less" syndrome, namely increased thirst, increased appetite, urination, and weight loss. The second common manifestation is fatigue, which is due to glucose not being utilized effectively in the body and being broken down too quickly, leading to insufficient energy replenishment. The third is unexplained frequent fungal infections, such as recurring candidal infections of the vulva and vagina, at which point blood sugar screening should be considered. The fourth symptom is pregnancy accompanied by excessive amniotic fluid or a large fetus. The fifth is glucose positivity in urine from two fasting morning samples.

home-news-image

Written by Lin Xiang Dong

Endocrinology

48sec

home-news-image

Gestational diabetes range

Gestational diabetes refers to abnormal blood sugar levels occurring during pregnancy. This term is used if the diagnosis is made during pregnancy, and does not include patients who were already diabetic before pregnancy, who are referred to as having diabetes concurrent with pregnancy. The criteria for diagnosing gestational diabetes are based on the results of the OGTT (Oral Glucose Tolerance Test) conducted between 24-28 weeks of pregnancy. According to the OGTT results, a fasting blood sugar level ≥ 5.1 mmol/L, a one-hour blood sugar level ≥ 10.0 mmol/L, or a two-hour blood sugar level ≥8.5 mmol/L, meeting any one of these criteria confirms a diagnosis of gestational diabetes.