foot care for people with diabetes mellitus
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Foot Care for People with Diabetes Mellitus
Linda Laakso B.Sc.C.O.(c)Custom Orthotic Design Group Ltd./The Orthotic Centre
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85% of all lower extremity amputations are preceded by a diabetic foot ulcer (DFU)
(Orstead et al., 2006)
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How can we protect and keep our feet?
Know causes of foot problems- Sensory neuropathy- Autonomic neuropathy- Motor neuropathy
What can you do?- Screen- Protect
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Sensory Neuropathy causes Loss of feeling- The nerves that allow you to feel are damaged very slowly- Leads to Loss of Protective Sensation (LOPS)
You can’t feel
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Sensory Neuropathy causes
Loss of Proprioception
Sense of where your body parts are
You can develop poor balance
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Autonomic Neuropathy causes Dry Skin
-The nerves to the sweat glands are damaged-Leads to loss of natural moisturizers
Dry, cracked skin
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Motor Neuropathy causes Weak Muscles
The nerves that go to the muscles are damaged
muscle weakness
drop foot
deformity
high pressure areas
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Potential Effects:
- Loss of protective sensation- Poor balance- Dry skin- Muscle weakness- Foot deformity
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What can you do?
Loss of protective sensationScreen: Inspect your feet several times a day Inspect your shoes before putting them onProtect: Don’t go barefoot -> always wear shoes
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What can you do?
Poor balanceProtect:
Choose stable shoesClick for more about shoes &
comfort footwear Use a cane or a walker
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What can you do?
Dry skinProtect:
Moisturize(but not between the toes!)
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What can you do?
Muscle weaknessScreen:
Talk to your doctor… A brace may help
Click for more about an ankle brace
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What can you do?
Foot deformityProtect:
Take the pressure awayFoot orthoses (orthotics)
Click for more about foot orthosesOrthopaedic shoes
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Complication Potential Effect What you can do
Sensory Neuropathy Loss of feeling - Check your feet everyday
- Check inside of your shoes before putting them on
- Wear shoes all of the time
Sensory Neuropathy Poor balance - Choose stable shoes- Use a cane or walker
Autonomic Neuropathy Dry feet - MoisturizeMotor Neuropathy Muscle weakness - Use a cane or walker
- Use a brace
Motor Neuropathy Foot deformity - Use foot orthoses- Proper shoes
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Who Can Help?
- Doctor- Nurse- Chiropodist- Certified Orthotist
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Contact us for a FREE Initial Assessment!
Click for
More Information on Diabetes Mellitus or Diabetic Foot Care Tips
or
to book an Appointment
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Thank You!
Contact Information:Linda Laakso B.Sc.C.O.(c)Custom Orthotic Design Group Ltd. and The Orthotic CentreHead Office: Toll free 1-866-829-2969Mississauga: (905) 828-2969Guelph: (519) 826-9890Hamilton: (905) 540-9600Oshawa: (905) 725-3523for a copy of this presentation, please email Linda Laakso <lindalaakso at customorthotic.ca>