It's important for you to wash your feet gently in order to avoid scraping or abrading the surface of your feet. Use warm water along with a mild soap. When you dry your feet, be sure to pat your feet gently as opposed to rubbing to prevent any damage to the foot surface. Be sure to dry well between your toes. oCut your toenails straight across and even with the skin on the end of your toes. Do not cut into the corners. If you can't see or reach your toenails have someone else do it for you. A podiatrist can often help with this. Secondary" diabetes refers to elevated blood sugar levels from another medical condition. Secondary diabetes may develop when the pancreatic tissue responsible for the production of insulin is destroyed by disease, such as chronic pancreatitis (inflammation of the pancreas by toxins like excessive alcohol), trauma, or surgical removal of the pancreas. The early symptoms of untreated diabetes are related to elevated blood sugar levels, and loss of glucose in the urine. High amounts of glucose in the urine can cause increased urine output and lead to dehydration. Dehydration causes increased thirst and water consumption. The inability of insulin to perform normally has effects on protein, fat and carbohydrate metabolism. The etiology of diabetic foot ulcers is multifactorial, but minor trauma in the presence of peripheral sensory neuropathy remains the primary culprit. Prevention of foot ulcers in high-risk individuals, such as those with neuropathy, peripheral vascular disease, or structural foot abnormalities, is of primary importance through appropriate patient education, the use of emollients, and the use of appropriately fitting shoes. The patient information page that accompanies this article ( p. 94 ) offers a complete list of self-care behaviors that should be provided to patients with high-risk feet. Nishide, K. "Result Filters." National Center for Biotechnology Information U.S. National Library of Medicine, 7 July 2009. Web. 20 July 2013. At each doctor's visit, have the doctor visually inspect your feet. Even if there is no pain, this needs to be done. And, at least once a year, your doctor should thoroughly inspect each foot. Be sure to discuss foot and leg symptoms with your doctor. You need to know what to watch for. Untended injuries can lead to infections. If these infections go untreated, it could eventually lead to amputations. If you smoke, quit. It's very simple. Smoking decreases circulation. If you want healthy feet, you want to keep your blood circulating as best as you can. Smoking will cause complications which can also lead to amputation later. Always wear appropriate diabetic shoes or slippers as well as NEVER walk around barefoot. Deciding on the right shoes is important to foot health and wellness as the majority of diabetic foot injuries are the result of poor fitting footwears. Footwears for diabetics must not be as well tight or narrow. They should be built from comfortable, breathable material and attribute mesh vents to ventilate the shoes, reducing wetness, which tends to reproduced bacteria. Pair a high quality set of diabetic shoes with smooth socks or compression stockings. Cut nails carefully—and straight across. Also, file the edges. Don't cut them too short, since this could lead to ingrown toe nails. The second type is Bypass Surgery where the patient needs hospitalization for 7-10 days. It is similar to the heart bypass except here the leg artery is being bypassed using your own vein or synthetic graft. In high flow system like the Aorta these last well over 20 years, while those below the groin last anywhere from 10-15 years, Good collaterals develop in the time and give enough blood to the leg. The last and final option of not performing a surgery is possible in a critically? Ischaemic leg?, then Intra-venous strong vasodilator drugs may be given over 5 days to try and dilate your vessels by drugs. There has yet to be an accepted cure for diabetic neuropathy. The best treatment is to tightly control your diabetes and prevent the disease from progressing. Patients often find it necessary to be on one or several medication to help decrease the symptoms. Vitamin supplements and physical therapy modalities have also been suggested for treatment protocols. Article body (HTML version) Corns and calluses are common non-harmful foot problems that develop over time. As they are often hidden for most of the time, they can easily get disregarded. Demanding urgent attention only when they have already painfully manifested, or worse, have already become inflamed. If exercise is new to you, talk with your doctor before you begin. Some exercises, for example weightlifting, may not be safe for people with eye problems or high blood pressure. Ask your doctor to check your heart and feet to make sure you do not have any special problems associated with diabetes. Moreover, ask you doctor to help you find exercises that are safe for you. First you need to make sure you have inexpensive jars with lids. I purchased some plastic ones from Walmart that came in sets of two (One smaller, one larger) with threaded lids. The lids were different colors which added a nice touch. Diabetic socks are specifically designed to control moisture and as such reduce the risk or infection and bacterial growth. Many socks are also made with anti-microbial materials for added protection. Diabetic socks, like the Physician's Choice brand, are also made with out seams so they prevent pressure and blistering caused from wrinkles. Proper prevention is key in maintaining healthy feet because diabetes can caused delayed healing and increased foot pain. Interestingly, growth on a culture does not mean there is infection. For example, a culture of your mouth would grow lots of bacteria. However, that does not mean your mouth is infected. Diabetes is a disease that causes problems on many levels; one of the serious problems caused by diabetes is non-healing wounds. Despite all the advancements in wound care like newer therapies such as hyperbaric oxygen therapy and advanced wound dressings like Duoderm and Tegaderm, diabetic ulcers are still a big challenge. Chronic wounds like diabetic foot ulcer can have grim consequences including amputation of the limbs. The researchers at Albert Einstein College of Medicine of Yeshiva University and Stanford University have made a discovery that can change the prognosis for diabetic ulcers.