Diabetic foot is a serious complication of diabetes and expensive. The increasing prevalence of diabetes in the world cause an increase in cases of leg amputation due to complications from diabetes. Epidemiological studies report more than one million amputations performed on people with diabetes each year. This means that every 30 seconds there are cases of leg amputation because of diabetes around the world.
Generally, diabetic foot ulcers preceded by the (injury). Only about two-thirds of the ulcer can be healed quickly, the rest end up with amputation. On average it takes about six months for healing ulcers. Both ulcers and amputations have a great impact on quality of life for people with diabetes, the limited freedom of movement, socially isolated, and psychological stress.
Diabetic foot is also a real economic problem, since people with diabetes with diabetic foot usually requires a long treatment, rehabilitation, which costs no less, and the risk of major amputation.
According to Drs. dr. Aris Wibudi, SpPD as Chairman of PB Pedi (Association of Diabetes educators Indonsia), diabetic foot complications can be prevented. By applying a strategy that combines prevention, care if it happens at the foot ulcer, appropriate medical treatment, blood sugar levels under control, and education on diabetes and medical personnel, can reduce the possible risk of amputation to 85%.
Foot Problems in People with Diabetes
Each person can experience problems in the legs as shown below. But for people with diabetes with blood sugar levels are not controlled, these foot problems can lead to infection and more serious consequences such as amputation.
Skin thickening is commonly seen in the soles of the feet. Callus due to repeated friction or pressure in the same area, weight distribution is unbalanced, inappropriate shoes, or skin disorders. Callus could be developed into an infection.
* Skin blister
Can occur if shoes always rub the foot of the same area. Due to the use of ill-fitting shoes or without socks. Skin blisters can develop into an infection. It is important to deal with the blister is not pop, because the blisters protect the skin from infection.
* Nails grow legs into the
Occurs when the tip of the nail grows into the skin and cause pressure can tear the skin so the skin becomes red and infected. Toenails ingrown can happen if you cut the nail to its end, can also be caused by shoes that are too tight or foot trauma due to activities such as running and aerobics. If the tip of your toenails rough, cheap to use smoothed.
* Swelling big toe
Happen if the big toe finger biased toward the next, causing redness, pain, and infection. Can occur in one or both legs due to the use of high heels and a narrow end. Swelling that causes pain and deformity (transformation of) the foot can be solved by surgery.
* Plantar warts
Wart look like a callus with a small black dot in the center. Can develop on its own or in groups. The emergence of warts caused by viruses that infect the outer layer of the foot.
* Crooked toes
Occurs when the leg muscles become weak. Nerve damage due to diabetes can cause this weakness. Weak muscles can cause the tendons (tissue that connect muscles and bones) in the legs shortened so that the toes become crooked. Will cause problems in walking and difficulty finding the right shoe. Can also be caused by shoes that are too short.
* The skin dry and cracked feet
Can occur because the nerves in the feet do not get the messages from the brain (due to diabetic neuropathy) to sweat that will keep skin soft and moist. Dry skin can be broken. The existence of fractions in the skin allow germs to enter and cause infection. With your blood sugar is high, the germs will get food to grow so that aggravate infection.
* Athlete's foot (foot athlete)
Caused by fungi that cause itching, redness, and the outbreak of the skin. The outbreak of skin between the toes allow germs into the skin and cause infection. The infection can spread to the toenails that make it thick, yellowish, and difficult to cut.