Diabetics have a high risk of injury in the legs, the wound is generally difficult to cure. The risk to the feet of diabetics can be caused by impaired circulation and nerve damage.
Some people with diabetes sometimes do not realize that their legs have been injured, thus increasing the risk of infection, boils or extensive damage.
Therefore, diabetics should be careful in choosing shoes to reduce the risk of complications. Shoes designed to help someone with diabetes are the ones that can reduce stress to the feet, so the feet can stay healthy and free of disease.
What The main function shoes diabetes?
Diabetes Shoes are shoes that are specially manufactured for diabetics, both of whom have been injured on the soles of the feet or who have not been injured in the legs. So that the foot of the wound will remain comfortable and safe when walking, and still be able to normal activity back to normal.
In addition to diabetic diabetic shoes or sandals can also be for normal people who do not have diabetes on the sole of his foot there are wounds. Suitable also for use by people who suffer from diabetes, although there is no injury on the soles of his feet, because this diabetic shoes will prevent injuries to the condition of diabetic feet.
The right way to choose shoes for diabetic patients
Quoted from the Times of India, Wednesday (22/05/2013), here's a great way to choose shoes for diabetic patients as suggested Dr. Pradeep Gadge, diabetologist guests at Andheri's Seven Hills Hospital:
1. Is The Pressure Right?
Before putting on a pair of shoes, consult a diabetologist or orthotist to assess how much pressure your feet have. Orthotist and footwear technician Dhruv Saraiya says ideally 50 percent of body weight is on the heels when standing, 20 per cent on the big toe, and 30 per cent on the front and lateral toes.
"Because of the lack of sensation in their legs, diabetics are unaware of the amount of pressure they put at a certain point while walking. If they continue to do constant pressure in the same place, it can cause injuries and ulcers that may take a long time to heal or maybe does not heal at all, "Dhruv said.
A pressure point analysis is used to design a customized sole for the individual, which will help protect the leg from injury.
2. Wear shoes with Thick Soles
Shoes for non-diabetics on average have a thickness of 3 mm. However, for diabetics need to wear a sole that has a thickness between 8 mm to 12 mm. The reason is the biomechanics changed legs.
Bhushan Hemade, an orthotist from Algeos India, said: "People who lack the feel of their feet may also have less muscle control. If a person continues to exert pressure on a weakened area while walking, it will cause bone dislocation or a broken bone in the foot or ankle. The thick soles will help the fall of the foot arch and provide better movement control for diabetics. "
3. Choose Shoes with Rigid soles
Soles Shoes with rigid soles are known to reduce pressure on the front foot. Bhushan explains, "Rigid shoes limit the movement of the joints of the feet, preventing the stretching of the plantar fascia or tendon from the foot arch, thereby distributing greater weight to the foot area. When weight is distributed, there is the possibility of tissue damage will decrease."
4. Preferably shoes shopping at night
Experts advise that they should shop at night. "Because standing all day, sitting and walking, legs become swollen, they will return to their normal size in the morning," Dhruv said.
He suggests buying shoes when the legs swell to maximum capacity. Because this will provide a more suitable size and prevent injuries from shoes that can turn into large sores.
5. Choose circulating Shoes
If you are diabetic, buy leather shoes, suede, or fabric for better air circulation. Make sure there is enough space for your toes to move freely inside the shoe.
Additional tips on choosing diabetic shoes and how to care for legs during healing
Use socks when choosing shoes to wear socks that are used to choose shoes, so you can feel whether the shoes are comfortable or not. Should choose shoes that use adhesive instead of shoes that directly wear. Because shoes that use adhesives can provide the flexibility to be loosened or tightened as needed.
Using shoes that fit and comfortable can provide more benefits for people with diabetes, including:
- Provides protection against the skin of the foot.
- Reduces the risk of foot injuries that can lead to serious complications.
- Reduce the temperature increase that triggers sweaty feet, because sweaty feet increase the risk of abrasions and others.
- Improve comfort and reduce pain and irritation of the feet.
Still, according to Dr. Pradeep, do the treatment on your feet well every day such as:
- Wash your feet every day with warm water and mild, soap
- Check the temperature of the water with your fingers. With a low sensation in your feet, you may not know if the water is too hot
- Remember to dry your feet gently especially between toes, use soft tissues or cotton.
- Wear a pair of clean socks every day
- Dry feet can develop cracks that can turn into wounds.
- Moisture they every day with body lotion
- Do not stand in an old position and stop smoking. It reduces blood flow to your feet.
This is suggested because doctors say that nearly 70 percent of all diabetics end up suffering from peripheral neuropathy or nerve damage to the peripheral nervous system, caused by high blood sugar. And when this happens, the nerves in the legs are first affected.
"High glucose levels can weaken capillary walls that supply nerves with oxygen and cause poor blood circulation to the feet, resulting in numbness and loss of sensation in the legs," Dr Pradeep said.
Poor blood circulation can prolong healing and allow wounds to spread. An incurable wound causes severe damage to tissues and bones and may require amputation of the toes, feet or parts of the legs.
dr Pradeep added, "All diabetics should invest in protective shoes and take care of their feet."