Welcome to Prasannam Diabetic Foot Clinic, Pioneer Diabetic Foot clinic in India, Jaipur- Rajasthan

Foot examination: Examine your feet daily and also after any trauma, no matter how minor, to your feet. Report any abnormalities to your physician. Use a water-based moisturizer every day (but not between your toes) to prevent dry skin and crack. Wear cotton or wool socks. Avoid elastic socks and hosiery because they may impair circulation.

Eliminate obstacles: Move or remove any items you are likely to trip over or bump your feet on. Keep clutter on the floor picked up. Light the pathways used at night—indoors and outdoors.

Toenail trimming: Always cut your nails with a safety clipper, never a scissors. Cut them straight across and leave plenty of room out from the nailbed or quick. If you have difficulty with your vision or using your hands, let your doctor do it for you or train a family member how to do it safely.

Footwear: Wear sturdy, comfortable shoes whenever feasible to protect your feet. To be sure your shoes fit properly, see a podiatrist (foot doctor) for fitting recommendations or shop at shoe stores specializing in fitting diabetics. Your endocrinologist (diabetes specialist) can provide you with a referral for a podiatrist or orthopedist who may also be an excellent resource for finding local shoe stores. If you have flat feet, bunions, or hammertoes, you may need prescription shoes or shoe inserts. .

Exercise: Regular exercise will improve bone and joint health in your feet and legs, improve circulation to your legs, and will also help to stabilize your blood sugar levels. Consult your physician prior to beginning any exercise program.

Smoking: If you smoke any form of tobacco, quitting can be one of the best things you can do to prevent problems with your feet. Smoking accelerates damage to blood vessels, especially small blood vessels leading to poor circulation, which is a major risk factor for foot infections and ultimately amputations.

Diabetes control: Following a reasonable diet, taking your medications, checking your blood sugar regularly, exercising regularly, and maintaining good communication with your physician are essential in keeping your diabetes under control. Consistent long-term blood sugar control to near normal levels can greatly lower the risk of damage to your nerves, kidneys, eyes, and blood vessels.

Age: The older you are, the more likely you are to have serious problems with your feet and legs. In addition to diabetes, circulatory problems and nerve damage are more common in the elderly diabetic. The elderly may also be more prone to sustaining minor trauma to the feet from difficulties with walking and stumbling over obstacles they cannot see.

Duration of diabetes: The longer you have had diabetes, the more likely you have developed one or more major risk factors for diabetic lower extremity problems.

Seriousness of infection: Infections that involve gangrene almost universally go on to amputation and also carry a high risk of death. Ulcers larger than about 1 inch across have a much higher risk of progressing on to amputation, even with proper treatment. Infections involving deep tissues and bone carry a much higher risk of amputation.

Quality of circulation: If blood flow is poor in your legs as a result of damage to the blood vessels from smoking or diabetes or both, it is much more difficult to heal wounds. The likelihood of more serious infection and amputation is greater.

Compliance with the treatment plan: How well you follow and participate in the treatment plan you develop with your doctors and nurses is crucial to the best recovery possible. Ask questions if you don't understand an aspect of your care or treatment plan. Let the doctor know if something in the plan doesn't seem to be working.

Wound care centers: A wound care center is an excellent resource if available. It brings together many specialists and approaches to aid in the treatment of the diabetic foot problem. These centers will often be able to offer the most up-to-date therapies and even may have experimental protocols available for people who have not responded to traditional therapy.

Individual physician and nurse skills: Ask about your doctor or nurse's expertise in dealing with diabetic lower extremity problems. Knowledge about and experience with these problems may lead to earlier diagnosis and more appropriate therapy.

Prevention

Prevention of diabetic foot problems involves a combination of factors.
Good diabetes control
Regular leg and foot self-examinations
Knowledge on how to recognize problems
Choosing proper footwear
Regular exercise, if able
Avoiding injury by keeping footpaths clear
Having your doctor examine your feet at least once a year using a monofilament, a device made of nylon string that tests sensation