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424 Cardio Diabetes Medicine 2017

• Use mirror to see the bottom of feet 4. Boulton AJ. Pressure and the diabetic foot: clinical science and offloading
techniques. Am J Surg. 2004 May. 187(5A):17S-24S. [Medline].
• Check the color of legs anf feet-seek help if there
is swelling, warmth or redness 5. Baroni G, Porro T, Faglia E, Pizzi G, Mastropasqua A, Oriani G, Pedesini
G, Favales F. Hyperbaric oxygen in diabetic gangrene treatment. Dia-
• Wash and dry feet every day, especially between betes Care 1987; 10:81–86
the toes 6. DOI:10.1016/S0039-6109(02)00191-3

• Apply a good skin lotion every day on your heels
and soles. Wipe off excess.
• Change your socks every day.Trim your nails
straight across.
• Clean cut or stratch with mild soap and water and
cover with dry dressing.
• Wear good supportive shoes or professionally fit-
ted shoes with low heels(under 5cm)

• Buy shoes in the late afternoon since your feet
swell by then.
• Avoid extreme cold and heat(including the sun)
• See a foot care specialist if you need advice or
treatment.

Patient shall be advised not to do
• Cutting down corns or callouses
• Treating in-growing toenails or blisters with a razor
or scissors.
• Using over the counter medications to treat corns
and warts

• Applying heat with hot water bottle or electric
blanket
• Taking very hot baths and Using lotion between
your toes.
• Walking barefoot inside or outside
• Wearing tight socks, garter or elastics or knee
highs
• Siting for long periods of time and Smoking

References:
1. LR Simeone and A Veves (1997) Screening techniques to identify the
diabetic patient at risk of ulceration. Journal of the American Podiatric
Medical Association: July 1997, Vol. 87, No. 7, pp. 313-317.https://doi.
org/10.7547/87507315-87-7-313
2. Rice JB, Desai U, Cummings AK, Birnbaum HG, Skornicki M, Parsons NB.
Burden of diabetic foot ulcers for Medicare and private insurers. Diabe-
tes Care. 2014. 37 (3):651-8. [Medline].
3. Oyibo SO, Jude EB, Tarawneh I, Nguyen HC, Harkless LB, Boulton AJ. A
comparison of two diabetic foot ulcer classification systems: the Wagner
and the University of Texas wound classification systems. Diabetes Care.
2001 Jan. 24(1):84-8. [Medline].

GCDC 2017