Skin conditions and care for people with Diabetes
Why do people with diabetes often have problems with the skin?
Many
experts believe that the problems with the skin in patients with diabetes arise
primarilybecause of thedeterioration of the microcirculation in the tissues
(microangiopathy), because the lumen of the capillaries narrowed.Normally a
good microcirculation provides nourishment and protection of the skin - oxygen
and nutrients are delivered to the cells freely.In people with diabetes,
capillary lumen narrows, or they even completely clogged.
Remember
that even a small scratch or small wound, left unattended, can lead to
non-healing ulcers.
Why diabetic foot need special attention?
In the first place- because of poor blood supply to the tissues.Poor circulation in small vessels of lower limbs leads to a reduction of local immunity of the skin and the development of bacterial and fungal infections. The situation is exacerbated by loss of sensation (neuropathy) in the legs.The protective mechanism - a reaction to the pain - "turned off"due to the loss of sensitivity.That is why the skin lesions often remain undetected, they are infected, and when they are finally found as inflamed tissue, only a pharmacological treatment for a long time.
Diabetic
foot syndrome- is the result of the systemic changes associated with elevated
levels of blood sugar that forms a classic triad: polyneuropathy combined with
vascular changes and changes to the immune system.
What precautions should be taken for people with diabetes to reduce the risk of developing complications of the skin?
Quality and hygiene inspection of the feet.Everyday.
First
of all, use a preventive anti-bacterial agents for the washing of the feet.Pay
attention to the soap and shower gels which should not contain harsh cleaning
agents.
If
there is a long standing inflammation on feet, it requires a very fast and
effective treatment with drugs, which must appointed by a doctor.
How to prevent fungal infections feet?
After
washing feet, always use prophylactic antifungal cream.If you have found a
fungal infection, the doctor should prescribe antifungalagent (cream or
tablets), depending on the severity of the case.
Be
careful with pedicure cuticle, it can trigger the development of fungal
infections. Also insists the beauticianthat they use disposable instruments for
the procedure.
Even
a good glycemic control is not very good at helping to restore the skin's
immunity to bacteria and fungi.Therefore, preventive measures are compulsory.
What creams and lotions should be used for the care of diabetic skin?
It
is necessary that any product does not contain alcohol, salicylic acid,
preservatives and colorants.
Lotions
and creams should not clog pores and leave a film on the skin, so products
containing glycerin should be avoided. To be completely, it is better to choose
lotions specifically designed for skin care in diabetes.
Qualitative
daily hygiene - is the foundation of the health of your skin.If you notice
inflammation or notice that the wounds on the skin does not heal within a few
weeks, see a doctor immediately!
Which kind of socks are better to wear to avoid skin problems of feet?
Do
not wear socks made from pure nylon or Dacron and wool socks.Socks of synthetic
and wool nature can cause skin irritation, increased sweating of the feet,
which leads to cracking and infections.It is better to wear socks made of
cotton and mixed fibers and change them immediately.
What else diabetics should know?
All
diabetics need to carefully protect themselves from exposure to the sun.Always
wear a hat to protect from the sun in summer and to use creams with sunscreen
even on cloudy days.For daily use it is recommended to choose a cream with a
protection factor of 15 to 30.
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