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Wounds and Lacerations: Emergency Care and Closure (Wounds & Lacerations: Emergency Care & Closure)
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from: Complications of Diabetes Foot Lacerations


Diabetes foot lacerations are a result the effect of many factors related to the condition. Diabetes is a syndrome that affects every system and every organ in the body. The nervous, lymphatic and circulatory systems are often the first to take a hit when a person discovers they are diabetic. Often diabetes is not discovered until the patient sees his/her doctor for an existing problem, such as a sore that doesn’t heal. Diabetic foot lacerations are very common; a simple cat scratch can develop into an ulcer that doesn’t heal. A small ulcer may exacerbate into a larger one that goes deep into the connective tissue; sometimes circulation is so impaired that an amputation is the direct result of diabetes foot lacerations.

If you have diabetes you need to take care of your feet regularly. Be careful about clipping your toe nails. If you are not sure that you can cut your toe nails yourself, it is advised that you let a professional clip them for you. One wrong snip of the toe nail clippers could result in a nick of the skin. That small nick could develop into a diabetic foot laceration that could either ulcerate, or the tissue could die, a condition called necrosis. Diabetes foot lacerations can lead to another cause of tissue death called gangrene.

Often men and women with diabetes have a decreased sense of touch called neuropathy. Poor circulation and the lack of sensation of the feet and legs is a recipe for diabetes foot lacerations. A new pair of shoes can cause a blister on the heel of the foot, and you might never feel it; therefore it is imperative that you check your feet on a daily basis. A good way to prevent diabetes foot lacerations is to take care of your feet. Lotion your feet with a good moisturizer, inspect the skin between your toes and on your heel. Check the bottoms of your feet.

Diabetics that are prone to diabetes foot lacerations should not wear any binding footwear. Wear socks or stockings with a wide enough band with enough give to not cut off circulation. Diabetic foot lacerations can develop just by rubbing one foot against the other, because poor skin integrity is secondary to impaired circulation.

Shoes should be rounded, rather than pointed; there should be enough room to allow movement of the toes, but the foot should not slide around in the she when you walk. Blisters and calluses can develop; increasing the risk of diabetes foot lacerations should the callus or blister tear from friction.

When caring for your feet, observe the color; are they pale, blue, mottled, or are they a normal flesh color? Pale, blue, or mottled skin color is a sign of poor circulation. If you notice any changes that your doctor is not aware of, contact your doctor at once. Taking care of your feet and following your doctor’s advice may go far to help prevent diabetes foot lacerations




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