Diabetes mellitus swells
In patients with diabetes mellitusblood glucose level. In a healthy person, a constant level of glucose maintains the hormone insulin, which produces the pancreas. The hormone insulin increases the sensitivity of tissues to glucose. During diabetes, insulin is not able to regulate glucose levels:
- with type 1 diabetes mellitus, not enough insulin is produced
- With type 2 diabetes mellitus, even with a sufficient level of insulin, it can not reduce the glucose level, the sensitivity of tissues to insulin is low.
Because in the human body, everything is interconnected, then in violation of the metabolism of carbohydrates (glucose), the metabolism of proteins and fats is also violated. Such a general metabolic disorder negatively affects the work of internal organs, blood and nervous systems, suffering from diabetes.
In diabetics, in addition to exposure to high blood glucose levels, cholesterol plaques form on the legs in large arteries, which disrupt the blood flow in the legs.
In patients with diabetes mellitus, the damaged nerves andthe vessels completely disrupt the nutrition of the legs, which leads to trophic changes in the tissues of the legs - the diabetic foot, and increases the risk of developing gangrene of the legs.
Disease of the feet with diabetes is the most frequentcomplication of the disease. Diabetic foot develops in about 70% of patients with diabetes mellitus and the same percentage falls on the amputation of the legs in diabetes, as a result of all the same leg diseases of diabetics.
Note that diseases of the legs in diabetes develop in type 1 diabetes, and in the second type.
- neuropathic diabetic foot (diabetic neuropathy) - defeat of the nervous system of the foot
- ischemic diabetic foot (diabetic angiopathy) - complication and lesion of small and large vessels of lower extremities
- a mixed form of diabetic foot - a lesion of both the nervous and circulatory systems of the foot
- Gangrene of the legs with diabetes.
Diabetic neuropathy manifests itself by many symptoms that appear gradually:
- with diabetes freezing and numb feet
- At night, with diabetes, burning in the legs
- loss of leg sensitivity and muscle atrophy
- with diabetes, wounds and scratches do not heal well
- With diabetes, legs hurt
- peeling and dryness of the skin of the legs with diabetes.
Diabetes-legs-angiopathy (ischemic diabetic foot)
Angiopathy - damage to the blood vessels: small - microangiopathy, and large vessels - atherosclerosis or macroangiopathy. Symptoms of angiopathy:
- with diabetes, there are pains in the legs when walking
- in patients with diabetes blue legs
- this form of diabetes freezes the legs, there are ulcers on the legs and non-healing wounds
- deposition of salts in joints with diabetes
- diabetics wear off the cartilaginous tissue of their legs
- this form of diabetes swells and swollen legs.
Diabetes and legs: a mixed form of the diabetic foot
Such a mixed form of leg disease - neuropathy andAngiopathy is usually observed in a patient with perennial diabetes mellitus. Symptoms and symptoms of a mixed form are symptoms of diabetic neuropathy and diabetic angiopathy together.
Why do my feet hurt with diabetes?
With diabetes in the legs, the blood supply is disrupted and oxygen in insufficient quantity enters the tissues of the legs, so there is rapid fatigue and pain in the legs.
Gangrene legs with diabetes mellitus
When there are scratches and wounds on the legs of a patientdiabetes, you need to carefully process them. Because with diabetes, the regenerative capacity of cells is very low, then long unhealed wounds and ulcers can threaten gangrene.
Causes of gangrene in diabetic patients:
- Unhealed wounds, sores with diabetes
- Foot burns can lead to gangrene of the legs
- frostbite feet
- ingrown toenail can lead to gangrene of the leg
- fungi of the legs often lead to gangrene in diabetes
- Corn feet.
Gangrene of the feet in diabetes mellitus is manifested by severe pain in the legs, and if the gangrene is in neglected form, the only way to treat it is amputation of the affected part of the leg.
Who can develop a diabetic foot?
- in all patients with diabetes mellitus
- People suffering from diseases of blood vessels
- those who were amputated legs or had ulcers on their legs
- those who abuse smoking and alcohol
- having elevated cholesterol and suffering from hypertension
- people with vision problems
- Patients who are complicated by diabetes.
Signs and symptoms of the diabetic foot
Patients with diabetes should monitor the condition of their legs and in time to detect signs of diabetic foot.
Symptoms that appear with a diabetic foot in a diabetic patient:
- burning pain in the legs, shivers, lumbago el.tokom, which disappear during walking talk about the neuropathic diabetic foot
- loss of sensation, numbness of fingers and feet in diabetes
- severe pain while walking with diabetes, night pain in the legs, passing them from the bed or in the absence of walking, it is an ischemic foot.
What external signs indicate the development of diabetic foot?
- the appearance of pallor of the lower leg or brown foot pigmentation
- peeling and dryness of the skin of the legs
- the appearance of bubbles with a liquid
- the formation of poorly healing corns, cracks between the toes
- thickening of the skin on the foot
- changing the shape of the notes
- hair loss
- deformation of the foot
- fractures of the foot bones.
In the presence of such signs it is recommended to visit a doctor.
How are feet treated for diabetes?
Treatment of feet in diabetes from the condition of the patient and the form of the disease.
In patients with diabetes, first prescribe medication and make for a diabetic patient a special diet.
Then follows the unloading of the lower limbs. What does it mean? This means that a diabetic patient needs to spend more time lying or sitting, without loading his legs. For the legs are selected special orthopedic shoes. Unloading of the feet is important especially for diabetics with ulcers on the legs.
Medicamental treatment of feet in diabetes consists of vasodilator drugs, diluting drugs and antibiotics.
Operative treatment of the legs with diabetes is prescribed with an ischemic foot, when it is possible to restore blood flow in the lower extremities.
Treatment of ulcers on the legs with diabetes is possible with a medicamentous method (treatment of feet with antibiotic solutions, bandages) and surgically - removal of dead tissue and pus.
Diabetes and Traditional Medicine
To remove excess glucose from the body with diabetes, you can take decoctions of cowberries, horsetail, knotweed.
Spores, sage and corn stigmas help normalize immunity and synthesize insulin.
When diabetes is useful, chicory - it contains insulin, the years of blueberries help reduce blood sugar.
How to take care of your feet with diabetes?
Care for your feet with diabetes is very important, because these patients have a high risk of developing complications on their feet - a diabetic foot.
To care for your feet with diabetes, you must follow several rules:
Every day, wash your feet in warm water with soap
- do not allow peeling and dryness of the skin of the legs, this should be smeared with moisturizing cream for diabetes
- Do not use compresses on your feet during diabetes
- do not engage in sports that hurt your legs
- Protect your legs from sharp objects, do not go barefoot with diabetes
- gently cut your toenails, do not cut off the nail corners that can lead to ingrown nails, and any damage to the skin on the leg can lead to the appearance of an ulcer
- with diabetes, shoes should not rub and beinconvenient, which disrupts blood flow in the legs and leads to a lack of oxygen in the blood. Diabetics lose sensitivity to their feet and may not notice rubbing with their shoes.
If you have redness, wounds, suppuration or ulcers on your feet with diabetes, you should immediately call your doctor.