What is usually the cause of recurrent episodes of diabetic foot?

Several local hospitals ordered the leg to be amputated. The patient refused and was referred to our Sugar Foot Center. What I want to tell you is that this is a common condition in diabetic foot**, and many similar patients are forced to "accept**", resulting in coronary heart disease, diabetic cardiomyopathy and even sudden death.

The prevalence of cardiovascular disease in diabetic patients in China is 10-20 times that of diabetic patients at the age of 45 compared with non-diabetic patients [1], and diabetic foot is one of the most serious and expensive chronic complications of diabetes.

The basic genres of diabetic foot are neuropathy, vascular diseases and infections, which can lead to tissue ulcers and gangrene, at present, there are about 100 million diabetic patients in the world, more than 15% of patients have diabetic foot, and the amputation caused by diabetic foot is 15 times that of non-diabetic patients, and 50% of amputees are diabetic patients every year, of which more than 85% are caused by gangrene caused by deep infection or worsening foot ulcers. The best way to do this is to control the amount of sugar in your blood. Check your feet often for wounds.

Actually, it's not just diabetic foot, but at the same time diabetic patients have a higher chance of comorbidging other types of infections than the average person, wounds are not easy to heal after trauma surgery, as for herbal medicine, it varies from person to person, if it is not effective in time**, we can grow several toes or whole feet in a few days. Why does diabetic foot develop so fast? I would like to give you a brief introduction in the hope of arousing the attention of diabetic patients and diabetic foot patients:

In fact, according to statistics, diabetic foot amputation is also one of the main causes of death.

The mortality rate is 20% within six months, 50% within 3 years after amputation, and up to 70% within 5 years. From this set of data, if diabetic foot patients choose to have their limbs amputated, then their quality of life is threatened. Hyperglycemia, hyperlipidemia, and blood viscosity can lead to arteriosclerosis, lower extremity stenosis, and obstruction, resulting in a lack of blood supply to local tissues due to small vessel and microvascular disease, which can lead to wounds, ulcers, and even gangrene in the event of trauma and infection.

There are two main types of diabetic foot, the first is the narrowing of blood vessels caused by the development of arteriosclerosis. The second type is the degeneration of blood vessels and nerves caused by diabetes. Because neuropathy can also cause problems with vascular regulation.

Arterial ischemia can also deprive nerves of nutrients. The process of emphasizing each other.

It may be because of eating some bad food, and it is an irregular life, irregular work and rest, and irregular diet, so it will cause diabetes to reverse the situation.

It is not paying attention to one's diet, followed by not exercising regularly, and not having a good routine and life rules. Smoke and drink regularly.

Diabetic foot** is mainly due to long-term poor glycemic control, leading to diabetic neurovascular disease and reinfection, which is one of the serious complications of diabetes. In addition, it is also related to foot deformities and abnormal increase in plantar pressure. For diabetic patients, if the shoes are too tight, there are trauma such as toe crushes, smashes, hot foot injuries, incorrect toe trimming, blood vessel blockage, **blisters, athlete's foot or athlete's foot, corns or calluses, such patients are more likely to develop diabetic foot.

If the patient develops diabetic foot, due to the frequent occurrence of diabetic peripheral neuropathy, vascular disease, etc., it is not easy to lead to poor blood sugar control due to various reasons, resulting in neurovascular disease of the lower limbs, mainly neuropathy or accompanied by vascular lesions. History of diabetes mellitus for more than 5 years, unsatisfactory long-term glycemic control, and relatively high risk of diabetic foot; Improper foot care: improper foot swelling**, inappropriate shoes, excessive activity due to diabetes, failure to check the insoles before putting on shoes, and failure to conduct daily foot examinations.

**Unsuitable. Most patients experience cold feet, especially in winter. Frequent use of hot water or warm water bags and electric heaters to warm the feet can lead to burns.

Improper manicure, pedicure, calluses, and foot ulcers are treated by themselves without seeking medical attention in time. The occurrence of diabetic foot is the result of long-term pathological changes in diabetes. Diabetic foot, which is the specific manifestation, is the specific manifestation of long-term neurovascular disease of diabetes.

This is an ulcer caused by distal ischemia. Because of neuropathy, when there is trauma, when there is trauma, and then because the pain is gone, he doesn't know that there is trauma. Then wash your feet two days later, wash your feet one day later and find that there is a rotten thing on your feet, and then slowly add ischemia to cause chronic ulcers, which is called diabetic foot.

It is very likely that we do not pay attention to our diet and sleep in life, so it will lead to such a situation, which will lead to such harm, and it will have a serious impact on the body, and the harm is very high.

It may be caused by ulcers, or it may be due to an infection, weakened immunity, joint diseases, and toe deformities.

When diabetes occurs, in order to prevent the threat to health caused by complications, everyone must use drugs rationally. Diabetes is a very stubborn disease, and it is necessary to use medicine rationally and correctly after the disease. Many people do not grasp the correct method in the process of medication, which is very likely to lead to blood sugar fluctuations and then diabetic foot.

Therefore, when you go to the doctor again, you must follow the doctor's advice, and if it is very serious, it can be controlled by insulin injection.

Diabetic foot is a very common complication of diabetes, and some people do not control their blood sugar well, so it will always lead to diabetic foot reversal. In order to prevent the effects of diabetic foot on our body, we must pay attention to a reasonable diet when suffering from diabetes, and never eat some foods that are high in sugar and oil. If you eat too many of these foods, not only will diabetes come and go, but also diabetic foot will continue to appear.

Once diabetes appears, the threat to the body is very serious, and patients can do a moderate amount of exercise. But there are some people who are in a very negative mood after the disease, they don't want to exercise, we can go for a walk with our friends. Burn a part of the calories in the process of exercising, so as to avoid the blood sugar from continuing to rise, if you do not exercise all the time, then the diabetic foot will definitely come to the door again.

The pre-symptoms of diabetic foot are numbness of the limbs, pain, poor circulation of the feet, coldness, etc. are all very typical pre-symptoms, and we must be very vigilant about these symptoms.

Because of irregular diet, eating too late, often eating high-sugar foods, and drinking alcohol, and not having a good life and rest, these reasons are caused.

This may be because I often eat some foods with high sugar content in my daily life, which will lead to backlash.

There is an abnormality in blood sugar, and there is a problem with the body's metabolism. Blood vessels are diseased, sometimes blood sugar is very difficult to control, and there are always deformities in the feet.

It may be that there is some disease, neuropathy or vascular lesions, or it may be emotional instability or blood sugar control is not particularly good.

If blood sugar is not effectively controlled, the phenomenon of reverse action will occur. Blood sugar should be actively controlled, and diabetic foot can effectively control the reaction. First things first:

1.Control the underlying disease

People with diabetes should not only control blood sugar, but also prevent hyperlipidemia and high blood pressure, which will also cause great damage to human blood vessels.

2.Adhere to rational medication

In order to prevent the health threat caused by diabetic foot reaction, the first thing is to pay attention to the problem of medication. Diabetes mellitus is a relatively stubborn disease, and it is necessary to adhere to medication and rational medication after the onset of the disease. Many people do not master the correct method in the process of using hypoglycemic drugs or do not take drugs regularly, which may lead to blood sugar fluctuations and lead to recurrent diabetic foot.

If hypoglycemic drugs are used correctly under the guidance of a doctor, and insulin is injected if necessary to control blood sugar, blood sugar will slowly return to stability, and the diabetic foot will be controlled.

3.Eat a reasonable and healthy diet

Diabetic foot is a common complication of diabetes, many people have diabetes that may be recurred if diabetes is not properly controlled, in order to prevent the occurrence of this complication from affecting physical and mental health, the key is to eat a reasonable and healthy diet, and blood sugar will tend to stabilize when eating correctly.

4.Do a good job of self-protection and inspection

Avoid wounds. Wounds are a risk factor for diabetic foot and are more dangerous in patients with a history of podiabetic foot. Especially in summer, don't scratch hard after a mosquito bite.

Go to the hospital regularly to check the blood vessels in the lower limbs. If the patient has already developed stenosis and occlusion, there is still a hidden pathological basis in the body that has not been resolved, and it is more likely that stenosis and occlusion will occur again. It is recommended to do a lower limb ultrasound within one to three months after discharge, and it is not expensive.

5.Combined with exercise sugar control

In order to prevent the recurrence of diabetic foot from becoming a health threat, the key is to pay attention to exercise. Under the premise of rational medication and healthy diet, blood sugar is generally easier to control, and it can also be combined with exercise to lower blood sugar. In the process of exercise, the body consumes energy, which is conducive to the utilization of carbohydrates in the body, which can avoid the continued rise of blood sugar.

Yes, diabetes is reversed, so it needs to be strictly controlled in the daily diet, not often eat sweets, pay attention to hydration, and take hypoglycemic drugs.

Yes. Usually you must control your blood sugar, pay attention to the problem of diet, the diet should be light, do not eat spicy food, do not eat food with too high sugar, be sure to control the intake of sugar, maintain emotional stability, do not be too excited, and maintain a good attitude.

Yes, you must strictly manage your diet, manage your physical condition, pay attention to exercise, pay attention to rest, and eat less sugary food.

You can go to the Fifth People's Hospital of Shangqiu City to find a professional doctor for **, do not amputate **diabetic foot, otherwise the wound will not heal, and the wound needs to be repaired, and a professional ostomy specialist should be found to carry out thorough debridement, and the wound will be treated with drugs for nourishment and nerve and vascular regeneration to promote rapid wound healing.

If the diabetic foot has a deep wound, it may develop osteomyelitis and even sepsis. If the wound is deep and extensive and does not heal for a long time, amputation may be required**.

Amputation has a big impact on both quality of life and quality of work. Therefore, diabetic foot must be active, detected as soon as possible, and strive to heal the wound through conservative **. Generally, endocrinologists will use insulin combined with oral hypoglycemic drugs to control blood sugar as soon as possible, as well as control infection, improve local blood circulation, neuronutrition, etc.

The surgeon should carry out local drainage and dressing change treatment to make the wound heal as soon as possible. If diabetic foot is not controlled for a long time, there may be a risk of amputation.

The complications are mainly:

1. When the condition is severe, there can be ** ulceration, tissue erosion, until necrosis, and it can also cause scalding or frostbite because of **numbness or loss of sensation, and insensitivity to overheated and over-cold objects.

2. Diabetes mellitus combined with acral gangrene is a kind of chronic, progressive acromegaly, pain, numbness of hands and feet, ulceration and infection, the main causes of large, small, micro-blood ring tube lesions, peripheral neuropathy and various injuries, combined with infection.

Diabetic foot patients who are prone to recurrence are advised to control their blood sugar strictly and steadily. In addition, it is necessary to carry out a daily examination of the foot, which mainly includes the following three aspects, namely the examination site, the examination content and the examination method.

The main examination sites are the dorsum of the foot, the soles of the feet, the toes, the nails, the fingertips and the fingers, especially the deformed parts. The examination mainly includes carefully observing the feet for ** damage, blisters, cracks, redness and swelling, corns, blisters and calluses, small wounds, etc. Pay attention to whether there is redness, swelling and deformation between the toes, and whether the temperature is too cold or too hot.

whether the dorsalis pedis artery palpation is normal, etc. The main method of examination is to observe with a mirror, self-examination, or ask family members to assist in the examination.

Hyperbaric oxygen has a certain effect on the ** of diabetic foot. Long-term ** "Oxygen Zhiyuan Micro Pressure Oxygen Chamber".

Hongxia Liu, attending physician, M.D., graduated from Sun Yat-sen University with a research interest in endocrine genetic and metabolic diseases.

It mainly diagnoses and treats endocrine genetic metabolic diseases such as diabetes, childhood and adolescent obesity, metabolic fatty liver disease, thyroid, adrenal gland, gonadal dysgenesis, growth and development disorders, especially various rare types of metabolic diseases.

Such as neonatal diabetes, fulminant type 1 diabetes, adult-type diabetes with adolescent onset, autoimmune diabetes, cytoma, multiple endocrine adenoma, Turner syndrome, etc.

Chen Xingjia and Liu Hongxia

When Chen Xingjia was studying at Tsinghua University, when Liu Hongxia took her young son to see it, after a day of playing and returning to Tsinghua University, when she saw the lights of the Tsinghua window at 9 o'clock, Chen Xingjia said that if you don't study by yourself every day, you will feel that the day is not complete.

As a result, the next day, Liu Hongxia resolutely didn't need her husband to accompany the two of them to play. A few years later, Chen Xingjia went abroad to study, and it happened to be the university that Liu Hongxia wanted to go to when she was in college, but did not go to it. Write to his wife and say that she has fulfilled her wish for her.

In 2011, Chen Xingjia was transferred to the secretary of the Badong County Party Committee, and the couple started a period of separation. At that time, Badong County was a national-level county of deep poverty, and through visits and investigations, Chen Xingjia found that the biggest reason for poverty here was the inaction of the leaders, and corruption became a heavy-handed behavior.