How to treat diabetic foot, how to treat diabetic foot?

Diabetic foot mainly includes two major aspects. First of all, it is for the control of diabetes, blood sugar, blood pressure, and blood lipids. Once diabetic foot is found, it is necessary to use insulin to control blood sugar, and diabetic foot is also known to be due to vascular and nerve lesions, as well as co-infection.

In terms of vascular nerve lesions, drugs that improve microcirculation, promote blood circulation and remove blood stasis, and dilate blood vessels should be used**. For nerve damage, it is also necessary to nourish the nerve**. At the same time, diabetic foot often has local infection, at this time, for the infected lesions to carry out systemic or local anti-infection and, as well as local dressing changes, so the strategy of diabetes prevention and treatment should be said to be comprehensive.

At the same time, diabetic foot should also pay more attention to some of its cardiovascular problems, in the case of diabetic foot, we must assess the patient's cardiovascular and cerebrovascular conditions, but also to prevent myocardial infarction, and because his vascular lesions should be systemic, to prevent the occurrence of myocardial infarction and cerebral infarction. In some serious cases, for patients with diabetic foot, they can enter intervention, or stem cells, and reconstruct blood vessels, so as to reduce the amputation rate of diabetic foot, and at the same time reduce the occurrence of cardiovascular events. Of course, in the whole process of diabetic foot, lifestyle intervention is a process that runs through the whole process.

Analysis: Hello, in this case, we must first know the cause of diabetic foot As the name suggests, it is due to poor blood sugar control, so it is necessary to carry out a comprehensive **Opinions and suggestions: General** is to control the development of diabetic foot on the basis of stable blood sugar control, and ** is mostly to remove excess dead skin and carry out active dressing changes, microwaves**, etc., and use some drugs to improve circulation.

Diabetic foot ** is comprehensive**, including the following aspects:

1. Control of metabolic abnormalities: For comprehensive control of blood lipids, blood pressure, blood sugar, weight, etc., it is recommended to use insulin to control blood sugar.

2. Control of macrovascular lesions: vascular obstruction can lead to diabetic foot, which can be dredged through drugs when it is mild, and intervention** or even stent placement when it is severe.

3. Microangiopathy: It can be used by drugs or other drugs that are conducive to vasodilation.

4. Local wounds: including dressing change, debridement, use of antibiotics, treatment of continuous negative pressure wounds, treatment of vascular wound growth, etc.

5. Control of systemic factors: Diabetic foot is often accompanied by other systemic discomforts, such as renal dysfunction, cardiovascular disorders and other high-risk factors, which need to be controlled at the same time.

What are the care methods for diabetic foot:

1. Keep your feet fresh and clean, and wash your feet with warm water every night. Do not overheat the water to avoid burns**.

2. Systemic protection, diabetic patients should also pay attention to some systemic protection. Sugar control! Sugar control!

Sugar control! Say the important thing three times, blood sugar control is crucial! Actively control blood sugar to ensure that blood sugar is stable.

At the same time, maintain a good positive attitude so that you can ** foot ulcers faster.

3. Local debridement: The key to diabetic foot ** is to treat infection and ulceration at the same time, first disinfect the affected area with medical iodine, remove necrotic tissue, and then spray Yao Skinkang directly, 3-5 times a day to let the wound quickly heal, and finally put on loose cotton socks.

1. Control blood sugar and make blood sugar reach the standard steadily;

2. Control blood pressure to reach the target value (130 80mmHg);

3. Reduce blood viscosity, stabilize plaques, and prevent vascular occlusion of lower limbs;

4. Anticoagulation** to prevent arterial thrombosis of the lower limbs;

5. Improve the circulation of the lower limbs and ensure the blood of the diabetic foot**;

6. Diabetic foot ulceration and infection patients should be debrided, cannibalized, and saprophytic muscles should be removed; infection control; Deep ulcer infection is drained by negative pressure suction;

7. Patients with positive diabetic peripheral neuropathy and neuropathic ulceration should be immobilized;

8. Autologous platelet-rich gel** diabetic foot ulcer, with remarkable effect;

9. Meibao Band-Aid ** diabetic foot, which has the effect of removing saprophytic muscle and promoting granulation growth;

10. Lower limb vascular intervention**, improve distal blood of lower limbs**.

11. Stem cell transplantation**.

Guang'anmen Hospital, China Academy of Chinese Medical Sciences - Department of Endocrinology - Chief Physician - Zhang Runyun - What should I do if I have diabetic foot.

Clean the wound as required, and use specific antibacterial and anti-inflammatory drugs**, and change the dressing on time. Well, we've had a lot of these patients.

During the illness, you must control your blood sugar, otherwise, the risk of diabetes is still quite high, if you have found that you have symptoms of diabetes, then you must actively carry out **, can not be delayed any longer. (Nanchong Traffic Staff Hospital).

"Microbial Enzyme" biologics, safe, non-***. There are cured cases.

Stem cells are not nationally recognized.

Diabetic foot, which can be cared for like this:

1.Regular diabetic foot check-ups: Diabetic foot disease emphasizes "prevention is more important than **", diabetic foot disease ** is difficult, but prevention is more effective.

All patients with diabetes should have a comprehensive foot examination annually to assess current symptoms of neuropathy (pain, burning, numbness, paresthesias) and lower extremity vascular disease (lower extremity fatigue, claudication) to identify risk factors for ulceration and amputation.

2.Learn about diabetic foot prevention: Systematic health education can reduce the occurrence of diabetic foot ulcers, reduce the rate of diabetic foot and amputation, reduce medical costs and improve the quality of life of patients.

3.Identify risk factors for diabetic foot: regularly check whether the patient has risk factors for diabetic foot disease, whether the foot has deformities, calluses, ulcers, **color changes; dorsalis pedis and posterior tibial artery pulses, **temperature, and paresthesias.

4.Pay attention to daily care: the water temperature when washing feet should be appropriate, below 37; It is not advisable to use hot water bottles, electric heaters and other items to directly warm the feet; Avoid self-trimming of the callus or treating the callosum or toenail with chemical agents; Check for foreign objects or abnormalities in the shoes before putting them on; Wear clean, comfortable shoes and socks.

Choose shoes with wide toes, the right size, and good breathability. Socks should be selected with good air permeability, soft, loose socks, you can choose medical high-sugar socks, there is no line bone at the tip of the socks, it will not rub the toes to cause ulceration, the socks are loose, will not cause strangulation marks or even ulceration, and there are 5 silver ion antibacterial belts to prevent fungal infection and bacterial breeding, and light-colored socks are convenient to observe foot breakage, wash socks every day, keep them dry and clean.

Every day on the way home from work, I saw people outside our five hospitals with their feet wrapped and accompanied by their families, walking lightly outside, and some sitting in wheelchairs with gauze wrapped around their feet.

Stem cell transplantation is not suitable for everyone, at present, I think the combination of traditional Chinese and Western medicine **diabetic foot is still more reliable.

It is recommended that you choose carefully, and it is best to go to a hospital or department specializing in diabetic foot, such as Beijing 301, Shangqiu Fifth Hospital Podiatry Center, etc., to avoid delaying the best time due to the choice of method, amputation is small, and may endanger the life of the patient.

**There are many ways to diabetic foot, there are directly listen to the doctor's words, directly choose amputation or toe amputation**, there are also options for lower limb intervention, that is, the lower stent dilates the blood vessels, so that the blood vessels circulate, patients with thin blood vessels can not take it, the first three months can be, after three months may also cause severe ischemia of the lower limbs, which is also very likely to occur, amputation, toe amputation, the patient's blood sugar itself is unstable, if the blood sugar has been well controlled, the probability of complications will be very small, Therefore, it will be very difficult for the wound to heal for a long time, and it is easy to cause postoperative wound infection, resulting in again**, do you choose such a risky **, or do you want to choose not to amputate, do not graft, do not intervene to let it naturally grow new flesh teeth, I heard from colleagues, there is a combination of traditional Chinese and Western medicine open **** diabetic foot, the concept is like this! Just a suggestion.

Diabetic foot cannot be ignored, it needs professional, specialized **. For the basic stage, it is necessary to first control blood sugar, improve microcirculation, dredge the large blood vessels of the feet, and use anti-infection**, in the entire basic stage, it can be said that throughout the whole process, which can effectively control diabetic foot ulcers and lay a good foundation for avoiding amputation.

The general principle of diabetic podiatry** is to transform the local pathological state of the foot wound into a physiological state and create a microenvironment suitable for wound repair.

Whole body**: Strict blood sugar control, anti-infection, support** and maintain the stability of the internal environment.

Diabetic foot local**: Manages according to the stage of the wound. Such as wound topical drugs and external dressing changes**, surgical debridement**, physics**, traditional Chinese medicine**, etc.

The general principle is to transform an infected or contaminated wound into a clean wound; Transform a chronic wound into an acute wound to facilitate wound healing.

The effect of propolis for diabetics is mainly reflected in lowering blood sugar, the principle is to restore part of the pancreatic function through its anti-inflammatory, immune, and antioxidant properties, so that the damage of pancreatic islet cells can be repaired and the function is improved. Propolis and some of the substances it contains are of great significance for delaying the absorption of sugar, as well as delaying or reducing the rise in blood sugar after meals. It can regulate blood sugar in both directions, and propolis is rich in flavonoids, terpenes and other medicinal ingredients, which have a hypoglycemic effect alone or synergistically.

The flavonoids rich in propolis have a good effect on regulating blood lipids, improving microcirculation, antioxidant and protecting blood vessels, and terpenes have good bactericidal and anti-inflammatory effects, which can reduce the complications of diabetes.

Dosage and Directions】2 times a day, 2 capsules each time, take with warm water.

Pay attention to two points in the selection: 1. Look at the brand, choose the big brand, ***, the effect is good; 2. Look at the platform, whether the qualifications are complete, whether there is a traceability mechanism, whether it stands with consumers, and the after-sales service is guaranteed.