Studies suggest that a comprehensive evaluation of your feet can help you recognize the risks of diabetes. Around 422 million people worldwide suffer from diabetes. It is characterized by a high level of blood sugar. The insulin produced by living organisms controls the level of sugar in the body. Insufficient insulin production or the inability of the body to use it usually leads to disease. Diabetes is usually of two types,
Diabetes or type I
Diabetes or Type II
According to the World Health Organization (WHO), diabetes has prevailed in middle and low income countries since the 1980s. It is said that the disease causes additional complications such as,
Ulceration of the lower extremities
The last two conditions are usually observed in patients with diabetes
A report by the International Diabetes Federation (IDF) states that around half of diabetics worldwide have foot ulcers. In addition, the report states that damage to the nerves or neuropathy is an important factor contributing to the development of diabetic foot ulcers. It affects 20 to 50 percent of diabetics.
Neuropathy affects patients in two ways:
Causing painful symptoms in the patient’s legs
Promotes numbness in the lower extremities
Numbness of the extremities makes the feet insensitive to pain and elevated temperature, which makes patients more susceptible to injury. It also slows nerve damage also by healing wounds, resulting in serious injuries, if not treated in a timely manner.
A recent study says that foot abnormalities, common problems and foot ulcers are common indicators of the development of foot ulcers. The study was published in the Journal of Diabetes Care published by the American Diabetes Association (ADA).
The researchers examined about 750 veterans with diabetes. The researchers found that patients with deformed toes and the history of laser photosynthesis increased the risk of foot ulcers. Other risk factors for foot ulcers include decreased oxygenation of the skin and perfusion of the foot.
Another study, published in the same journal, said there are two ways to identify patients at high risk of food-related ulcers, namely:
Disability results of neuropathy
Threshold test for vibration detection
The researchers say that foot pressure tests are an alternative test after examination in patients.
In addition, a study conducted in 2009 revealed that “the single-chain smoothing test (SWME)” was an effective way to determine the risk of nerve damage. The study has been published in the journal Vascular Surgery. For this study, the researchers analyzed more than 1,000 healthy patients. The researchers found that the SWME rate was up to 93 percent sensitive and up to 100 percent in identifying patients at risk of nerve damage associated with diabetes.
Some of the most important foot exam components highlighted in the ADA report are,
Muscle and bone evaluation
The first focuses on the presence of ulcers and possible temperature differences between the extremities. The second evaluation focuses on the solid deformities of the foot with an increase in plantar stress. These deformities cause an ulcer onset. The third evaluation helps identify nerve damage in patients. Five simple neurodegenerative tests are used,
Monochromatic result of 10 g
Pitch tuning 128 Hz
Ankle reflex test
Threshold of cognitive perception