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Loss of sensation and reduced blood flow to the lower limbs and feet are a well known complication of diabetes. As winter progresses, people with diabetes are at increased risk from problems associated with damage caused by trying to keep the feet warm. The lady I wrote about on May 7 is still at high risk.
As winter approaches the southern hemisphere, the risks of damage to the feet of people with diabetes increase. The weather turned nasty in Johannesburg last weekend – wet and cold – as a result I saw my first Autumn diabetic foot disaster yesterday. A burn on the big toe of a lady who went to bed with her 'barley bag'. It doesn't have to be barley, rice, lentils, in fact anything that can be heated in the microwave.
The Diabetic Foot Symposium at the VASSA Congress yesterday was a great success. It marked the launch of DFWG, the Diabetic Foot Working Group.
This is a voluntary association which will serve as the overall representative body to promote awareness and optimal management of people with diabetic foot problems in South Africa. Its objectives include the prevention of amputation, promoting academic standards and the establishment of relationships amongst role players.
My last two posts have been a clinical assesment of foot care for diabetics. For those suffering from this complaint the following advice should help to protect your pair of feet and minimise the risks of deterioration. And always get professional advice whenever you suspect anything may be wrong.
