Definition

Diabetes is a serious disease that an develop from lack of insulin production in the body or due to the inability of the body's Insulin to perform Its normal everyday functions. Insulin is a substance produced by the pancreas gland that helps process the food we eat and turn it into energy.

Many complications can be asociated with diabetes. Diabetes disrupts the vascular system, affecting many areas of the body such as the eyes, kidneys, legs, and feet. People with diabetes should pay special attention to their feet. One of the most dreaded oompliation of diabetes is gangrene of the foot and legs.This can be serious economic and social problem. Therefore we in india need to find out the solution and proper preventive measures which is affordable and accessible.

How Can Diabetes Affect Your Feet?

Diabetes can cause two problems that can affect your feet.

Diabetic Neuropathy

Uncontrolled diabetes can damage your nerves of legs and feet, and you might not feel heat, cold, or pain. This lack of feeling is called "sensory diabetic neuropathy." If you do not feel a cut or sore on your foot, we cut could get worse and become infected. The muscles of the foot may not function properly. This could cause the foot to not align properly and create too much pressure in one area of the foot. It is estimated that up to 10% of people will develop foot ulcers. Foot ulcers occur because of nerve damage and peripheral vascular disease.

Peripheral Vascular Disease

Diabetes also affects the flow of blood. Without good blood flow, it takes longer for a sore or cut to heal. Poor blood flow in the arms and legs is called "peripheral vascular disease" If you have an infection that will not heal because of poor blood flow, you are at risk for developing ulcers organgrene (the death of tissue due to a lack of blood).

Wagner ulcer classification

Glade 1:  Superficial Diabetic Ulcer

Grade 2: Ulcer extension

• Involves ligament, tendon, joint capsule or fascia
• No abscess or Osteomyelitis

Grade 3: Deep ulcer with abscess or Osteomyelitis

Grade 4: Gangrene to portion of forefoot

Grade 5: Extensive gangrene of foot

Treatment and Prevention

Footwear and orthotics play an important role in diabetic foot care. Orthotics designed with Plastazote foam. the #1 material for protectingthe insensitive diabetic foot, are usually reconmended. Plastazote is a material designed to accommodate pressure hot spots by conforming to heat and pressure. By customizingto the foot. Plaslazote provides the comfort and protection needed in diabetic foot care. Footwear mostde with Plastazote is also recommended frequently for the diabetic patient. Diabetic footwear should also provide the following protective benefits:

• High, wide toe box (high and wide space in the toe area)
  
• Removable insoles for fitting flexibility and the option to insert orthotics if necessary.
• Rocker Soles designed to reduce pressure in the areas of the foot most susceptible to pain, most notably the ball-of-the-foot.
• Firm Heel Counters for support and stability.

lf you are a diabetic, you should be particularly alert to any problems you may be having with your feet. It is very important for diabetics with neuropathy to take necessary precautions to prevent injury and keep their feet healthy. if you have diabetes and are experiencing a foot problem, immediately consult your foot doctor.

LP Silicone full insoles provide the comfort and protection needed in diabetic foot.