1.27 Diabetic foot Flashcards
Why no heels on a diabetic shoe?
- increased pressure directly on calcaneus
- changes angle of heel and puts force on toe box
What is the problem with most shoes for diabetics? How do diabetic shoes combat this problem?
- have seams in toe box, which creates friction or rubbing point
- can create a wound
- diabetic toe box is usually domed and a continuous piece of fabric
Sole of a diabetic shoe
usually more cushioned for shock absorption
Optimal time to go get diabetic shoes
midday: don’t want to go when there’s too much or too little swelling
- want a snug fit with no heel pistoning
heel pistoning
heep rising and hitting up on the back of the heel counter
diabetics and sandals
- thong sandals put a lot of pressure between big and second toe
- have to squeeze to keep it on the foot
diabetics and slippers
- no arch or any other support
- their arch will be lost eventually as is, don’t want to mak e it worse
What must be done every time a diabetic puts shoes on?
- check inside EVERY time
- stuff gets in and a diabetic won’t feel it
When should a diabetic wear shoes?
all the time, anything on the ground can create a wound
What type of socks should diabetics wear?
- cotton
- white (to see blood)
- seamless if possible
diabetics and sock changing
- someone who sweats a lot or works in boot should change socks throughout the day
sock fitting
- make sure not too tight
- shouldn’t create a pattern of the sock on the foot
foot checks: how often?
once or twice a day
What does a diabetic need for foot checks?
- flexibility
- vision
- maybe a mirror
toenail maintenance for diabetics
- clip straight across (avoid ingrowns)
- shouldn’t take off too much
- TOENAIL CLIPPERS NEED TO BE CLEANED
