Although this is a period where we are Working-from-Home (and taking care of oneself should be easier), but many conditions still require the same level of monitoring and care no different from when we were leaving the house for work.
Some may even require additional care during this period.
During the rainy season in particular, diabetics are dealing with the more alarming aspects of the condition known as diabetic foot, which is no less serious than COVID.
During the rainy season, the humidity can make even small wounds at the feet of diabetics turn into wounds so large they may even need to amputate the foot!
So, let’s take a look at footcare for diabetics.
1. Check your feet every day. Look for all types of wounds and check your toenails. Meet with a specialist immediately if you find a problem. Do not leave it to the “point of no return”.
2. Wash your feet thoroughly with warm water, the kind you would use on children; do not use hot water! Do this at least once daily with a soft scrub or use a cloth to gently rub your feet while washing them and dry them completely every time, especially in between the toes.
3. Rub lotion on your feet afterwards, without rubbing the lotion in between your toes as it may make your toes too moist which can more easily lead to fungus growth.
4. Trim your toenails carefully. Use a straight cut that is not too short.
5. I know you want to … but please do not for any reason take care of that bunion yourself.
6. Wear socks that are dry and clean and provide adequate warmth. Most importantly, change your socks daily.
7. You can also use socks made especially for diabetics because they are softer and not too tight, rest above your ankles and made from special threads that reduce the loss of moisture from your skin.
8. Even during sleep, you must wear socks and never use heated socks or socks with heat pads when your feet are cold.
9. Check your shoes and shake them to make sure there is nothing in there that should not be there before putting them on each time.
10. Make sure your feet are always warm and dry; never leave your feet wet from the rain.
11. Another important point is that, even though we are not leaving the house during this time, you must not walk around barefoot, even in your own home.
12. Control your diabetes well, maintain your sugar levels to less than 7%.
13. Reduce or give up smoking, as it redirects your blood to your feet, which are already in bad condition for diabetics.
14. Have a specialist check your diabetic feet regularly.
15. Wear shoes that fit well and can be adjusted, are not too tight or too loose, can maintain good airflow and avoid wearing open-toed slippers or heels that are too high.
16. Change your shoes if you need to walk for an extended time (more than 5 hours) to avoid repeated pressure at the same points.
This is a lengthy piece of guidance because we care, and we do hope you will remember it all, despite the length
With thanks to The Diabetic Foot Center, Thonburi Bumrungmuang Hospital