13/11/2019
On reading this article, I was reminded of conversation I had with someone recently who had diabetes and was a great runner - ultramarathons no less. Because of the amount of time he spent on his feet, he had many areas of thickened skin - calluses. He regularly checked his feet, being very aware of the potential risk diabetes could have on his feet. Luckily he wasn't suffering from neuropathy (lack of feeling) so could feel pain. If a problem occurred - even under the callus he would feel it and have it checked. We spoke about the importance of checking his feet daily - especially the callused areas and to check for changes. These areas of thickened skin can hide infected sites eg. ulcers, which is easy if there is feeling.
The example in this article relates to someone who did have neuropathy. He had an infected abscess which was hidden behind the callus, the patient having no idea it existed.
It is obviously more difficult to spot changes in a callused area of your foot, but the more familiar you are with the soles of your feet, the more likely you are to notice any slight changes and seek help from a professional who can identify whether there is a problem or not.
This is definitely a good reason for establishing a regular foot check, if you have diabetes, even if you have full feeling at present. If your soles of your feet look as familiar as the palms of your hands, any slight change will be noted straight away.
After reading the following quote from this article, prevention really must be the way to go....
"Approximately 40% of individuals with diabetes who develop a foot ulcer get another one within a year. Two-thirds will get another one within three years, and three-quarters will get another within five years. Just as with cancer, men and women with diabetic foot ulcers aren’t healed — they are in remission."
Diabetic foot ulcers are responsible for the vast majority of non-combat amputations among veterans. Yet too little is being done to prevent them.