Control the glucose levels
The basis of prevention of diabetic polyneuropathy is controlling the blood glucose levels. It’s important not only to control fasting glycemia, but also the blood glucose levels 2 hours after a meal. Let’s recall the normal ranges up to 6.1 mmol/L in fasting state, and no more than 7.8 mmol/L 2 hours after the meal. Your target values may differ from the normal ranges, depending on the your age or incidence of concomitant diseases. Your target values are subject to discussion with the endocrinologist and keeping a diabetes diary is a must.
Care for your feet properly
- Wash your feet daily and gently wipe them (don’t rub them).
- Dub your legs with special cream to prevent skin dryness (except for webs of fingers).
- Inspect feet daily in order to find blisters, cuts, scratches and other damages in time.
- Don’t expose your feet to extremely high and low temperatures. Check the water in the bath first with your hand, to make sure that it isn’t very hot.
- Wear warm socks if your feet are cold at night.
- Do not use hot-water bags or other hot items.
- Inspect your shoes daily to make sure there are no foreign bodies inside, and the lining is not torn.
- Never wear shoes on bare feet. Wear special socks for diabetics.
- Never wear sandal shoes or slippers supposing a strap between the toes.
- Never walk barefoot, especially on a hot surface (e.g., on the sand in summer). Walking barefoot is dangerous due to the significant increase of pressure on the planta.
- It is not recommended to walk in slippers with very thin soles.
- If you found cracks or scratches on your feet, consult the doctor of diabetic foot office.
Wear proper foot wear
Until recently, very little attention was paid to the role of orthopedic shoes in the prevention and treatment of diabetic polyneuropathy. According to statistics, 33 % cases of venous ulcers in diabetes mellitus result from wearing tight and uncomfortable shoes. If the patient has been wearing specialized shoes for not less than 80 % of the measured activity, the risk of recurrence of foot ulcers was 25.7 % compared to 47.8 % (when wearing standard footwear). Specialized Shoes reduces the pressure on the foot by 30 %.