Footwear for diabetic patients in India – Proper footwear for diabetic patient and foot care and protection of the feet are extremely important for all diabetic patients.
Footwear for diabetic patients in India
Why is footwear so important for diabetics ?
This is due to the fact that the feet are frequently affected by diabetic nerve damage with a resultant loss of protective sensation.
Protective sensation is the perception of potential injury, such as awareness of sharp, rough or excessively hot or cold objects or friction, such as rubbing against the inside of shoes.
When this is impaired, it is possible for the person with diabetes to sustain wounds, abrasions, burns, or freezing of which he or she may be unaware.
Other types of injuries such as bites and blisters can similarly occur unnoticed. Even fractures to the bones of the foot can occur painlessly when more severe forms of diabetic nerve damage are present.
The most serious consequences of unperceived injury is infection. Because the blood supply to the feet may also be impaired, the healing and immune response to both the injury and the infection can be compromised, so that a chronically infected wound results.
The most dangerous consequences of chronically infected wounds are spread of infection to the deeper tissues, including the bones, and entry of infectious organisms into the bloodstream.
This can lead to blood poisoning (septicemia) or spread by the bloodstream of infection to other body tissues. Both of these consequences can cause severe illness or even death.
Hence proper footwear for diabetes and foot care is very important for all diabetics.
Local infection of the bones of the feet can require amputation, since infection in the bone (called “osteomyelitis”) is very difficult to treat.
Even powerful modern antibiotics given intravenously over several weeks may fail to completely eradicate infection in bone when its blood supply is poor.
Diabetic nerve damage in the feet may lead to disturbance of the mechanics of the foot, such that pressure may occur on bony areas not designed to bear this.
This can cause unusual prominences of the bones of the feet on all of their surfaces, which are more prone to injury than usual.
Corns, calluses, cracks, fissures, and ulcers of the feet can all occur in people with diabetes in the absence of specific injury, but as a result of abnormal pressure distribution caused by nerve damage.
For all of these reasons, it is very important to protect the feet by wearing suitable footwear, not going barefoot, paying attention to the environment (i.e., removal or covering of protruding furniture legs etc. an hard, abrasive floor surfaces), performing daily inspection of the feet, foot hygiene, nail care, and prompt cleaning and dressing of minor injuries.
Diabetic foot and ulcers
A diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term (or “chronic”) complication of diabetes mellitus. Presence of several characteristic diabetic foot pathologies such as infection, diabetic foot ulcer and neuropathic osteoarthropathy is called diabetic foot syndrome.
Due to the peripheral nerve dysfunction associated with diabetes (diabetic neuropathy), patients have a reduced ability to feel pain. This means that minor injuries may remain undiscovered for a long while.
People with diabetes are also at risk of developing a diabetic foot ulcer. Research estimates that the lifetime incidence of foot ulcers within the diabetic community is around 15% and may become as high as 25%.
In diabetes, peripheral nerve dysfunction can be combined with peripheral artery disease (PAD) causing poor blood circulation to the extremities (diabetic angiopathy). Around half of patients with a diabetic foot ulcer have co-existing PAD.
Where wounds take a long time to heal, infection may set in and lower limb amputation may be necessary. Foot infection is the most common cause of non-traumatic amputation in people with diabetes.
From where can diabetics buy proper footwear in India ?
Though all major footwear stores in India sell special footwear for both diabetic men and women in all local towns, it makes sense to make a choice from the number of online stores that sell shoes for diabetics.