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Welcome to betterNOW! healthcare                                                 01223 832 808

Diabetic Foot Screening

Having high blood sugar negatively impacts on foot health.  Chronic high blood sugar damages nerve cells and blood vessels resulting in an increased risk of skin infections, poor healing, loss of sensation and skin dryness.  If your feet have boney prominences like hammer toes or bunions then your feet are at greater risk.

 

In advanced disease patients may lose the feeling in their feet which may result in foot damage going undetected - for example a stone or drawing pin may go unnoticed until the end of the day which might create a wound.  Wounds can take longer to heal than in non-diabetics and unfortunately diabetes is the leading cause of lower limb amputation, furthermore life expectancy after foot amputation is only 3 years.

 

It is vitally important for diabetics to take special care of their feet. The most important ways to do this are:

 

  • Tight glycaemic control (manage your blood sugar level)
  • Management of blood pressure and cholesterol
  • Take regular exercise
  • Stop smoking
  • Healthy diet
  • Maintain a healthy body weight
  • Check you feet every morning and evening - if necessary use a mirror to do this
  • Wear correctly fitting shoes
  • Wash your feet every day
  • Cut your nails straight across
  • Apply a foot cream every day
  • Attend to your hard skin and corns by visiting your Registered Podiatrist
  • Do NOT use corn plasters
  • Do NOT use razors or blades on your feet
  • If any thing looks unusual eg redness, infection, heat, broken skins or lesions SEEK HELP FROM YOUR PODIATRIST IMMEDIATELY

 

Diabetic Screening

 

All diabetics should have an annual diabetic foot check.

 

We look at your general foot shape, check for deformities, infections and wounds plus check for skin and nail abnormalities.

 

Your Podiatrist will listen to the quality of the blood flow throw your feet by using a doppler ultrasound machine.  This listens to your pulses to determine your vascular status and risk.  Sometimes we take the blood pressure in your ankle and in your arm - this is called your Ankle Brachial Pressure Index and is a good indicator of vascular health.

 

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Next we check your neurological status.  The first test uses a tuning fork to determine your ability to detect vibration.  You need to be able to feel vibration in order to balance.

 

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And finally we test your ability to feel using a calibrated 10g fibre which delivers the same amount of pressure to a predetermined number of sites on your feet.  If you fail this test, we then use a special sprung pin called a neuropen that detects your ability to feel pain.  If you can't feel sensations such as pressure and pain you are at risk of developing foot ulcers.

 

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The data collected is stored and compared with data collected the year before.  

 

Patients are catagorised into four risk groups.  Low risk patients are those with good circulation who can detect touch and pain and do not have any visible or detectable foot problems.


A high risk patient is a someone with damaged circulation and an inability to feel touch or pain plus a known foot problem such as a wound or infection or history of ulceration.

 

Low risk patients will be screened once a year but a high risk patient will require regular appointments to maintain good foot health and/or referral to the relevant hospital department for further investigation or treatment.

 

To book your diabetic foot screening appointment call us today on 01223 832 808 and ask for an appointment with our Podiatrist, Leah.

 

 


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DECEMBER STATISTICS

 

USE OUR NEW SEARCH BUTTON FACILITY (TOP RIGHT OF PAGE) TO LOCATE ARTICLES ON A WIDE RANGE OF TOPICS ASSOCIATED WITH PODIATRY, ACUPUNCTURE, OSTEOPATHY, DIET AND EXERCISE.

 

As part of our ongoing patient satisfaction surveys, we are proud to publish our July results. (posted 10th January 2017)

Patients score us out of 5, 0 being very poor, 5 being excellent:

 

100% of patients rated us EXCELLENT

 

100% would recommend us to friend

 

100% were not kept waiting more than 5 minutes

 

100% found us friendly

 

 Too good to be true?  Come and view the evidence for yourself.

 

 

 

 

 

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