Senin, 14 Juli 2008

A VIDEO PROPER SHOES FOR PEOPLE WITH DIABETES NOT A SIMPLE FEAT MANY DIABETICS HAVE SHOES THAT DONT FIT

A VIDEO PROPER SHOES FOR PEOPLE WITH DIABETES NOT A SIMPLE FEAT MANY DIABETICS WEAR SHOES THAT DONT FIT





FOR PEOPLE WITH DIABETES A GOOD SHOE IS MORE THAN A FASHION STATEMENT


Possibly most people with diabetes have shoes that don't fit. No really! Many people with diabetes wear shoes that do not fit So what's the big deal? As you see in this video, foot problems are the bane of people with diabetes, especially long standing diabetes or poorly controlled diabetes or diabetes that causes nerve problems in the feet. A study claimed that fifteen per cent of patients with diabetes will develop a foot ulcer at some point in their life (and they may not even feel it). A study of diabetes and foot problems found that people with diabetes often wear shoes that are not the right size.



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    Shoes that are too narrow for their foot width are a particular issue for diabetics. People with diabetes should pay close attention to the shoes on their feet as well as their feet. Assessing the appropriateness of footwear should be an important part of the foot examination.





    A Video Explains Shoes for Diabetes The Problems and the Promise Click the arrow






    The study said that many patients with diabetes wear shoes that do not fit, particularly, shoes that are too narrow for their foot width. Fifteen per cent of patients with diabetes will develop a foot ulcer at some point in their life. Ill-fitting footwear frequently contributes to foot ulceration. A good fitting shoe is an essential component in the management of the diabetic foot. A study which appeared in 2007 had as it's objectives to assess the feet and footwear of patients with diabetes to determine whether they were wearing the correct-sized shoes. Inadequate shoe fitting cannot be felt in those patients with diabetic sensory neuropathy, where the nerves in the feet are damaged as a result of the diabetes. Ulcers can form because of tight-fitting shoes causing constant pressure. However, loose shoes also cause ulcers, as a result of friction.



    When footwear is fitted properly, it can reduce high pressure areas and hence reduce callus formation and the threat of ulcer formation. Footwear should be designed to relieve pressure areas, reduce shock and shear forces and be able to accommodate deformities by supporting and stabilizing them. It is necessary that shoes fit for both size and shape. The shoe must be wide enough to accommodate the first metatarsophalangeal joint. Shoes should be fitted whilst weight bearing. The location of the widest part of the shoe should be checked allowing extra room at the toe box, adequate room should be left across the ball of the foot and a snug fit should be made around the heel.




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