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Diabetic Feet. What is involved in a 6 monthly check up?

2/3/2012

1 Comment

 
As you might be aware diabetes can affect both the circulation and sensation in your feet placing you at higher risk of complications such as infections, ulcers, or even in extreme cases, amputations. Under the right circumstances, circulation and sensation can change quickly and as such the doctors and the medical associations recommend that diabetic feet be checked at least every 6 months.

Circulation Testing:
  - Checking pulses for good pressure in the feet. Good blood flow to diabetic feet is vital. If needed a small ultrasound machine is placed against the blood vessels as a way of hearing for minor changes in the blood vessel and looking at the velocity of the blood through the artery.
  - Minor blood vessels are also assessed by a quick pressure test (SVPFT) 
  - Visual inspection. Decreased circulation comes with it a number a visual clues such as varicose veins, thinned skin, changes in skin colour and temperature, loss of hairs on the toes and more. We check the feet for these visual clues to give us and idea of what might be going on under the surface.

Sensation testing
  - Pressure testing. Loss of this 10gram sensation in a diabetic is a strong warning that a person may cut or injury their feet without knowing it. With the clients eyes closed, we use a 10g monofilament to gently place pressure on different areas of the foot to determine if you can feel it or not. 
  - Vibration testing. Loss of vibration sensation is an early warning sign that there may be diabetic related changes occurring in the feet and often occurs before a loss of pressure. By placing a medical graded tuning fork we can determine how much vibration sensation you have lost, if any.

In addition to circulation and sensation testing we also check a number of risk factors that may contribute to the health of your feet. Smoking, cholesterol and health problems may contribute to the problems associated with diabetic feet. We also check for good eye site, flexibility, as well as your gait (the way you walk), calluses, nail problems and more for a thorough assessment.

For more information click here.
1 Comment
laser eye surgery link
25/7/2012 11:12:18 am

You made some good points there. I did a search on the topic and found most people will agree with your blog.

Reply



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    Author

    Anna Morgan 
    Senior Podiatrist

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  • Home
  • About Us
    • Our Team
    • Latest News
    • NDIS Podiatry
  • Podiatry
    • General Podiatry
    • Heel Pain Centre
    • Childrens Podiatry
    • Skin and Nail Care
    • Cracked Heels
    • Diabetic Podiatry
    • Biomechanics and Orthotics
    • Nail Surgery
    • Foot & Ankle Injuries
  • Pedicures
  • Conditions
    • Heel Pain >
      • Heel Spur
      • Plantar Fasciopathy
      • Plantar Fasciitis
      • Sever's Disease and Heel Pain in Children
    • Heel Callus Cracked heels
    • Foot Conditions >
      • Achilles Tendonitis
      • Ankle Pain and Sprains
      • Bunion's
      • Cold Feet
      • Flat Feet (over prontation)
      • Foot Cramps
      • Gout
      • Toes Deformities
      • Hot Feet
      • Mortons Neuroma
      • Overlapping Toes
      • Posterior Tibial Tendonitis
      • Shin Splints
      • Smelly Feet
      • Swollen Feet
      • Tendonitis
    • Ingrown Toenails
    • Nail Problems >
      • Fungal Toenails (onychomycosis)
    • Skin Problems >
      • Athletes Foot & Tinea
      • Blisters
      • Calluses
      • Chilblains
      • Corns
      • Warts
    • Diabetic Feet >
      • Diabetic Foot
      • Diabetic Shoe Wear
      • Foot Ulcers
      • Peripheral Neuropathy
  • Childrens Feet
    • Pregnancy and Feet
    • How to promote health feet in children and babies
    • Children and shoes
    • Paediatric flat feet
  • Sports Podiatry
    • Orthotics
    • Running
  • Adelaide Clinics
    • Unley Rd Podiatry
    • Magill Podiatry
    • Tranmere Village Medical Centre
    • Contact Us
  • Coronavirus Policy